Screening for latent tuberculosis infection among undocumented immigrants in Swiss healthcare centres; a descriptive exploratory study.

BACKGROUND: Migration is one of the major causes of tuberculosis in developed countries. Undocumented patients are usually not screened at the border and are not covered by a health insurance increasing their risk of developing the disease unnoticed. Urban health centres could help identify this population at risk. The objective of this study is to assess the prevalence of latent tuberculosis infection (LTBI) and adherence to preventive treatment in a population of undocumented immigrant patients. METHODS: All consecutive undocumented patients that visited two urban healthcare centres for vulnerable populations in Lausanne, Switzerland for the first time were offered tuberculosis screening with an interferon-gamma assay. Preventive treatment was offered if indicated. Adherence to treatment was evaluated monthly over a nine month period. RESULTS: Of the 161 participants, 131 (81.4%) agreed to screening and 125 had complete examinations. Twenty-four of the 125 patients (19.2%; CI95% 12.7;27.2) had positive interferon-gamma assay results, two of which had active tuberculosis. Only five patients with LTBI completed full preventive treatments. Five others initiated the treatment but did not follow through. CONCLUSION: Screening for tuberculosis infection in this hard-to-reach population is feasible in dedicated urban clinics, and the prevalence of LTBI is high in this vulnerable population. However, the low adherence to treatment is an important public health concern, and new strategies are needed to address this problem.

Noves i velles migracions: dimensions de la integració sociocultural dels immigrants a Lleida

En aquest article sobre Noves i velles migracions: dimensions de la integració sociocultural dels immigrants a Lleida (1999), s'analitza de forma concisa aquest fenòmen per identificar les principals característiques diferenciadores dels immigrants de la zona lleidatana. L'article consta de tres apartats. En el primer, la introducció, es resumeixen breument els continguts del treball que donen títol a l'article. El segon apartat tracta sobre la integració dels immigrants i comença per una breu reflexió sobre els canvis d'enfocament a l'hora d'estudiar el fenòmen migratori que ajuda a entendre, per exemple, perquè avui parlem d'integració i no d'assimilació. Posteriorment, s'analitza el model migratori català del qual destaca la inexistència de fractura social malgrat l'elevada arribada d'immigrants a Catalunya, i valora els diferents nivells d'integració assolida en cada onada immigratòria del segle XX. Finalment, es detallen els diferents factors relacionats amb la integració sociocultural (impacte en el creixement demogràfic, sistema educatiu, integració en el mercat laboral i adopció de la llengua catalana) de la població immigrada a la ciutat de Lleida i comarques. El treball conclou que el repte és trobar el model d'integració sociocultural adient per al col•lectiu extracomunitari que integra, majoritàriament, l'onada migratòria iniciada en la dècada dels noranta.

Joves immigrants i persistència acadèmica: què ens diuen les seves xarxes personals?

L'estudi que es presenta forma part d'un projecte de recera de tipus longitudinal que busca detrminar en quina mesura les xarxes personals i socials de l'alumnat immigrant poden apoderar les seves trajectòries acadèmiques tot incidint en la seva persistència i èxit escolar. L'estudi introdueix un nou nivell de comprensió tant de les trajectòries d'èxit com de la vulnerabilitat de l'alumnat immigrant a la secundària utilitzant l'enfocament egocèntric de l'anàlisi de xarxes socials. Aquest article mostra les potencialitats d'aquest enfocament, el qual ha desenvolupat uns processos metodològics i de creació d'instrumentació propis per al mesurament i analisi de les estructures, patrons i formes d'interacció que emergeixen dels vincles entre actors diversos. Els resultats mostren que els sistemes relacionals de l'alumnat (família, escola i comunitat) constitueixen un nivell intemedi en el qual s'expressa la naturalesa dinàmica i articulada de les funcions de socialització, connexió i presa de decisions de les seves xarxes personals i socials, i permeten valorar la seva incidència en les trajectòries acadèmiques dels estudiants.

Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE

Differences in health care utilization of immigrants 50 years of age and older relative to the native-born populations in eleven European countries are investigated. Negative binomial and zero-inflated Poisson regression are used to examine differences between immigrants and native-borns in number of doctor visits, visits to general practitioners, and hospital stays using the 2004 Survey of Health, Ageing, and Retirement in Europe database. In the pooled European sample and in some individual countries, older immigrants use from 13 to 20% more health services than native-borns after demographic characteristics are controlled. After controlling for the need for health care, differences between immigrants and native-borns in the use of physicians, but not hospitals, are reduced by about half. These are not changed much with the incorporation of indicators of socioeconomic status and extra insurance coverage. Higher country-level relative expenditures on health, paying physicians a fee-for-service, and physician density are associated with higher usage of physician services among immigrants.

Salaris i ocupacions dels immigrants en el mercat de treball

Els immigrants cobren salaris inferiors que els natius perquè ocupen llocs de treball menys qualificats i treballen en empreses de salaris baixos. En arribar pateixen una degradació ocupacional perquè el seu capital humà no està adaptat al nostre mercat de treball. Així, han d"acceptar feines per a les quals estan sobreeducats i pateixen una penalització salarial molt intensa pels estudis que no poden fer valer. La transferibilitat limitada del capital humà dels immigrants fa que les empreses valorin poc tant els estudis com l"experiència laboral adquirits en origen. Disposar d"una feina a Espanya, però, els permet acumular experiència adaptada a les necessitats de les empreses. Així milloren el capital humà, progressen en termes d"ocupació, redueixen la sobreeducació i augmenten els seus salaris. Ara bé, la millora és lenta i limitada a alguns col·lectius.

The skill paradox: Explaining and reducing employment discrimination against skilled immigrants

Using a social identity theory approach, we theorized that recruiters might be particularly biased against skilled immigrant applicants. We refer to this phenomenon as a skill paradox, according to which immigrants are more likely to be targets of employment discrimination the more skilled they are. Furthermore, building on the common ingroup identity model, we proposed that this paradox can be resolved through human resource management (HRM) strategies that promote inclusive hiring practices (e.g., by emphasizing fit with a diverse clientele). The results from a laboratory experiment were consistent with our predictions: Local recruiters preferred skilled local applicants over skilled immigrant applicants, but only when these applicants were qualified for a specific job. This bias against qualified and skilled immigrant applicants was attenuated when fit with a diverse clientele was emphasized, but not when fit with a homogeneous clientele was emphasized or when the hiring strategy was not explained. We discuss the implications of our findings for research on employment discrimination against skilled immigrants, including the role of inclusiveness for reducing discriminatory biases.

The Impact of Supervisor's Advice, Codes of Conduct, Accountability and Moral Attentiveness of Individuals on Discriminatory Behaviour Against Immigrants.

Past studies on the personnel selection demonstrated that a supervisor's advice to discriminate can lead to compliant behaviours. This study had the aim to extend past findings by examining what can overcome the powerful influence of the hierarchy. 50 Swiss managers participated to an in-basket exercise. The main task was to evaluate Swiss candidates (in-group) and foreigners (out-groups: Spanish and Kosovo Albanians) and to select two applicants for a job interview. Main results were the effect of codes of conduct to prevent discrimination against out-group applicants in the presence of a supervisor's advice to prefer in-group members. But, when participants were accountable to an audience, this beneficial effect disappears because participants followed the supervisor's advice. The second aim was to assess if the difference in responses between participants was related to their difference in moral attentiveness. Results showed some significant relationships but not always in the direction expected.

Health care utilization among immigrants and native-born populations in 11 European countries. Results from the Survey of Health, Ageing and Retirement in Europe

This study examines health care utilization of immigrants relative to the native-born populations aged 50 years and older in eleven European countries. Methods. We analyzed data from the Survey of Health Aging and Retirement in Europe (SHARE) from 2004 for a sample of 27,444 individuals in 11 European countries. Negative Binomial regression was conducted to examine the difference in number of doctor visits, visits to General Practitioners (GPs), and hospital stays between immigrants and the native-born individuals. Results: We find evidence those immigrants above age 50 use health services on average more than the native-born populations with the same characteristics. Our models show immigrants have between 6% and 27% more expected visits to the doctor, GP or hospital stays when compared to native-born populations in a number of European countries. Discussion: Elderly immigrant populations might be using health services more intensively due to cultural reasons.

Health of Immigrants in European countries

The health of older immigrants can have important consequences for needed social support and demands placed on health systems. This paper examines health differences between immigrants and the nativeborn populations aged 50 years and older in 11 European countries. We examine differences in functional ability, disability, disease presence and behavioral risk factors, for immigrants and non-immigrants using data from the Survey of Health, Aging and Retirement in Europe (SHARE) database. Among the 11 European countries, migrants generally have worse health than the native population. In these countries, there is a little evidence of the “healthy migrant” at ages 50 years and over. In general, it appears that growing numbers of immigrants may portend more health problems in the population in subsequent years.

Approaching the experiences of young immigrants for the citizenship learning

This thesis seeks to answer the question: how do the participation experiences of young girl immigrant contribute to citizenship learning? Citizenship learning in youth comes from different contexts(family, school, friends and leisure and ambiguous) –where participation experiences take place–, combined with interpersonal relationships and personal dispositions (BiestaLawy& Kelly, 2009). So that, I want to know which are the young girl immigrants��� contextsand relationships and which kind of learning comes from each one. In addition, being young, girl and immigrant, are categories to take into account to understand their learnings.