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PubMed1994

Language, culture and psychiatric services: a survey of Victorian clinical staff.

In planning psychiatric services for non-English speaking immigrant communities it is essential to know what resources are available for the implementation of service plans. A survey of 991 professionals from a variety of disciplines working in Victorian state operated inpatient and community psychiatric services demonstrates that, although there is a substantial number of bilingual clinicians working in the system, there is a poor match between languages spoken by patient groups and clinicians, infrequent contact between bilingual clinicians and patients speaking the same language, and inadequate availability of interpreting services. Clinicians' knowledge of cultural issues relevant to assessment and treatment is inadequate, and there is some enthusiasm among clinical staff for remedying this deficiency. Clinicians express the opinions that services to non-English speaking patients are inferior, and clinical outcome is worse than for the Australian-born. There appears to be general support for changes which would seek to more adequately meet the psychiatric service needs of immigrants.

Adult↗
PubMed1996

The political discourse on quota immigration in Germany.

"Since the late 1980s many professional politicians and social interest associations/organisations have been arguing for the creation of an immigration law which would allow and organise limited and legal new immigration to Germany on the basis of annual or two-three year quotas. This political discourse on immigration policy contains proposals which go beyond pure self-interest and aim to contribute to the stated goals of ¿citizenship in Europe' and ¿open, transnational citizenship'. This position is so far only held by a minority. More dominant are the proponents of quota immigration policy and of political asylum and civil refugee policies, directly or indirectly exclusionist in relation to ¿old' and/or ¿new' immigrants and refugees. This article presents the argument for rethinking and restructuring the notion of quota immigration rather than rejecting it altogether."

Demography↗
PubMed1986

The vertical mosaic in later life: ethnicity and retirement in Canada.

Given the distinctive historical experiences, cultural features, and status positions of the diverse ethnic groups in Canadian society, we anticipate that these differences will influence the retirement behavior and conditions of their members. This paper examines the effects of ethnic group membership for immigrants to Canada on the timing of retirement and the sources and amounts of retirement income using data from the Public Use Sample of the 1981 Census of Canada. Separate but parallel analyses are conducted for men and women to take into account their distinctive labor force experiences. We find that membership in Asian, African, or Latin American ethnic groups is associated with both later retirement and a lower probability of receiving social insurance and private pension benefits, as well as appreciably lower income among elderly men. This is likely the result of changes in pension legislation in the 1960s and 1970s reducing benefits to recent immigrants.

Africa↗
PubMed2002

Invisible in aging research: Arab Americans, Middle Eastern immigrants, and Muslims in the United States.

Recent worldwide events have focused greater attention on the Middle East. Little is known about the diverse populations of older persons living in the United States who have Middle Eastern origins and/or practice Islam. Stereotypes and backlash can negatively influence the quality of life for mid- and later-life individuals and their families. Gerontologists can improve conditions by incorporating new knowledge of these groups into research, policy, and practice to dispel stereotypes and provide appropriate services. This article focuses on the demographic characteristics and diversity among mid- and later-life Arab Americans, Muslims, and Middle Eastern immigrants and their descendants. Further research is needed to shed light on the family support, social patterns, housing environments, health care needs, service utilization, and quality of life among immigrants and their descendants across the life course.

Aging↗
PubMed2003

Prelude to the plague: public health and politics at America's Pacific gateway, 1899.

San Francisco played a crucial in the formulation of American immigration policy vis-à-vis Asia in the late nineteenth and early twentieth centuries. During this period, it was often difficult to differentiate political struggles over the exclusion of Asians from other conflicts. This article examines one such arena: an acrimonious, well-documented argument in 1899 between Federal and various State and local authorities over the arrival of a Japanese passenger liner that may--or may not--have been carrying bubonic plague. Six months later, the plague unquestionably arrived, resulting in the well-known San Francisco plague epidemic of 1900 in which more that 110 people died. Reviewing the 1899 prelude, the public attitudes of the various health authorities, and the way the press reported health issues, collectively give some sense of that historical space where the regulation of public health, politics, and the immigration industry intersected and were fiercely contested.

China↗
PubMed2003

The phenomenology of niche evolution via quantitative traits in a 'black-hole' sink.

Previous studies of adaptive evolution in sink habitats (in which isolated populations of a species cannot persist deterministically) have highlighted the importance of demographic constraints in slowing such evolution, and of immigration in facilitating adaptation. These studies have relied upon either single-locus models or deterministic quantitative genetic formulations. We use individual-based simulations to examine adaptive evolution in a 'black-hole' sink environment where fitness is governed by a polygenic character. The simulations track both the number of individuals and their multi-locus genotypes, and incorporate, in a natural manner, both demographic and genetic stochastic processes. In agreement with previous studies, our findings reveal the central parts played by demographic constraints and immigration in adaptation within a sink (adaptation is more difficult in environments with low absolute fitness, and higher immigration can accelerate adaptation). A novel finding is that there is a 'punctuational' pattern in adaptive evolution in sink environments. Populations typically stay maladapted for a long time, and then rapidly shift into a relatively adapted state, in which persistence no longer depends upon recurrent immigration.

Animals↗
PubMed1992

Serum IgE levels and allergic spectra in immigrants to Sweden.

We evaluated the allergy status of 134 immigrants from Asia, Africa, the Middle East and South America, who were referred to our clinic during the past 10 years. Fifty Swedish patients were used for comparison. When the atopy state was not taken into account, no significant difference was found between the two groups with respect to total IgE levels. However, IgE levels of non-atopic immigrants were significantly higher than the IgE levels of non-atopic Swedes. While there was no significant difference in IgE levels between atopic and non-atopic immigrants, this difference was significant in Swedish patients. In general, IgE levels of immigrants showed a decline with time and reached approximately the same levels as for the Swedish patients in 10.5 years. In the immigrant group atopic women had a considerably lower IgE level than the atopic men. Among the atopics there were no differences between sexes. In Swedes and immigrants pollen was the most common group of allergens. The spectrum of allergy in the immigrant group changed with time in Sweden, and gradually became more similar to the Swedish spectrum. Skin and/or RAST positivity to birch increased from 16% within 2.5 years to 53% after more than 10.5 years in Sweden. Our data indicate that environmental factors rather than hereditary differences determine the IgE state. Within a few years the immunologic status of immigrants adapts to the new environment.

Adult↗
PubMed1991

Migrants and their therapists: a trans-context approach.

In this article, I examine how changes in technology, social organization, and economic opportunity are fundamentally altering the encounter between therapists and migrant clients. Approaches are required that take into account the recursive nature of the newly emerging two-home, trans-context lifestyle. I outline a second-order position and lines of questioning that may help migrants and therapists to situate problems in historical-geographical context, examine structural constraints on choice, and co-develop options for the future. To illustrate and enlarge upon hypotheses about the life experience of migrants, I analyze a particular Caribbean-Canadian immigrant story.

Adaptation, Psychological↗