Immigrant Population Research Articles

How much does immigration contribute to national poverty rates? A decomposition analysis for 17 European welfare states

Abstract Over the past decades, many European welfare states failed to reduce poverty. We examine two coinciding trends: the inability to lower poverty rates, and the growth of immigrant populations. Immigrants have become the main contributor to population growth in Europe and have higher poverty risks than natives. This contribution quantifies to what extent national poverty rates were driven by population change. We present a Kitagawa–Blinder–Oaxaca decomposition of national poverty rates in 17 western European countries between 2005 and 2019 using EU-SILC data. The effect of shifting EU and non-EU immigrant populations on poverty rates is heterogeneous: while poverty in some countries increased substantially due to compositional changes, for the majority the effect was small or negligible, including in countries with above-average growth of foreign-born populations. Overall, in two-thirds of country–years changes in the population composition were not the main driver of national poverty rates.

First Language Lexical Attrition in a First Language Setting: A Multi-Measure Approach Testing Teachers of English

Research on first language (L1) attrition typically focuses on immigrant populations in their second language (L2) environment, yet we know comparably little about L1 attrition in the L1 setting. This study used two lexical tasks to test L1 attrition, a time-sensitive word decision task and a video retelling. Chinese teachers of English vs. Chinese teachers of other subjects (N = 25/group) were recruited at a secondary school in China. The aim was to provide an exploratory basis of the L2 influence on L1 lexical attrition in the L1 environment, both on the level of lexical comprehension and production. Mixed-effects models were used to analyse multiple measures including response accuracy and reaction times in comprehension, and lexical diversity, density, sophistication, and accuracy in production. The results showed Chinese teachers’ L1 lexical attrition in the form of longer response times to high-frequency Chinese words compared to non-English Chinese teachers, and the use of significantly fewer sophisticated words in their retellings. Also, teachers of English were faster and more accurate in decisions about Chinese borrowings from English, suggesting L2-driven influence on their mental lexicon. Considering participants’ background information, analyses showed that increased L2 exposure and frequency of use can predict L1 lexical attrition.

Two researchers’ journeys towards healing and safety doing community-engaged scholarship with immigrant and refugee populations

ABSTRACT In conducting qualitative research, scholars often grapple with positionality. Researcher positionality refers to how various social identities (i.e. gender, race, class, ethnicity, ability, geographical location) influence research methods. It examines the impact of researchers’ social identities on their understanding of the research design, question, context, process, and participants . Scholars of colour who research their own communities have added complexity in this research process, including having to address the question of being an insider-outsider. This duality sometimes has an emotional toll. Two community-centred researchers asked What is the emotional labor that goes into conducting research with our own communities? Gerardo Mancilla immigrated to the United States when he was seven years old. He was undocumented and grew up in the U.S. with this identity for more than 20 years. Phitsamay Uy came to the United States as a child refugee at the age of six. Her refugee identity influenced her understanding of U.S. schools. In this paper, the two scholars of colour share their methodology and experiences of becoming academics who study their own communities. They discuss commonalities in their shared stories: Being Accidental Academics, Utilising a Relational Approach, Developing Reciprocity with Our Communities, and Experiencing Radical Healing.

Exploring cultural identity and perspectives of bicultural immigrants: a study on 1.5 and second generations of Koreans in Australia

ABSTRACT This study focused on the perceived cultural identity of Korean Australians, with the objective of explaining the factors that shape their perceptions and how they are perceived in both Australia and their country of origin, Korea. A total of 142 participants representing the 1.5 and second generations of Korean Australians completed an online survey. The survey results showed that this group of Korean Australians demonstrated a bicultural identity, which is widely regarded as the optimal cultural identity for second-generation immigrants in a multicultural society (Hamers, J., and M. Blanc. 1993. Bilinguality and Bilingualism. New York, NY: Cambridge University Press.). It was observed that self-rated language proficiency exhibited significant correlations with both the Korean and Australian cultural identities. The age at immigration (AI) was significantly correlated only with their cultural identity as Australian. Responses concerning Australians' views toward Koreans and the attitudes of Koreans in Korea toward themselves or Korean Australians exhibited varied themes including both positive and negative sentiments, and ambivalence. These findings not only uniquely contribute to the understanding of Korean Australians but also emphasise the broader relevance of such dynamics within immigrant communities, showcasing the study’s potential impact on a wider spectrum of socio-cultural contexts and diverse immigrant populations.

Sociocultural predictors of immigrant adjustment and well-being.

Research shows that culture change may pose risks to immigrant wellbeing. Our study examined adult Georgians (N = 431) residing in Greece, Italy, and Germany, and explored associations between their demographic characteristics, sociocultural adjustment, and psychological well-being outcomes. Conducted via electronic self-report survey, the cross-sectional study measured participants' levels of sociocultural adjustment, psychological adjustment, and depression along with the willingness to interact with host nationals, perceived sense of discrimination, history of being undocumented, age and length of relocation, and fluency in host language. The study also examined differences in three subsamples from the standpoint of intercultural distance. Sociocultural Adjustment Scale, Brief Psychological Adaptation Scale, Center for Epidemiologic Studies Depression Scale and Host Interaction Scale were used to measure the corresponding variables. Perceived history of discrimination was measured by a Likert-scale question about discrimination in a host country. Intercultural distance was established by Hofstede cultural compass and was estimated to be the smallest with Greece and the largest with Germany. Depression was positively predicted by histories of discrimination and illegal immigration, host language fluency upon relocation, and was negatively predicted by sociocultural adjustment. Psychological adjustment was positively predicted by sociocultural adjustment, willingness to interact with host nationals, and ongoing language fluency, while perceived sense of discrimination, age, and poor financial state acted as negative predictors. Finally, sociocultural adjustment acted as the strongest determinant of wellbeing predicting both lower depression and higher psychological adjustment. Our findings suggested that adjustment in diverse sociocultural domains was the most critical for the immigrants' psychological well-being along with the lack of perceived discrimination. Additional factors associated with the better adaptation outcomes included younger age, willingness to interact with host nationals, language fluency, better financial standing and no history of being undocumented. The results also indicated that host language proficiency upon relocation may contribute to migrant susceptibility, whereas intercultural distance may be overshadowed in importance by acculturation conditions. The findings illustrate the complexity of migration and culture change and point to the superiority of wholistic policies and practices in promoting smooth transition of immigrant populations.

The Effect of Acculturation Stress Asian-American Immigrants on Parent-Child Relationship

This paper delves into the impact and effect of acculturation stress on parent-child relationships within Asian immigrant families. The literature review highlights the significant rise in the Asian immigrant population over the past few decades and addresses the prevalence of mental health issues among the demographic, citing acculturation stress as a key contributing factor. By conducting a series of interviews on 14 East-Asian families, the study investigates how the age and timing of immigration profoundly influence an individual's ability to assimilate into the host country, thereby differently shaping parent-child dynamics. Notably, those who came as infants face relatively lower acculturation stress, yet have the most conflicts with familial relationships due to clashing cultural backgrounds and generational differences. Conversely, those immigrating in their teenage and adult years are more prone to acculturation stress. However, they tend to maintain a relatively positive familial relationship due to a reliance on family for mental and emotional support. Understanding the interplay between acculturation stress and parent-child relationships in first-generation Asian immigrant families can offer valuable insights on improving support and fostering healthier familial relationships.

The Community Health Response Team: a culturally and linguistically tailored community response to COVID-19 addressing barriers to testing and vaccinations for refugee, immigrant and migrant communities in Atlanta, Georgia.

The International Rescue Committee (IRC) in Atlanta and Community Organized Relief Effort (CORE) established a Community Health Response Team in May 2020. The team members represented refugee, immigrant and migrant populations and had expertise in health care and public health. These 18 individuals were recruited from IRC Atlanta's Career Development program, had a variety of backgrounds and spoke 20 languages. They implemented a community-centered COVID-response intervention model of pairing education and outreach efforts with testing and vaccination clinics. Due to their team makeup, the Community Health Response Team conducted tailored outreach and education that was culturally and linguistically congruent with their target communities. They administered over 16,000 COVID-19 tests at mobile community sites within the first 6 months. Once COVID-19 vaccinations were available, the Community Health Response Team coordinated a total of 834 vaccination events in communities with a high number of refugees and in partnership with refugee- and immigrant-trusted community-based organizations, resulting in 31,888 vaccinations. Hiring staff from refugee, immigrant and migrant populations created a sustainable staffing model. Also, embedding culturally specific strategies in their model of pairing education and outreach led to long-term relationships and greater trust with community members. This approach of engaging and empowering community members to create tailored public health responses should serve as guidance for future public health campaigns.

Whether or Not to Open the Pandora’s Box: An Analysis of Latent Conflict in Vulnerable Neighbourhoods with High Socio-Cultural Diversity in Spain

ABSTRACT Worldwide, vulnerable neighbourhoods of large cities are often the scene of collective violent conflicts linked with migration and ethnic minorities’ struggles for social justice. However, urban conflicts of this kind have not taken place in Spanish cities with high immigration rates, even though the country has been deeply affected by two recent socioeconomic crises (2009 and 2020). This article reports findings of a study aimed at understanding what lies behind this apparent social peace. The research methodology was based on an analysis of secondary socio-economic and socio-relational data from the Spanish Institute of Statistics and from key national surveys and reports. Results confirmed that immigrant population living in the country are strongly segregated in the lower strata of the labour and socioeconomic structure and have been disproportionately affected by the crises. However, research findings also pointed to the existence of strong closed support networks where social capital has been effective at palliating members’ disadvantage and unrest. Drawing on the Theory of Rupture Frames, we argue that this is a fragile and unsustainable social peace, rooted in social injustice, and anticipate that unless actively prevented, uncontrolled conflict will eventually emerge in main cities’ neighbourhoods in Spain.

Examination of Turkish-made products with the theory of planned behavior: A research on regular migrants in Turkey

This paper investigates the examination of Turkish-made products with the theory of planned behavior. The exploration of regular immigration, encompassing individuals relocating to other countries either temporarily or permanently for various reasons, stands as a prominent subject in current international research. This article examines the attitudes of regular immigrants towards products made in Turkey, employing the theory of planned behavior. In the research, where the quantitative research method was followed, regular immigrants residing in Turkey were selected as the research population. A survey was used as a data collection technique in the research, and the prepared survey form was applied online to regular immigrants currently residing in Turkey, and 444 responses were obtained. The obtained data were analyzed using AMOS and SPSS 26.0 statistical programs, and according to the research questions, correlation and regression analyses were applied. The findings showcase that the attitudes, subjective norms, and perceived behavioral controls of regular immigrants towards Turkish-made products significantly influence their behavioral intentions. Moreover, these intentions have a positive effect on their actual product usage or purchases. Notably, individuals exhibit favorable behavioral intentions towards Turkish products, which has a significant positive effect on their purchasing behavior. Since this study focuses specifically on Turkey, a host to one of the largest immigrant populations globally, and aims to dissect the impact of migrated country products on consumption preferences in multiple ways, it is important.

African Immigrants' perceptions and attitudes toward cardiovascular health.

To explore perceptions and attitudes of African immigrants (Ghanaians, Nigerians, Liberians, and Sierra Leoneans) in the Baltimore-Washington, DC, metropolitan area toward cardiovascular health. This was a qualitative study among African immigrants recruited from religious and community-based organizations in the Baltimore-Washington metro area. A purposive sample of 66 African immigrants originally from Ghana, Nigeria, Liberia, and Sierra Leone completed a sociodemographic survey and participated in focus group discussions. Focus group data were analysed using qualitative description to develop emergent themes. A total of 66 African immigrants with a mean (±standard deviation) age of 51 (±11.8) years participated in the focus group discussions. Fifty percent were women, 91% had at least a bachelor's degree, 84% were employed, 80% had health insurance, and 75% were married/cohabitating. The majority of the participants (74%) had lived in the US for 10 years or more, 44% of them had hypertension, and 12% had diabetes. Findings from the focus group discussions revealed: gender differences in descriptions of cardiovascular health and healthiness, an emotional response associated with cardiovascular disease (evoking fear and anxiety and associated with family secrecy), positive and negative lifestyle changes after migration, cardiovascular screening behaviours, and facilitators and barriers to cardiovascular disease prevention practices and heart-healthy lifestyle. Participants understood health to be a holistic state of well-being. Secrecy in disclosing their cardiovascular disease diagnoses informed by historical socio-cultural belief systems, perceived racial discrimination by healthcare providers, communication and health literacy barriers, economic barriers of holding multiple jobs and the exorbitant cost of heart-healthy foods were identified as some barriers to achieving optimal cardiovascular health in this immigrant population. Our study expanded on the body of knowledge on African immigrants' perceptions and attitudes toward cardiovascular health. Addressing this knowledge gap will provide important intervention opportunities targeted at improving cardiovascular health outcomes in this population. No patient or public contribution.

Exploring self-care and cervical cancer prevention attitudes and practices among Moroccan and Pakistani immigrant women in Catalonia, Spain: a comparative qualitative study.

Self-care and preventive health strategies may trigger health inequities when individuals' cultural values and health beliefs are not fully understood and considered. In the case of cervical cancer (CC) screening programs immigrant women have shown lower attendance compared with native women, which increases the risk of late diagnosis and, consequently, a lower probability of survival. HPV self-sampling for CC screening has been recently added to the World Health Organization's (WHO) list of self-care interventions as a promising tool to reduce this disparity and improve screening coverage. In Catalonia, Spain, the introduction of HPV self-sampling as a part of the new population-based CC screening program, is a significant step. However, there is a lack of research addressing self-care and prevention among immigrant populations in this region. This study aims to fill this gap exploring self-care and prevention attitudes and practices among Moroccan and Pakistani women. We conducted focus groups and individual interviews with 36 Moroccan and 37 Pakistani women in Barcelona, Spain. The topic guide of the focus groups included case vignettes to stimulate the discussion and a semi-structured questionnaire was used for the interviews. Our findings show that most Moroccan and Pakistani women do not prioritize self-care and prevention. They seek care for symptom treatment rather than disease prevention. In this sense, they reported not having the habit of doing regular check-ups and their self-care and prevention attitudes and practices seemed to be conditioned by cultural values. The implementation of an effective call and recall system could enhance the engagement of these populations with CC screening services. This study provides evidence on how universal concepts of self-care and prevention may not aligned with more collectivist societies, emphasizing the limited applicability and motivation of global self-care interventions guidelines for individuals with different cultural backgrounds and values. Therefore, the successful implementation of CC screening programs or any other self-care intervention requires the adoption of culturally appropriate strategies.

The role of education in innovation–migration nexus in Europe

Using panel data between 2012 and 2020, this research examines the relationship between the flows of low-skilled immigrants and innovation in the EU-15 group of nations and Switzerland. The empirical component is generated from a theoretical model that we construct. After addressing the potential endogeneity of the share of immigrants in the population, we find that regions with a relatively high immigrant population have a favorable impact on the generation of patent applications, whereas low-skilled immigrants have the reverse effects on innovation. Hence, the results are in line with the proposition in the theoretical section that lower-educated immigrants determine social decreasing returns in the economy.

Healthy immigrant community study protocol: A randomized controlled trial of a social network intervention for cardiovascular risk reduction among Hispanic and Somali adults

BackgroundImmigrants to the United States face structural barriers that contribute to rising cardiovascular risk factors and obesity after immigration. This manuscript describes the development of the Healthy Immigrant Community protocol and baseline measures for a stepped wedge cluster randomized trial to test the effectiveness of a social network intervention for cardiovascular risk reduction among two immigrant populations. MethodsWe developed a social network-informed, community-based, participatory research-derived health promotion intervention with Hispanic and Somali immigrant communities in Minnesota consisting of mentoring, educational and motivational sessions, group activities, and a community toolkit for healthy weight loss delivered by culturally concordant health promoters (HPs) to their social networks. Using a stepped wedge cluster randomized design, social network-based groups were randomly assigned to receive the intervention either immediately or after a delay of one year. Outcomes, measured at baseline, 6 months, 12 months, and 24 months, were derived from the American Heart Association's “Life's Simple 7”: BMI and waist circumference, blood pressure, fasting blood glucose, total cholesterol, physical activity level, and dietary quality. ResultsA total of 51 HPs were enrolled and randomized (29 Hispanic; 22 Somali). There were 475 participants enrolled in the study, representing a mean social network group size of 8 (range, 5–12). The mean BMI of the sample (32.2) was in the “obese” range. ConclusionProcesses and products from this Healthy Immigrant Community protocol are relevant to other communities seeking to reduce cardiovascular risk factors and negative health behaviors among immigrant populations by leveraging the influence of their social networks.

Determinants of delayed healthcare access and stigma associated with pandemic SARS-CoV-2 infec-tion: findings from a pilot study in the immigrant population in Catania (Sicily Region, Southern Italy).

the Coronavirus disease 2019 (COVID-19) pandemic may have aggravated existing social and healthcare inequalities among particular population groups, such as ethnic minorities, who showed increased susceptibility to SARS-CoV-2 infection. to characterize risk profiles or determinants of delayed healthcare access, as well as knowledge, risk perception, behaviour, and social stigma concerning SARS-CoV-2 infection in the immigrant population in the city of Catania (Sicily Region, Southern Italy). pilot, descriptive study. the immigrant population in Catania. an ad-hoc questionnaire was prepared and administered to the participants of the target population. In addition, a web-based data collection platform and a web-based survey addressed to healthcare providers were developed. 74 immigrant subjects (mean age: 39 years) voluntarily compiled the questionnaire with varying response rates per question: 77% of the participants were male, 59.5% were from Africa, 29.7% from Asia, 6.7% from South America, and 4.1% did not specify their origin. Fifty-three percent (35/66 responses) found it easy to access healthcare services. However, 25.8% (17/66 responses) found it difficult to understand written information concerning their health. Regarding vaccination services, 67.3% of subjects (35/62 responses) had no difficulty in receiving information on mandatory vaccinations and/or vaccination centres in Italy, and 79.7% (51/64 responses) were vaccinated against COVID-19. In relation to other primary prevention issues, 71.4% of participants (45/63 responses) stated they did not know or had never been tested for HIV, 64.4% (38/59 responses) declared they had not heard of or knew nothing about antibiotic resistance, and 30.4% (21/69 responses) had not heard or knew nothing about antibiotic use. health services seem to be accessible and effective among the immigrant population in Catania. However, identified determinants of delayed healthcare access included factors concerning mainly health literacy and possibly the socioeconomic status of the population studied. Primary prevention issues that need to be addressed due to low awareness or stigmatization among the immigrant population include antibiotic use and resistance, and infectious diseases such as HIV/AIDS.

The study of migrant and immigrant population from the syndemic point of view

The study of health of migrant and immigrant populations is of particular interest and actual in recent years, and there is a lack of research assessing aspects of aging of permanently resident immigrants, chronic non-communicable diseases, multimorbidity, and study of second generations. This contribution proposes to describe the relationship between health and immigration and their association with frailty through the anthropological concept of syndemics. Syndemics represents a set of closely interconnected and mutually enhancing health problems, significantly influencing the overall health status of a population. This occurs within the context of a perpetual pattern of harmful social conditions. Among the syndemics described in the literature, the most interesting in this area is the one concerning the increased frailty due to the interaction among diabetes, depression, immigration, and social distress, called VIDDA (Violence, Immigration, Depression, Diabetes, and Abuse), first identified in Mexican immigrant women in the United States. The main limitation of using the syndemic approach to study the health of immigrant populations is the difficulty in moving from the anthropological, primarily qualitative approach to the epidemiological-quantitative approach. Despite this, the epidemiological study of immigrant populations could benefit from the syndemic approach, because it can better describe complex causal relationships and provide evidence for modification of the clinical approach.

Impact of COVID-19 on foreign population resident in urban areas of Italy: selection of indicators, data sources, and definition of geographical stratification levels

to describe indicators, data sources, and levels of geographical stratification used within the framework of the CCM project "Epidemiological Surveillance and Control of COVID-19 in Metropolitan Urban Areas and for the containment of SARS-CoV-2 circulation in the immigrant population in Italy". population-based observational study based on data from the Integrated Covid-19 Surveillance System and the archive of hospital discharge records. interregional collaborative project. Resident population in 5 Italian Regions (Piedmont, Emilia-Romagna, Tuscany, Lazio, and Sicily). crude and age-standardized rates of diagnostic test utilization and positivity, hospitalization (in any department and in intensive care unit), and mortality in COVID-19 cases. starting from the set of 11 indicators from the Italian National Institute for Health, Migration and Poverty (INMP) project "Epidemiology of SARS-CoV-2 Infection (COVID-19) and Use of Health Services in the Immigrant Population and Vulnerable Population Groups in Italy", the five most effective indicators for CCM purposes were identified. The INMP project highlighted higher rates of test access and positivity among Italians compared to foreigners, higher standardized hospitalization rates among foreigners, and higher standardized mortality rates among Italians, with geographical and temporal heterogeneity. The intersection between the DEGURBA (degree of urbanisation) classification and altimetric zones defined five levels of territorial stratification characterized by decreasing population density. Approximately 81% of the population involved in the CCM project resided in the first two levels; 43% of Italians lived in areas with intermediate population density in hilly or plain areas, while 48% of foreigners were concentrated in densely populated areas. sharing the collaborative approach and a research methodology already tested, integrated with the analysis of disaggregated indicators by morphological, functional, and administrative characteristics of the residential territory, allowed for assessing differences in the impact of the pandemic between Italians and foreigners residing in more or less densely populated areas.

COVID-19 and the immigrant population in Italy. Impact of the pandemic and proposals for interventions to reduce healht inequalities

COVID-19 and the immigrant population in Italy. Impact of the pandemic and proposals for interventions to reduce healht inequalities

Conducting Community-Based Research in An African Immigrant Population: Lessons Learned

Background Although small, the African immigrant population is one of the fastest growing immigrant populations in the United States. Emerging research indicates a high prevalence of noncommunicable preventable chronic conditions in this population. Like other African Americans, African immigrants are mistrustful of the health care system, hampering efforts for prevention and intervention research. Purpose To describe our experiences conducting 2 studies in an African immigrant community, discuss the lessons learned, and provide advice to researchers interested in conducting research in similar populations. Design The 2 published studies for which we derive lessons learned for this paper were a cross-sectional study and a qualitative study using focus group interviews. Participants included Zimbabwean immigrants in the Eastern United States recruited at religious festivals and community events. The 2 studies enrolled a total of 135 participants. Results Of our recruitment goal of 120 in the first study, we enrolled only 98 despite numerous efforts. However, after strategically partnering with a community advisory board (CAB), in the second study, we met our recruitment goal within 4 months. With the CAB, we recruited a larger proportion of men (38% versus 24%). Without the CAB, 350 individuals agreed to participate, but only 98 (28%) returned the questionnaire, whereas with the CAB, 40 agreed to participate, and 37 (93%) successfully completed the study. Conclusion Conducting health-related research in immigrants requires strategic partnerships with the community to build strong relationships between the research team and the target community. By nurturing these relationships, research teams can effectively access this hard-to-reach population and achieve high participation.

The COVID-19 pandemic on immigrants: a national project for the impact assessment of the disease and effective interventions to reduce the spread and promote health

Within the prevention programmes of the Italian Ministry of Health, a project aimed to containing the circulation of SARS-CoV-2 virus in the immigrant population in Italy has entrusted to the Regional Health Authority of Sicily Region (Southern Italy). New evidence has been promoted to disseminate and share public health intervention models. The project involved public health institutions across the national territory and was carried out during the COVID-19pandemic. The project reached the general aim through specific objectives, identifying information sources and health indicators, evaluating the impact of COVID-19, and promoting intervention programmes for taking charge immigrant population. Social distancing, although necessary, has further amplified the gap of inequalities in health, confirming major vulnerability for infection. Having filled some knowledge gaps and proposed prevention tools has been useful for the containment of the virus, for a possible resurgence of the phenomenon, for application in other emergency contexts, and for recalibration in new epidemic events.

Development of a recommendations document in an emergency context

Italy is a destination country for a growing international migration, accounting for 8.4% of the total population. The COVID-19 pandemic has increased the difficulties in accessing healthcare services among immigrants, and barriers due to linguistic and cultural differences had a significant impact during the pandemic. This paper presents the methodology used in the project 'Epidemiological surveillance and control of COVID-19 in metropolitan urban areas for the containment of SARS-CoV-2 circulation in the immigrant population in Italy', carried out with the technical and financial support of the Italian Ministry of Health. This methodology is aimed to identify and select statements available in the literature, transferable to the Italian context, on the topic of interventions deemed useful in reducing the impact of the COVID-19 pandemic on the foreign population in urban/metropolitan settings.In February 2022, a systematic search was conducted in databases such as Medline, Embase, and Web of Science, as well as on national and international websites (WHO, Italian Institute of Health, and CDC), and on 'RecMap' (included in the 'COVID19 Recommendations' website) to identify guidelines containing recommendations on the management and prevention of COVID-19 among immigrants. The selected recommendations were divided into intervention areas (infection control, vaccination, screening, planning and monitoring, healthcare systems). In the first phase, a group of researchers independently assessed the inclusion of recommendations through three rounds of consensus. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was used to assess the quality of the included guidelines. In the second phase, an external group of experts independently evaluated the relevance of the included recommendations using a Likert scale. The document is the result of a collaborative work based on evidence from the literature available until that time. The adaptation and adoption of recommendations already formulated by other international organizations on the topic of preparedness and response to the COVID-19 pandemic, evaluated through a consensus process with experts, can be a valid method aimed at producing documents to inform and guide those involved in the care of immigrants in Italy, as well as promoting inclusive forms of prevention in emergency contexts.