Migration Background Research Articles

Socioeconomic differences in use of antiseizure medication in pregnancies with maternal epilepsy: A population-based study from Nordic universal health care systems.

Research points to disparities in disease burden and access to medical care in epilepsy. We studied the association between socioeconomic status (SES) and antiseizure medication (ASM) use in pregnancies with maternal epilepsy. We conducted a cross-sectional study consisting of 21 130 pregnancies with maternal epilepsy identified from Nordic registers during 2006-2017. SES indicators included cohabitation status, migrant background, educational attainment, and household income. Main outcomes were the proportion and patterns of ASM use from 90 days before pregnancy to birth. We applied multiple imputation to handle SES variables with 2%-4% missingness. We estimated adjusted risk ratios (aRRs) and 95% confidence intervals (CIs) using modified Poisson regression with the highest SES category as reference. Mothers with the highest education and the highest income quintile used ASMs least frequently (56% and 53%, respectively). We observed increased risks of ASM discontinuation prior to or during the first trimester for low SES. The risk estimates varied depending on the SES indicator from aRR = 1.27 for low income (95% CI: 1.03-1.57) to aRR = 1.66 for low education (95% CI: 1.30-2.13). Migrant background was associated with ASM initiation after the first trimester (aRR 2.17; 95% CI 1.88-2.52). Low education was associated with the use of valproate during pregnancy in monotherapy (aRR 1.70; 95% CI 1.29-2.24) and in polytherapy (aRR 2.65; 95% CI 1.66-4.21). Low education was also associated with a 37% to 39% increased risk of switching from one ASM to another depending on the ASM used. For the other SES indicators, aRRs of switching varied from 1.16 (foreign origin; 95% CI 1.08-1.26) to 1.26 (not married or cohabiting; 95% CI 1.17-1.36). Low SES was associated with riskier patterns of ASM use: discontinuation, late initiation, and switching during pregnancy. These findings may reflect unplanned pregnancies, disparities in access to preconception counseling, and suboptimal care.

Conceptualising “the more-than-migrant child”

PurposeUsing a feminist, post-structural and posthuman theoretical framing the paper argues for elevating the complexity of conceptions of migrant children’s engagements with and contributions to their own lives.Design/methodology/approachThis conceptual paper responds to contemporary concerns with research involving migrant children and childhoods in an Australian context. With researchers and teachers’ attention being drawn to enhancing the cultural wellbeing, identity and belonging of young children, it asks: who is “the migrant child”? In our response to this question, we disrupt expectations of simplistic, homogeneous views of children of migrant families or backgrounds, including confronting notions such as vulnerability, neediness and deficit.FindingsPotential ways in which “the migrant child” is implicated by diverse social, environmental and political factors underlie the many ways in which children might exercise their autonomy and participation. In Australia, contemporary migration remains clouded by such policies as the only relatively recently overturned “White Australia” policy and so-called “boat turnbacks”, whilst, and especially in post-Covid times, Australian society simultaneously depends on migrant workers in many areas of employment. At the same time, Australia seems to openly celebrate what is seen as “successful” multiculturalism.Originality/valueThese multiple perspectives offer a deeply concerning social and policy environment for researchers and educationalists. It is in this context that we raise questions and speculate towards potential conceptualisations of “the migrant child” which recognise, rather than negate, the powers and insights arising from the child’s experiential, relational and deeply entangled onto-epistemological perspective/s.

Media discourses of migration: A focus on Europe

AbstractWith a focus on the post‐2015 period in the western and northern regions of Europe, the research examined here shows prominent media discourses of othering, threat and deservedness of migrants. This spatial and temporal frame lends itself to the study of how discourses reflect the impact of the so‐called ‘refugee crisis’ in these regions of Europe. Since there was also continued immigration related to increased opportunities for work, education, quality of life and family togetherness which have long brought migrants to these European countries, examining the research in this period allows us to discover how these discourses might distinguish between different migrant experiences. There is some evidence for the differentiation of certain types of people of migration background in the media discourses, despite a strong tendency to stereotype and essentialise regardless of the actual background of migrants or their descendants. Another key aspect in the research to date is how professional versus participatory media can be compared in the discourses of migration they reproduce, and how these different types of media play a role in society. The article ends with a call for a more intersectional perspective on migration which incorporates critical perspectives on racialisation, and further examination of the voices of migrants in the media.

“Zero interaction”, ignoring and acts of omission in the school ecology: Peer ostracism from the perspective of involved adolescents

AbstractThis study focuses on one type of excluding and isolating behaviour, the essence of which is the breakup of social interactions with a group member, which falls within the commonly accepted definition of ostracism. Based on interviews with 29 adolescents aged 12–18 (including 15 girls and 14 boys, all of whom were students in public schools without migrant backgrounds), an analysis of the content and typology of peer ostracism in school classrooms was conducted, emphasizing the perspective of those directly involved in the ostracism, i.e., the perpetrators. Three main dimensions and behavioural aspects related to ostracism emerged from the data: “Avoidance (Zero Interaction)”, “Expulsion from Group” and “Complete Ostracism”. The results indicate that the identified forms of ostracism rarely occur in a pure form, and are most often carried out in combination with non-verbal acts of overt exclusion. Furthermore, peer ostracism in group-class communities, which is consensual and chronic in nature, may reflect a distinct variant that qualifies for independent study. The paper also discusses directions for future research and actions to improve the social classroom environment.

Who Counts in Official Statistics? Ethical‐Epistemic Issues in German Migration and the Collection of Racial or Ethnic Data

ABSTRACTIn European countries (excluding the UK and Ireland), official statistics do not use racial or ethnic categories, but instead rely on proxies to collect data about discrimination. In the German microcensus, the proxy category adopted is ‘migration background’ (Migrationshintergrund): an individual has a ‘migration background’ when one or more of their parents does not have German citizenship by birth. We apply a coupled ethical‐epistemic analysis to the ‘migration background’ category to illuminate how the epistemic issues contribute to ethical ones. Our central claim is that these ethical‐epistemic issues with the ‘migration background’ category are best analysed in terms of Charles Mills's ‘white ignorance’. Appealing to Annette Martín's structural account of white ignorance, we highlight the cyclical reinforcement of ignorance and racial injustice in the use of the ‘migration background’ variable. Colourblind eliminativism about race perpetuates the use of ‘migration background’, which sustains and intensifies racial injustices.

Appreciation of multilingual teaching activities by secondary school students in Germany: findings from a quasi-experimental intervention study on teaching French

ABSTRACT Recognising and appreciating linguistic diversity and different cultural identities is an important educational goal for the development of our societies [Council of Europe 2007. From Linguistic Diversity to Plurilingual Education: Guide for the Development of Language Education Policies in Europe. Council of Europe Publishing; 2020. Common European Framework of Reference for Languages: Learning, Teaching, Assessment – Companion Volume. Council of Europe Publishing]. This paper presents the results of a quasi-experimental pre–post control-group study on the implementation of multilingual teaching activities in teaching French as a second foreign language at secondary grammar schools in Germany (in total n = 221 students, a convenience sample of 207th grade classes). Results of analysis of questionnaires and interviews with students show a positive appreciation of multilingual teaching activities, especially among students with migration background who have been raised plurilingually, and an increase in the appreciation of multilingual teaching activities among students who have been raised monolingually in the lingua franca German. Furthermore, the results indicate that the intervention was relevant to students’ intercultural learning in terms of fostering their appreciation of multilingual teaching activities, even though the teaching materials prepared for the study were not implemented consistently in all participating classes.

‘I Want to Marry Her, But I Won’t’: Civil Society Protest Against a Migrant Marriage Income Bar in the Netherlands (1984)

Abstract In July 2023, the Dutch coalition government collapsed over the issue of family immigration policies. The coalition partners disagreed on how to restrict the immigration of family members. It was not the first time the Dutch government sought to introduce restrictions. An earlier attempt in 1984 resulted in a large protest against a Dutch government measure, which restricted the possibilities for young people with a migratory background to marry a partner who was not living in the Netherlands. The protest was connected to larger debates on family migration, measures introduced trying to restrict it, and – in a broad sense – to debates about civil society movements, intimate citizenship, politics of belonging and the restrictionist paradox, as this article will explain. This article also seeks to explain the interaction between organisations, media and politicians.

Ukrainian–Russian bilingualism in the war-affected migrant and refugee communities in Austria and Germany: a survey-based study on language attitudes

IntroductionThis paper provides an initial exploration of Ukrainian–Russian bilingualism in the context of the war-affected migration from Ukraine to Austria and Germany. While extensive research exists on various aspects of Ukrainian– Russian bilingualism in relation to Ukraine itself, thus far no studies have been conducted on this bilingualism in the diasporic context, i.e., as a language of the first and subsequential generations with a migrant background in Austria and Germany.MethodsTo address this research gap, our paper examines the language attitudes of two respondent groups with a Ukrainian background in the two countries: migrants and refugees who left Ukraine after 2014 and those who left after Russia’s invasion in February 2022. In the framework of a sociolinguistic survey, we describe their current attitudes regarding the use of Ukrainian and Russian, among others, in relation to the actual and intended use of the language(s) in the multilingual context of migration. The survey eliciting information on demographic information, language proficiency, language attitudes and language use was conducted on 406 Ukrainians in two host countries (Austria: n = 103; Germany: n = 306). First, we compared self-rated proficiency in Ukrainian and Russian as well as attitudes and use of these languages. Second, we applied a network modelling analysis to determine the nature of relationships between these variables.Results and discussionThe results indicated that proficiency in Ukrainian and in Russian were the strongest nodes in the model affecting language use and language attitudes toward the respective languages. Our data analysis focused on the pragmatic and symbolic value of Russian and Ukrainian playing a crucial role in the language vitality in multilingual settings. The paper discusses the imbalanced correlation of the symbolic and pragmatic value of Ukrainian and Russian in the diasporic Ukrainian communities. While Ukrainian has gained a higher symbolic status, Russian maintains a better pragmatic one, despite its negative symbolic status. However, we anticipate that the increasing symbolic value of Ukrainian and the diminishing value of Russian will lead to an increase in the use of Ukrainian also in Russian-dominant bilingual groups of Ukrainian migrants and refugees, even as an insider-code in hermetic minority groups.

The Micro-Politics of Artistic Production among Artists with a Migration Background

Based on two research projects in the Brussels-based artistic workspace and NGO Globe Aroma, this paper shows how artists with a (recent) migration background make sense of the arts and the space in which they are produced. Born out of a need to counter the dominant presence of men in this artistic workspace and create a welcoming environment, textile-making and live radio were used as means of reclaiming space, fostering solidarity, and sharing personal narratives. Textile-making, traditionally associated with domesticity, was repurposed for public exhibition, challenging the dichotomy between private and public spheres. Furthermore, the projects challenged neo-colonial dynamics and traditional research methodologies. While asking which (micro-)political meaning these artists give to their works and practices, the paper also reflects on the cultural thresholds experienced by migrant artists wishing to access hegemonic arts institutions.

Socioeconomic inequalities in the uptake of postpartum care at home across Dutch neighbourhoods.

Postpartum care focuses on prevention of health problems by performing medical check-ups and through enhancing maternal empowerment, the parent-infant interaction and knowledge about mother's own health and that of her newborn. We aimed to investigate whether there was significant clustering within neighbourhoods regarding the uptake of postpartum care and to what extent neighbourhood-level differences are explained by individual socio-demographic factors, pregnancy-related factors and neighbourhood-level determinants (i.e. deprivation and urbanization). A nationwide population-based observational study was carried out using linked routinely collected healthcare data from appropriate-for-gestational-age weight live-born term singleton deliveries (2015-18) in the Netherlands. We performed two-level multivariable logistic regression analyses, using three different models. Model 1 contained no explanatory variables and was used to assess clustering of postpartum care uptake within neighbourhoods. In model 2, individual-level determinants were added one by one and in model 3, neighbourhood-level determinants were added. About 520818 births were included. Multilevel modelling showed that 11% of the total variance in postpartum care uptake could be attributed to the neighbourhood of residence. Individual characteristics explained 38% of the neighbourhood variance, of which income and migration background were the most important contributors. An additional 6% of the variation could be explained by neighbourhood-level determinants. We found substantial neighbourhood differences in postpartum care uptake. These differences are influenced by a complex interplay between individual-level and neighbourhood-level determinants, highlighting the importance of addressing both individual and neighbourhood-level determinants to improve the uptake of postpartum care and therewith overall community health.

Tackling school segregation with transportation network interventions: an agent-based modelling approach

We address the emerging challenge of school segregation within the context of free school choice systems. Households take into account both proximity and demographic composition when deciding on which schools to send their children to, potentially exacerbating residential segregation. This raises an important question: can we strategically intervene in transportation networks to enhance school access and mitigate segregation? In this paper, we propose a novel, network agent-based model to explore this question. Through simulations in both synthetic and real-world networks, we demonstrate that enhancing school accessibility via transportation network interventions can lead to a reduction in school segregation, under specific conditions. We introduce group-based network centrality measures and show that increasing the centrality of certain neighborhood nodes with respect to a transportation network can be an effective strategy for strategic interventions. We conduct experiments in two synthetic network environments, as well as in an environment based on real-world data from Amsterdam, the Netherlands. In both cases, we simulate a population of representative agents emulating real citizens’ schooling preferences, and we assume that agents belong to two different groups (e.g., based on migration background). We show that, under specific homophily regimes in the population, school segregation can be reduced by up to 35%. Our proposed framework provides the foundation to explore how citizens’ preferences, school capacity, and public transportation can shape patterns of urban segregation.

Teaching and Learning in Italian Multicultural School Contexts: Outdoor Education and Inclusion Processes for Children with Migrant Backgrounds

Italy has recently and rapidly become a country of immigration with an increase in school contexts, especially of second-generation children, leading to the need to deal with the issue of inclusion. This contribution aims to enclose the scientific literature that addresses the inclusion of children with a migrant background within the national school context. After analyzing the ministerial documents and the literature that address this issue, the school context at the local level will be investigated, emphasizing the challenges that teachers must face within increasingly multicultural school contexts, in which they must cope with the numerous needs deriving from the relationship with CNI families and the management of cultural diversity at school.

A city of newcomers: Migration and solidarity in the former East Germany

AbstractThis article examines how urban temporalities have come to alternately foster and hinder migrants' incorporation into the larger social body. It draws on ethnographic and archival research conducted in Eisenhüttenstadt, Germany, and focuses on the so‐called “migrant crisis” of 2015, which resonated with earlier migration histories in the region. When Eisenhüttenstadt was founded in 1950, nearly one‐third of its residents were naturalized East German citizens. Yet under the socialist regime, any acknowledgment of their migration background was expressly forbidden and perceived as a threat to Eastern Bloc geopolitical alliances. Around 2015, however, this history reemerged, first at the local cultural history museum and later, in public discourse. This article attends to the shifting positionality of migration histories within the context of the former East Germany, which was perceived as European in a global context but post‐socialist in a German context. In doing so, it reveals how tensions between individual and urban futurities influence solidarity, integration, and national belonging.

Does the (socio-political) socialization context matter for paternal involvement?

Previous literature on paternal involvement emphasizes the influence of fathers’ socialization contexts, considering either welfare policies (Hipp and Leuze, 2015) or experiences with their own fathers (Brown et al., 2018; Parke, 1995). In this study, we combine those two branches of research and examine how fathers’ and their fathers’ (grandfathers’) socialization experiences (parental leave regulations in their early adulthood as an example of (de-)familization policies (Lohmann and Zagel, 2016)) predict paternal involvement today. To measure paternal involvement, we create an indicator for involvement that covers Lamb et al. (1985) three aspects of direct interaction, responsibility, and availability and the fact that a father has taken paternal leave for at least one of his children or not. We use the fact that a substantial proportion of the fathers in the German, national survey AID:A 2019 (Kuger et al., 2020) were socialized in another welfare state regime (6.3% of fathers have a direct and another 13.5% have an indirect migration background (their fathers were born in another country) covering birth cohorts from the 1970s to the 1990s; total N = 1053). We then add context-related information on their (fathers’ and grandfathers’) countries of origin from the OECD family database and estimate an SEM model to test potential direct and indirect effects. We find that more educated fathers who experienced extended parental leave regulations are more involved fathers today. Our results support, thus, that welfare state conditions influence individuals’ behaviour while education is a relevant moderator in this relationship.

Loneliness and regular sports participation among people of Turkish and Moroccan origin and native Dutch people in the Netherlands. A longitudinal study

ObjectiveSports participation is lower in people of Turkish and Moroccan origin in the Netherlands than in native Dutch people. Addressing this inequality calls for better insights into antecedents of sports participation in different ethnic groups. Theorists suggested that loneliness may hamper sports participation, and levels of loneliness are high among people of Turkish and Moroccan origin. This study assessed the longitudinal association between loneliness and regular sports participation among Turkish origin, Moroccan origin and native Dutch people. MethodsData are from Turkish origin (n = 394), Moroccan origin (n = 387) and native Dutch (n = 1663) people who participated in Wave 1 (2008–2010) and Wave 2 (2013) of the Netherlands Longitudinal Lifecourse Study. Regular sports participation at follow-up was regressed on loneliness at baseline in logistic regression models adjusted for baseline sports participation and a range of confounders. Models were stratified by ethnic group. ResultsTurkish and Moroccan origin people had lower rates of regular sports participation and higher levels of loneliness than native Dutch people. Loneliness at baseline was negatively associated with sports participation at follow-up for people of Turkish and Moroccan origin. No evidence of a longitudinal association between loneliness and sports participation among native Dutch people was found. ConclusionsThe demonstrated positive longitudinal association between loneliness and regular sports participation in people of Turkish and Moroccan origin potentially opens new ways to encourage physical activity in these groups. An integrated approach to addressing loneliness and physical inactivity among people with a non-western migration background may benefit the realization of both goals.

Insider Views and Practices of Translanguaging Classrooms in Early Childhood Education

This study, situated within the domain of language education, delves into the intricate dynamics of translanguaging practices and their profound influence on learning and teaching procedures in a linguistically and culturally enriched early childhood education environment. Focused on the context of Greece, the research aims to uncover the nuanced ways in which translanguaging shapes the language communication and interaction of four-year-old children, considering both native Greek speakers and their peers from migrant or refugee backgrounds. The study cohort consists of 50 children aged four, comprising both native Greek and migrant-background children attending early childhood education. Employing a comprehensive research approach, the study includes in-depth, semi-structured interview sessions with young children and specific observational protocols designed to capture authentic interactions and communications. These methods are employed to trace the development of intercultural awareness and sensitivity within an environment conducive to translanguaging. The findings highlight that the incorporation of translanguaging practices in early education settings not only refines communication and intercultural skills among young children but also significantly influences cultural awareness. Moreover, translanguaging fosters active engagement in learning activities and provides educators with valuable insights and support in implementing innovative language teaching techniques. This research contributes to the advancement of language education practices, particularly within linguistically and culturally diverse early childhood education contexts, emphasizing the transformative impact of translanguaging on crucial aspects of language learning and teaching.

An interdisciplinary integrated specialized one-stop outpatient clinic for idiopathic intracranial hypertension – an assessment of sick leave, presenteeism, and health care utilization

BackgroundManagement of idiopathic intracranial hypertension (IIH) is complex requiring contributions from multiple specialized disciplines. In practice, this creates considerable organizational and communicational challenges. To meet those challenges, we established an interdisciplinary integrated outpatient clinic for IIH with a central coordination and a one-stop- concept. Here, we aimed to evaluate effects of this concept on sick leave, presenteeism, and health care utilization.MethodsIn a retrospective cohort study, we compared the one-stop era with integrated care (IC, 1-JUL-2021 to 31-DEC-2022) to a reference group receiving standard care (SC, 1-JUL-2018 to 31-DEC-2019) regarding economic outcome parameters assessed over 6 months. Multivariate binary logistic regression models were used to adjust for confounders.ResultsBaseline characteristics of the IC group (n = 85) and SC group (n = 81) were comparable (female: 90.6% vs. 90.1%; mean age: 33.6 vs. 32.8 years, educational level: ≥9 years of education 60.0% vs. 59.3%; located in Vienna 75.3% vs. 76.5%). Compared to SC, the IC group showed significantly fewer days with sick leave or presenteeism (-5 days/month), fewer unscheduled contacts for IIH-specific problems (-2.3/month), and fewer physician or hospital contacts in general (-4.1 contacts/month). Subgroup analyses of patients with migration background and language barrier consistently indicated stronger effects of the IC concept in these groups.ConclusionsInterdisciplinary integrated management significantly improves the burden of IIH in terms of sick leave, presenteeism and healthcare consultations – particularly in socioeconomically underprivileged patient groups.

Does timing matter? Language course participation and language outcomes amongst new immigrants

Host country language acquisition is widely considered an important factor to prevent the social and economic exclusion of immigrants. High-income countries invest considerably in language courses for new immigrants, yet hitherto our understanding of when participation in such courses seems to stimulate language acquisition remains limited. As a result, this article addresses whether the timing of language course enrolment is related to course outcomes in terms of credentialed language proficiency. This study benefits from longitudinal population data including all new migrants entering Flanders (Belgium) in 2009–2021, to assess whether associations between language course timing and outcomes persist, for different legal categories of immigrants, when controlling for compositional factors. Findings indicate that for most immigrant categories, negative associations between course postponement and host country language attainment are explained by migration background and human capital. However, amongst family and humanitarian migrants, a negative association between course timing and outcomes persists. This persistent negative linkage suggests a stronger vulnerability to less effective (informal) learning trajectories and downward spiralling opportunities and motivation in the case of language course postponement, but also highlights the need for future research using causal estimation strategies. As such, research on language course timing and outcomes contributes to the literature highlighting that timing – e.g. regarding asylum procedures, housing, but also language programmes – matters in immigrants’ trajectories of integration in host countries.

‘And that was her choice’: Dutch general practitioners’ perceptions of the autonomy of patients with non-western migration backgrounds who experience domestic violence

ABSTRACT Women in the Netherlands with non-western migration backgrounds experience domestic violence at the intersection of culture and gender, and visit their general practitioners (GPs) with health concerns related to the violence. Drawing on semi-structured interviews with GPs, this paper illuminates how GPs navigate the process of decision-making around intervention in domestic violence, with particular attention to the role of autonomy. Patient autonomy is a core principle in Dutch general practice. The term refers to the principle that GPs must respect that competent adults can make autonomous decisions about the care they do and do not want, and that GPs must respect patients’ views, choices, and ways of life. The interview data shows great variation in how GPs respond in situations of domestic violence against women with non-western migration backgrounds. Deploying ‘somatechnics of perception’, this paper explores how GPs’ perceptions of their patients’ autonomy are both the agent and effect of a complex and embodied negotiation of gender, race, culture, ethnicity, medical ethics, and morality. In highlighting how these patients’ autonomy is rendered (un)intelligible and (il)legible in contextually specific ways, this paper sheds light on how GPs in the Netherlands can better assist women with non-western migration backgrounds who experience domestic violence.

Exploring pre-pandemic patterns of vaccine decision-making with the 5C model: results from representative surveys in 2016 and 2018.

The 5C psychological antecedents of vaccination (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility) facilitate understanding vaccination decisions in specific target groups as well as the general public's informational needs. This study aims to explain pre-pandemic vaccination behaviour (a) in general, (b) for specific vaccines such as influenza, and (c) for certain target groups (e.g. people over the age of 59years, parents, healthcare workers), using the 5C model and sociodemographic variables. The intention to get an influenza vaccination was also analysed for target groups. The 5C, self-reported vaccination behaviour and the intention to vaccinate were collected in two representative telephone surveys in Germany - one in 2016 (n1 = 5,012) and another in 2018 (n2 = 5,054). Parents, people over the age of 59years, chronically ill people, people with a migratory background, pregnant women and healthcare workers were target groups. Overall, the 5C model had higher explanatory power than sociodemographic variables. The pattern of vaccine hesitancy slightly differed between vaccinations and target groups. Confidence in safety and effectiveness was always a significant predictor. Complacency (the underestimation of disease risks) and Constraints were significant predictors as well. Calculation (of risks and benefits) was important for influenza vaccination intentions. This work builds an important benchmark for understanding potential changes in vaccine acceptance due to the pandemic. The benchmark can be used in research on potential effects of the pandemic on vaccination behaviours. Intervention designers can also use the results to understand specific audiences and their vaccination decisions.