sub-Saharan African Migrants Research Articles

The representation of sub-Saharan African migrants in the Tunisian written media: a corpus-assisted critical discourse analysis

ABSTRACT While the topic of migrant representation in media discourse has been extensively researched, a significant portion of scholarly attention is concentrated on Western media. This focus leaves a considerable gap in the study of media representations in transitional countries, particularly North African nations like Tunisia. This topic assumes greater significance in light of the recent surge in xenophobia towards sub-Saharan African migrants in the country – a movement partly instigated by President Kais Saied's anti-immigrant rhetoric. Utilising Corpus-Assisted Critical Discourse Analysis (CDA), this paper examines the discursive representations of sub-Saharan African migrants in Tunisian written media discourse, focusing on the 2022 and 2023 anti-migrant wave in Tunisia under the presidency of Kais Saied. The research findings reveal that while a glimpse of a humanitarian discourse was evident, the majority of the discourse was characterised either by biased neutrality or explicit prejudice. The research indicates a predominantly negative representation, categorising migrants as invaders, security threats, economic burdens, and moral hazards. Significantly, much of the discourse echoes the political anti-immigrant policy, suggesting a potential media alignment with the emerging authoritarian tendencies in Tunisia. This alignment harbours damaging implications for the safety and well-being of the migrant community, as well as for the overall human rights and democratisation process in the country.

Factors Associated with Psychological Distress during COVID-19: A Cross-Sectional Study of Sub-Saharan African Migrant Workers across Australia and Canada.

Objective: Ensuring the sustainability of the migrant workforce requires a comprehensive understanding of the psychological challenges faced by this sub-population due to concerns about the wellbeing and financial situation of family members in their home countries. Therefore, this study investigates the factors associated with psychological distress among sub-Saharan Africa (SSA) migrant workers across Australia and Canada during the COVID-19 pandemic. Method: Data were collected from 378 first-generation migrant workers with SSA ancestry residing in Australia and Canada using the Depression Anxiety and Stress Scale 21 (DASS-21). Multivariate logistic regression analysis was used to determine socio-demographic factors associated with depression, anxiety, and stress among SSA migrants' populations. Results: Across both countries, migrants with lower levels of education were more prone to reporting feelings of depression, anxiety, and stress during the pandemic. Female participants in Australia were more likely to report feeling of depression. Participants in Australia and Canada who were separated/divorced/widowed were less likely to report stress and depression, respectively. Participants in Australia who had lived in Australia between 11 and 20 years and those between 36 and 50 years old were more likely to report feelings of depression. Participants residing in Australia whose SSA ancestry was Southern Africa/Central Africa were more likely to report anxiety. Participants in Australia who worked as part-time permanent workers and those who worked as fixed-term workers/short-term/casual workers were less likely to report anxiety. Finally, participants in Canada who reported two or more people living with them had higher odds of reporting anxiety. Conclusions: The findings from this study highlight key factors associated with SSA migrant workers' psychological distress during the pandemic. The results can inform policies and provide insight to the development of mental health intervention strategies for migrant workers to minimize similar distress during pandemics.

Female genitourinary schistosomiasis-related symptoms in long-term sub-Saharan African migrants in Europe: a prospective population-based study.

The involvement of genital women tract of chronic schistosomiasis among African migrant women in non-endemic countries might be more prevalent than expected. A gold standard diagnostic is most needed to determine the true prevalence of this condition and characterize the clinical presentation of female genital schistosomiasis among this particular population.

Perceptions and attitudes of black Sub-Saharan African migrants from war-torn zones towards accessing health services in the English West Midlands region, UK

Purpose The purpose of this paper is to explore the experiences of black Sub-Saharan African (BSSA) migrants from war-torn zones in accessing health services in the West Midlands region of the UK. This may help to inform on factors influencing the uptake of health services for new migrant communities. Design/methodology/approach This study explored the experiences of BSSA migrants from war-torn zones in accessing health services in the West Midlands using an explorative qualitative approach. Ten focus groups made up of seven participants each were followed up with three in-depth one-to-one interviews from each focus group using a conversational approach where research participants were encouraged to direct and shape the discussion in accordance with their own experiences, views and particular concerns (Kvale, 1996) as opposed to responding to a pre-determined agenda. Findings Following transcription, coding and analysis of the focus group discussions and follow-up interviews, this study found that perceptions and attitudes of BSSA communities in accessing health services included difficulties in navigating the health system, intrusive and embarrassing questions from clinicians, stigmatisation through offering an HIV test, culturally unfriendly counselling support, unconfidently services and episodes of trauma flashbacks. Originality/value The experiences of BSSA migrants who sought health services in the West Midlands in the UK demonstrated important implications for future practice and informed service delivery. There is a need to consider cultural education for both BSSA migrants and health professionals to enhance understanding and trust between the groups. Basic professional training for health professionals should also encompass the needs of the growing ethnic populations in the UK.

Racism and the Rollback of Tunisian Democracy

Tunisia was the last surviving democracy to emerge from the Arab Spring, and had recently enacted legislation to combat racial discrimination. But President Kais Saied, since coming to power in a 2019 election, has returned the country to authoritarian rule. He has also rolled back progress on race relations, scapegoating sub-Saharan African migrants for Tunisia’s economic troubles. The failure of previous governments to root out corruption and consolidate the democratic transition with a new socioeconomic pact opened the way for a return to dictatorship.

Migration and Human Trafficking: The A Case Study of the Deceived Sub-Saharan African Women in Turkey

Since the mid-1990s, Turkey has experienced a massive increase in sub-Saharan African migrants. According to the U.S. Department of State’s 2021 report on trafficking in Turkey, in 2019, there were 276 victims of human trafficking. This paper examines the issue of human trafficking through the lens of the concept of deceptive trafficking. The cases of eight victimized women trafficked to Turkey from sub-Saharan Africa are examined, and their responses are thematically analyzed using migration theories with a focus on Van Hear’s model. The testimonies of these sub-Saharan African women exploited by human traffickers serve as the foundation for this study. The paper reveals the circumstances that give rise to the practice of human trafficking and the factors that maintain its existence in sub-Saharan African countries. The results highlighted the vulnerability of African women as a target for international and transnational human trafficking.

Migration, (il)legal status and housing precarity: Difficulties and coping strategies

ABSTRACT Using evidence from participant observation and qualitative interviews with 54 sub-Saharan African (SSA) migrants—“economic migrants,” refugees (people with any international protection status), (refused) asylum-seekers and irregular migrants—this article identifies the housing barriers and the resources individuals use to cope with housing difficulties in the mid-sized city of Bergamo, Italy. The analysis highlights that while legal status is significant in accessing quality and stable housing, there is no direct relationship between legal status and housing access. All migrant groups faced various challenges to housing access leading to uncertain and precarious housing situations contributing to prolonged housing precarity, and the production of multiple and various coping mechanisms. The findings have implications for policy, housing and migration scholarship.

HYPERTENSION SUSCEPTIBILITY IN AFRICAN MIGRANTS: SOLVING THE PUZZLE THROUGH TRANSCONTINENTAL PROSPECTIVE COHORT STUDY DESIGN. THE RODAM-PROS STUDY

Objective: Sub-Saharan African (SSA) migrants are disproportionately affected by hypertension, compared to the European-host population. Underlying reasons for the increased hypertension prevalence are still unclear, but suggest that rapid changes in lifestyle and environment after migration, in combination with genetic factors, might be responsible. The aim of the Research on Obesity and Diabetes among African Migrant prospective (RODAM-Pros) cohort study is to identify key changes in environmental exposures and epigenetic modifications driving the high prevalence of hypertension among African migrants. Design and method: The multicentre RODAM-Pros study included non-migrant Ghanaians residing in rural and urban Ghana, Ghanaians who migrated and are residing in Amsterdam (the Netherlands), and European-Dutch population who participated in baseline (2011-2015) and follow-up data collection (2019-2021). Data were collected on anthropometrics, blood pressure, biological samples, sociodemographic, health, lifestyle and environmental factors. Moreover, ∼1300 participants were included for DNA methylation analysis (Infinium® 850K DNA Methylation BeadChip) to assess methylation loci associated with incident hypertension in a nested case-control study. Results: In the follow-up data collection, 2165 Ghanaian participants (n = 638 from rural Ghana, n = 608 from urban Ghana, and n = 919 Ghanaian migrants in Amsterdam) and 2098 European-Dutch participants were included. The participation rates were 90.8 % in rural Ghana, 95.3% in urban Ghana, 52.7% among Amsterdam-Ghanaian and 67.2% among European-Dutch. Preliminary results show unstandardised prevalence rates of hypertension at follow-up of 43.3% in rural Ghana, 48.7% in urban Ghana, 60.1% in Amsterdam-Ghanaians, and 25.8% in European-Dutch. Unstandardised 5-year hypertension incidence rates were 18.5% in rural Ghana, 17.7% in urban Ghana, 14.1% in Amsterdam-Ghanaians, and 8.5% in European-Dutch. Conclusions: The preliminary findings show significant differences in hypertension prevalence and incidence rates among Ghanaians living in Ghana and in Europe. Future analysis are aimed to identify epigenetic and environmental determinants responsible for the increased prevalence of hypertension in SSA migrants. The findings from the RODAM-Pros study will be valuable for designing effective prevention and clinical management strategies to prevent the burden of hypertension and related complications, both in SSA and SSA migrants in Europe.

Surveying the Landscape of Labor Market Threat Perceptions from Migration: Evidence from Attitudes toward Sub-Saharan African Migrants in Morocco

Morocco, once primarily known as a country of emigration and transit to Europe, has become a destination country for migrants, the majority of whom are from sub-Saharan Africa. Using an original nationally representative survey of 2,700 respondents, together with data from two census waves and one migrant regularization wave, the authors examine Moroccan citizens’ labor market threat perceptions from this new migrant group. Consistent with findings from studies conducted in developed countries, less educated, poorer respondents express higher labor market threat perceptions. The authors also find evidence, however, that city dwellers and employed female Moroccans are the most likely to report threat perceptions, even after controlling for greater “exposure” to migrants. The article contributes to literatures on migration exposure and how rural–urban dynamics shape labor market threat perceptions in a developing country.

Knowledge, attitudes and mental health of sub-Saharan African migrants living in Tunisia during COVID-19 pandemic.

COVID-19 pandemic potentially impacted the mental health of migrants. Our objective was to measure the prevalence of psychological distress among a group of sub-Saharan Africanmigrants living in Tunisia, and its association with knowledge about COVID-19.The Questionnaire of Knowledge towards COVID-19 (QK-COVID-19) was used to evaluate the level of Knowledge about COVID-19. The participants were asked about their attitudes for seeking information and healthcare services related to the pandemic using a multiple-choice questionnaire. The Hopkins Symptoms Checklist (HSCL-25)) was used to screen for anxiety and depression. A logistic regression was used to estimate the adjusted odds of having psychological distress across levels of QK-COVID-19 score.Among the 133 participants, 34.6% (95% CI: 26.5, 42.67) had psychological distress, 91% were unemployed and 96% uninsured. Of the respondants, 20% had low QK-COVID-19 score , and 44.36% had medium score. The adjusted odds of psychological distress for those with high and medium QK-COVID-19 scores were respectively 3.9 (95% CI: 1.08, 14.13) and 6.39 (95% CI: 1.79, 22.9) times that of those with low scores.Screening and early treatment of anxiety and depression among migrants during outbreaks is an imperative. Further investigations of the determinants of mental health of sub-Saharan African migrants are needed.

Malaria parasite prevalence in Sub-Saharan African migrants screened in Sweden: a cross-sectional study

Asymptomatic infections with malaria parasites are common in populations in endemic areas. These infections may persist in migrants after arrival in a non-endemic area. Screening to find and clear these infections is generally not implemented in non-endemic countries, despite a potential negative health impact. We performed a study to evaluate the Plasmodium parasite prevalence in migrants living in Sweden. Adults and children born in Sub-Saharan Africa (SSA) were invited in the study between April 2019 and June 2022at 10 different sites, mainly as part of the national Migrant Health Assessment Program in Stockholm and Västerås, Sweden. Rapid diagnostic tests (RDT) and real-time PCR were used to detect malaria parasites. Prevalence and test sensitivity were calculated with 95% confidence intervals (CI). Univariate and multivariable logistic regression were used to evaluate associations with PCR positivity. In total, 789 individuals were screened for Plasmodium spp. of which 71 (9.0%) were positive by PCR and 18 (2.3%) also by RDT. When performed during the national screening program, 10.4% was PCR positive. A high prevalence was detected in migrants with Uganda as the country of last residence, 53/187 (28.3%), and in this group the prevalence was highest in children, 29/81 (35.8%). Among the PCR positive, 47/71 (66.2%) belonged to families with at least one other member testing positive (odds ratio [OR] 43.4 (95% CI 19.0-98.9), and the time lived in Sweden ranged between 6 and 386 days. A high malaria parasite prevalence was found in migrants from SSA, particularly in children offered screening in Stockholm, Sweden during the study period. Awareness of asymptomatic malaria infection is needed and screening for malaria in migrants arriving from high endemic countries should be considered. The Swedish Research Council, Stockholm County Council and Centre for Clinical Research, Västmanland, Sweden.

Explanatory Models of (Mental) Health Among Sub-Saharan African Migrants in Belgium: A Qualitative Study of Healthcare Professionals' Perceptions and Practices.

Culturally differing approaches to the distinction between physical and mental health contribute to cultural differences in explanatory models of what we call "mental" health in a Western context. For this reason, we use "(mental) health" in this study when referring to these models or differences in understanding. This interpretative, interview-based qualitative study focuses on Belgian mental health professionals' perceptions of the (mental) health explanatory models held by their patients of sub-Saharan African (SSA) descent. The study goals were threefold: first, to assess professionals' perceptions of the explanatory models of their patients of SSA descent; second, to examine how these perceptions influence treatment practices; and third, to investigate the role of the professionals' cultural backgrounds, comparing the results between professionals with and without an SSA background. Twenty-two in-depth interviews with mental health professionals were thematically analyzed, with ten of the participants of SSA descent. Results show that all professionals perceived differences between Western and SSA explanatory models of (mental) health. Causal beliefs were mentioned as the most important difference, including their influence on coping strategies and health-seeking behavior among patients of SSA descent. Professionals' perceptions and familiarity with SSA explanatory models of (mental) health affected their treatment practices. Language and conceptual interpretation difficulties were encountered less frequently by professionals of SSA descent. Those with a Western background applied "culturally sensitive" practices, while professionals of SSA descent implemented an integrated approach. These results contribute to ongoing discussions about what is considered "cultural competency."

The Perinatal Outcomes of Maltese and Sub-Saharan African Migrant Women: A Comparative, Retrospective Study

A paucity of evidence exists on whether the health and social services introduced in Malta for Sub-Saharan African (SSA) migrants have improved perinatal outcomes.Research Aim:This research aimed to compare the sociobiological characteristics and obstetric and perinatal outcomes between SSA migrant women and a local cohort of Maltese women who delivered neonates in Malta.Design:A retrospective comparison of two samples, SSA migrant women and Maltese women utilized the national obstetrics database kept by the Medical and Health Department during 2007–2016. The database had information about 898 SSA mothers (914 neonates) and 36,083 Maltese mothers (36,736 neonates). Statistical comparison was carried out using Pearson’s chi-square test.Results:SSA migrants were significantly more likely to be younger, married, poorly educated, and less likely to smoke cigarettes or abuse illicit drugs. They were statistically more likely to be multiparous and to poorly avail themselves of available antenatal care. Although SSA migrants had a significantly increased risk for perinatal complications, including preeclampsia–eclampsia, threatened preterm labor, placental abruption, intrauterine growth restriction, anemia, infection, hemorrhage, and blood transfusions, the risk for perineal trauma was lower than that for Maltese women. Significantly increased complications in SSA neonates included prematurity, low birth weight, low Apgar scores, respiratory distress syndrome, sepsis, seizures, and increased mortality.Conclusion:Despite the availability of comprehensive free-at-source obstetric healthcare and social support services, the perinatal outcomes of SSA migrants remained substandard when compared to Maltese women. These findings require further investigation of the adequacy and standard of maternity care offered to SSA migrants.

Psychological health outcome of Sub-Saharan African migrants in Germany

African migrants living in Europe have an increased risk of adverse psychological health outcomes compared to people without a migration background. The increased vulnerability may be due to their migration experience and possible challenges in adapting and integrating into the host community. This study explores the association between community solidarity and psychological health outcome among Sub-Saharan African (SSA) migrants in Germany.<br /> The study used data from 518 SSA migrants in Germany collected in a cross-sectional survey across the 16 German federal states. A correlation matrix was computed to evaluate the bivariate relationship between psychological health, community solidarity, and socioeconomic, and demographic features. Furthermore, regression models were calculated to predict the effect of community solidarity on psychological health outcomes and the added predictive effects of socioeconomic and demographic characteristics.<br /> Community solidarity shows a moderately significant positive association with psychological health (r=.41; p≤.01). A linear regression model suggests that community solidarity, education and age explained 19% of the variance in psychological health scores for SSA migrants in Germany.<br /> These results confirm community solidarity as a significant but multi-layered determinant of various factors that affect migrants’ psychological wellbeing. It supports implementing policies that promote community solidarity to facilitate SSA migrants’ wellbeing.

Serum Adiponectin and Leptin Among Ghanaian Migrants in Amsterdam and Their Compatriots in Rural and Urban Ghana: The RODAM Study.

The rapidly rising cardiometabolic disease (CMD) burden in urbanizing sub-Saharan African populations and among sub-Saharan African migrants in Europe likely affects serum adiponectin and leptin levels, but this has not yet been quantified. To compare the serum levels of adiponectin and leptin among migrant, and non-migrant (urban and rural) populations of Ghanaian descent. Cross-sectional analysis of serum leptin and adiponectin in the multi-centre Research on Obesity and Diabetes among African Migrants (RODAM) study. Logistic-regression models were used to examine the association between these adipocyte-derived hormones after stratification (sex, geographic area) and adjustments for potential confounders. A total of 2518 Ghanaians were included. Rural participants had the highest serum adiponectin and lowest leptin levels compared to Amsterdam and urban Ghanaians (P < .001). In fully adjusted models, participants living in urban Ghana had significantly higher odds of hyperleptinemia compared to rural participants (women-odds ratio 2.88; 95% CI, 1.12-7.38, P = .028 and men 43.52, 95% CI, 4.84-391.25, P < .001). Urban Ghanaian men also had higher odds of elevated leptin: adiponectin ratio (6.29, 95% CI, 1.43-27.62, P = .015). The odds of hyperleptinemia were only higher in Amsterdam Ghanaian men (10.56; 95% CI, 1.11-100.85, P = .041), but not in women (0.85; 95% CI, 0.30-2.41, P = .759). There was no significant association between hypoadiponectinemia and geographical location in both sexes. Urbanization is associated with serum adiponectin and leptin levels after adjusting for confounding covariates in sub-Saharan Africans. These findings serve as a backdrop for further research on the role adipokines play in CMD epidemiology among Africans.

The Construction of Pre-exposure Prophylaxis (PrEP) by Prevention Professionals as a Tool for Black African Migrant Women … or Not?

While sub-Saharan African migrants are recognized as a key population in the HIV epidemics, they are absent from the PrEP delivery system and in particular women. The central argument of this article is that PrEP for Black African migrant women is an ambivalent offer that makes it necessary to understand how migration, gender, sexuality, and origin interact. Bringing together a sociologist and a prevention project manager, this article looks at how Belgian prevention professionals navigate with this ambivalent offer. From semi-directive interviews we explore how PrEP is constructed as a prevention tool for this population. The results show that different causalities are attributed to their absence from PrEP delivery system. This pluralism leads us to argue that there is a real blurring in the definition of this public as a "priority" in terms not only of representations and practices but also of political agenda.

Scoping review protocol on the health of sub-Saharan African migrants in the Asia-Pacific region

IntroductionIncreasing economic opportunities have attracted people from sub-Saharan Africa to migrate to the Asia-Pacific region in the last two decades. The information on the health situation of these migrants is...

‘You Are Not Needed Here’

Abstract The aim of this paper is not to expand the argument that racism is a problem particular to Russia but to examine the transformation in the discrimination experienced by African migrants in Russia and their coping strategies. Using 32 in-depth interviews and an analysis of informal conversations with sub-Saharan African migrants in Moscow describing their experiences within the social and economic spheres of the country, the paper demonstrates the subtleness and implicit nature of racial discrimination that sub-Saharan African migrants experience in their social spaces, such as using the transport system and getting accommodation, and also within the economic sector. There is an overall feeling of being unwelcome that the African migrants perceive from the treatment received from their host community. The paper contributes to the global perspective of understanding the coping strategies used by African migrants to deal with their socio-economic conundrum in Russia.

Screening of imported malaria infection in asymptomatic migrants from Sub-Saharan Africa: A retrospective analysis of a 2010–2019 cohort

BackgroundUp to 40% of cases of imported malaria in Europe are diagnosed in recently arrived migrants, who generally exhibit asymptomatic or mild symptoms and show low parasitaemia (submicroscopic). The study describes the prevalence of malaria infection among asymptomatic Sub-Saharan African migrants (ASSAM) and compares asymptomatic malaria-infected (AMI) vs non-malaria infected patients. MethodsAn observational, comparative, retrospective study was carried out in ASSAM who underwent a medical examination, between 2010 and 2019 at the National Reference Unit for Tropical Diseases (NRU-Trop) in Madrid, Spain. Medical examination and systematic screening protocol for infectious diseases, including screening for malaria infection by Polymerase Chain Reaction (PCR) was performed. ResultsDuring the study period, 632 out of 1061 ASSAM were screened for malaria, median age: 24 years (IQR:1–5); median time from arrival to diagnosis: 2 months (IQR:1–5). P. falciparum was the most frequent species: 61 patients (67.8%). Compared to non-malaria infected, AMI subjects had: higher rate of co-infection with S. stercoralis (41.1%VS 22.9%;p < 0.001) and filariae (8.9% VS 2.4%;p = 0.006), lower erythrocyte corpuscular volume (83.6 VS 84.4;p = 0.008) and lower levels of cholesterol (151.0 VS 167.3;p < 0.001). ConclusionsWe observed a high prevalence of AMI among ASSAM. This highlights the need to consider routing screening of migrants from endemic areas and to study if such screening could avoid the potential morbidities associated with chronic infection, reduce morbi-mortality of acute malaria and the risk of transmission in host communities.

IMR Country Report – Nigerian Migration to Russia: Accommodation and Discrimination in a Post-Soviet Society

This IMR Country Report examines Nigerian migration to Russia, exploring the changes in this migration stream from a flow driven by educational motivations during the Soviet era to one shaped by economic and family-reunion reasons after the Soviet Union’s dissolution. In doing so, it offers insights into the social realities of Nigerian migrants living in Russia. The research discussed here included interviews with 25 Nigerian migrants living in Moscow and focused on their challenges and strategies in obtaining housing. As it shows, apartment owners in Moscow exhibited ethnic and racial biases against Nigerian migrants, who also faced rental contract constraints, due to incomplete migratory documentation. This IMR Country Report highlights a contradiction between Russian government policies and apartment owners’ preferences and willingness to accommodate and apply for registration on behalf of Nigerian migrants. It adds to understandings of the conditions faced by sub-Sahara African migrants regarding access to housing in an understudied destination and to barriers to social integration that sub-Saharan African migrants encounter in Russia.