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Insights from the EQUALS4COVID19 study on migrant mental health in Portugal: a cross-sectional mixed-methods approach

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dc.contributor.authorAlarcão, Violeta
dc.contributor.authorCandeias, Pedro
dc.contributor.authorStefanovska-Petkovska, Miodraga
dc.contributor.authorNeves, Júlia
dc.contributor.authorPintassilgo, Sónia
dc.contributor.authorMachado, Fernando Luís
dc.contributor.authorSantos, Osvaldo
dc.contributor.authorVirgolino, Ana
dc.contributor.authorSantos, Ricardo
dc.contributor.authorHeitor, Maria João
dc.contributor.authorCosta, Andreia
dc.date.accessioned2025-06-06T13:21:29Z
dc.date.available2025-06-06T13:21:29Z
dc.date.issued2024
dc.description© The Author(s) 2024. Open Access. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it.The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.pt_PT
dc.description.abstractBackground: The COVID-19 pandemic and related disruptive consequences in the economic, health, and educational sectors have impacted people's lives, contributing to a context of increased economic and social vulnerability. The pandemic has revealed and accentuated social inequalities and discrimination based on racial or ethnic origin. This study aimed to contribute to the promotion of the mental health and well-being of migrant populations living in Portugal via the definition of an analytical framework and recommendations emerging from the EQUALS4COVID19 project. Methods: To gather information on the impact of the COVID-19 pandemic and resilience determinants among immigrants, a mixed-methods approach was implemented in 2022, combining a cross-sectional survey targeting immigrant adults in Portugal, focus groups with immigrants, focus groups with healthcare professionals, and in-depth individual interviews with stakeholders involved in the implementation of measures related to mental health and well-being during the pandemic. The analysis followed an integrated framework; quantitative data informed the script of qualitative data collection methods, and qualitative analysis informed the reinterpretation of quantitative data. Results: The survey with 604 Brazilian and Cape Verdean immigrants revealed that gender (being a woman) was associated with both psychological distress and depression-related symptomatology and that the perception of discrimination was a major risk factor for psychological suffering, while perceived social support and individuals' resilience characteristics were protective factors. Qualitative data provided deeper insights into these findings, revealing the ways mental health is affected by social structures, such as gender and ethnic hierarchies. Migrants tend to work in precarious jobs requiring physical presence, which, together with dense housing conditions, puts them at higher risk of infection. The deterioration of the economic conditions of the general population has also increased the perception of ethnic-racial discrimination, which was found to be related to the increase in insecurity and anxiety-related symptomatology among the migrant population. Newly arrived migrants, with reduced support networks, experienced a greater sense of insecurity as well as concern and anguish regarding relatives who live far away, in their home country. Migrant women reported greater family-related distress, including work-life balance problems. Conclusions: Proposals to address mental health inequalities should be considered in the context of the necessary global changes both at the societal level and in the delivery of mental health services. Additionally, they should be considered with the active involvement of migrants, families, and communities in the design and delivery of mental health promotion and care processes.pt_PT
dc.description.sponsorshipThe study “Equity in health in times of pandemic: assessment of the impact on mental health and well-being of the Brazilian and Cape Verdean population in Portugal (EQUALS4COVID19)” was supported by a grant by the Asylum, Migration and Integration Fund (PT/2021/FAMI/697). This research was also funded by Fundação para a Ciência e a Tecnologia, grant number UIDB/04295/2020 and UIDP/04295/2020.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Public Health. 2024 Jul 29;24(1):2023pt_PT
dc.identifier.doi10.1186/s12889-024-19563-xpt_PT
dc.identifier.eissn1471-2458
dc.identifier.urihttp://hdl.handle.net/10400.5/101403
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relationPT/2021/FAMI/697pt_PT
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectCOVID-19 pandemicpt_PT
dc.subjectDiscriminationpt_PT
dc.subjectMental healthpt_PT
dc.subjectResiliencept_PT
dc.subjectSocial determinants of healthpt_PT
dc.subjectSocial supportpt_PT
dc.titleInsights from the EQUALS4COVID19 study on migrant mental health in Portugal: a cross-sectional mixed-methods approachpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberUIDB/04295/2020
oaire.awardNumberUIDP/04295/2020
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/Concurso de avaliação no âmbito do Programa Plurianual de Financiamento de Unidades de I&D (2017%2F2018) - Financiamento Base/UIDB%2F04295%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/Concurso de avaliação no âmbito do Programa Plurianual de Financiamento de Unidades de I&D (2017%2F2018) - Financiamento Programático/UIDP%2F04295%2F2020/PT
oaire.citation.issue1pt_PT
oaire.citation.titleBMC Public Healthpt_PT
oaire.citation.volume24pt_PT
oaire.fundingStreamConcurso de avaliação no âmbito do Programa Plurianual de Financiamento de Unidades de I&D (2017/2018) - Financiamento Base
oaire.fundingStreamConcurso de avaliação no âmbito do Programa Plurianual de Financiamento de Unidades de I&D (2017/2018) - Financiamento Programático
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person.familyNameHEITOR MARQUES DOS SANTOS LEAL DA COSTA
person.familyNameJorge Silva da Costa
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project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
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