scholarly journals A mixed method study design to explore the adherence of haematological cancer patients to oral anticancer medication in a multilingual and multicultural outpatient setting: The MADESIO protocol

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253526
Author(s):  
Sandra Michiels ◽  
Sandra Tricas-Sauras ◽  
Marie Dauvrin ◽  
Dominique Bron ◽  
Fati Kirakoya-Samadoulougou
Keyword(s):  
Mixed Method ◽  
Second Generation ◽  
Healthcare Services ◽  
Ambulatory Setting ◽  
Haematological Malignancies ◽  
Migrant Population ◽  
Structured Interviews ◽  
Lymphoid Leukaemia ◽  
First And Second Generation ◽  
Second Generation Migrants

Background Patients with haematologic malignancies are increasingly treated by oral anticancer medications, heightening the challenge of ensuring optimal adherence to treatment. However, except for chronic myelogenous leukaemia or acute lymphoid leukaemia, the extent of non-adherence has rarely been investigated in outpatient settings, particularly for migrant population. With growing numbers of migrants in Belgium, identifying potential differences in drug use is essential. Also, previous research regarding social determinants of health highlight important disparities for migrant population. Difficulties in communication between health caregivers and patients from different cultural and ethnic backgrounds has been underlined. Methods Using a sequential mixed method design, the MADESIO protocol explores the adherence to oral anticancer medications in patients with haematological malignancies and among first and second generation migrants of varied origin. Conducted in the ambulatory setting, a first quantitative strand will measure adherence rates and associated risk factors in two sub-groups of patients with haematological malignancies (group A: first and second generation migrants and group B: non-migrants). The second qualitative strand of this study uses semi-structured interviews to address address the patients’ subjective meanings and understand the statistical associations observed in the quantitative study (strand one). MADESIO aims to provide a first assessment of whether and why migrants constitute a population at risk concerning adherence to oral anticancer medications. Discussion Our protocol is designed to provide a comprehensive understanding of adherence in a specific population. The methodological choices applied allow to explore adherence among patients from diverse linguistic and cultural backgrounds. A particular emphasis has been paid to minimize the biases and increase the reliability of the data collected. Easily reproductible, the MADESIO design may help healthcare services to screen adherence to Oral anticancer medications and to guide providers in choosing the best strategies to address medication adherence of migrants or minority diverse population.

scholarly journals Why do first and second-generation young migrants volunteer? The Migrant Volunteerism Motivation Model (MVMM)

2019 ◽  
Vol 7 (2) ◽  
pp. 1089-1107 ◽  
Author(s):  
Sara Alfieri ◽  
Daniela Marzana ◽  
Sara Martinez Damia
Keyword(s):  
Transition To Adulthood ◽  
Process Model ◽  
First Generation ◽  
Second Generation ◽  
Maintenance Phase ◽  
Structured Interviews ◽  
Sub Saharan ◽  
Italian Context ◽  
First And Second Generation ◽  
Motivation Model

The following study aims at inquiring into the motivations behind young migrants’ volunteerism in civic organizations in Italy, namely in starting and maintaining their engagement (preliminary vs. maintenance phase). The term “young migrants” refers to first and second generation of migrants who deal with two challenges: the transition to adulthood and the acquisition of a cultural identity. We conducted semi-structured interviews with 37 Sub-Saharan young migrants living in Italy (18-32 years old), 19 of first generation (1G) and 18 of second generation (2G). The Omoto and Snyder’s Volunteer Process Model (VPM, 1995) was used as an underpinning theoretical framework and a guide for the interpretations of the results. The findings indicate that a) motivations included in the VPM are also found for young migrants, b) some of these motivations take particular meaning for young migrants, c) some motivations are not included in the VPM and are specific of this sample. We named these last motivations: social norms, advocacy and ethno-cultural. In addition, some considerations may be advanced regarding the generation and the phase of motivation: 1G migrants are particularly moved by the importance of integration in the Italian context and by the promotion of their ethnic group while 2G migrants reported mostly the desire to understand their roots. The values, the concern for the community and the longing to develop relationships are the motivations for which all young migrants continue to volunteer; however, 1G migrants are also sustained by advocacy and ethno-cultural motivations. Implications and future directions are discussed.

scholarly journals Perceptions of Diversity Management Practices among First- versus Second-generation Migrants

2019 ◽  
Vol 34 (5) ◽  
pp. 844-863
Author(s):  
Sophie Hennekam ◽  
Sabine Bacouel-Jentjens ◽  
Inju Yang
Keyword(s):  
Social Identity ◽  
Social Identity Theory ◽  
Migrant Workers ◽  
Management Practices ◽  
Second Generation ◽  
Diversity Management ◽  
Organisational Justice ◽  
Extended Case Method ◽  
First And Second Generation ◽  
Second Generation Migrants

Drawing on an extended case method approach consisting of observations, analysis of organisational documents and semi-structured in-depth interviews with first- and second-generation migrants working in a French car manufacturing company, this article examines how and why diversity management practices are perceived differently by first- versus second-generation migrant workers. Using social identity theory and equity theory as a theoretical framework, it was found that first- and second-generation migrants have different social expectations, which, in turn, influence their self-image, as well as their perception of organisational justice. The interaction between their social identity and their perception of justice affects how they appraise diversity management practices in their organisation. The study extends previous research on migrant workers and diversity management by building a conceptual model that outlines how and why diversity management practices are perceived differently by first- versus second-generation migrants.

scholarly journals Reservation Wages of First and Second Generation Migrants

2010 ◽  
Author(s):  
Amelie Constant ◽  
Annabelle Krause ◽  
Ulf Rinne ◽  
Klaus F. Zimmermann
Keyword(s):  
Second Generation ◽  
Reservation Wages ◽  
First And Second Generation ◽  
Second Generation Migrants

scholarly journals Identity and difference – re-thinking UK South Asian entrepreneurship

2017 ◽  
Vol 11 (5) ◽  
pp. 564-589
Author(s):  
Mark Christopher McPherson
Keyword(s):  
South Asian ◽  
First Generation ◽  
Second Generation ◽  
Cultural Perspective ◽  
Structured Interviews ◽  
Content Type ◽  
The Uk ◽  
First And Second Generation ◽  
Identity And Difference ◽  
Insight Into

Purpose This paper, which is part of a larger study, aims to discuss from an ethno-cultural perspective, the notion of self-identification and difference pertaining to first and second-generation South Asian male entrepreneurs. In essence, previous studies have not explored this dimension to any sufficient depth. Therefore, evidence is unclear as to how ethno-culture has informed entrepreneurial identity and difference. Design/methodology/approach Adopting a phenomenological research paradigm, 42 semi-structured interviews were conducted with first- and second-generation Sikh and Pakistani Muslim male entrepreneurs in Greater London. A typology of second-generation entrepreneurs is developed and a research agenda proposed. Findings First-generation respondents regard the UK as home and do not suffer from shifts in identity. These particular respondents identify themselves as Sikh or Pakistani Muslim or a Businessman. However, the second-generation identify themselves via three distinct labels. Here respondents stress their ethnicity by using Hyphenated British identities or hide their ethnicity behind the term a Normal Businessman, or appear opportunists by using ethnicity as a resource to espouse a true entrepreneurial identity. Research limitations/implications The research environment within the Greater London area where the respondents are located may not be as generalisable when compared with other parts of the UK. Originality/value This paper offers a unique insight into self-prescribed identity and difference noted among London’s ethnic entrepreneurs.

scholarly journals Type 2 diabetes risks and determinants in 2nd generation migrants and mixed ethnicity people of South Asian and African Caribbean descent in the UK

2019 ◽  
Author(s):  
Aliki-Eleni Farmaki ◽  
Victoria Garfield ◽  
Sophie V. Eastwood ◽  
Ruth E. Farmer ◽  
Rohini Mathur ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Ethnic Minority ◽  
Second Generation ◽  
South Asians ◽  
Self Report ◽  
The Uk ◽  
First And Second Generation ◽  
Mixed Ethnicity ◽  
Second Generation Migrants

AbstractBackgroundType 2 diabetes mellitus (T2DM) risk is markedly higher in UK South Asians (SA) and African Caribbeans (AC) compared to Europeans. Explanations for this excess are unclear. We therefore compared risks and determinants of T2DM in first- and second-generation (born in the UK) migrants, and in those of mixed ethnicity populations.MethodsData from the UK Biobank, a large population-based cohort of volunteers aged 40-69, were used. T2DM was assigned using self-report and glycated haemoglobin. Ethnicity was self-assigned. Using logistic regression and mediation analysis, we compared T2DM between first- and second-generation migrants, and between mixed European/South Asians (MixESA), or mixed European/African Caribbeans (MixEAC) with both Europeans and SA or AC respectively.ResultsT2DM prevalence was three to five times higher in SA and AC compared with Europeans [OR (95%CI): 4·80(3·60,6·40) and 3·30(2·70,4·10) respectively]. T2DM was 20-30% lower in second versus first generation SA and AC migrants [0·78(0·60,1·01) and 0·71(0·57,0·87) respectively]. T2DM in mixed populations was lower than comparator ethnic minority groups [MixESA versus SA 0·29(0·21,0·39), MixEAC versus AC 0·48(0·37,0·62)] and higher than Europeans, in MixESA 1·55(1·11, 2·17), and in MixEAC 2·06 (1·53, 2·78). Improved adiposity patterns in second generation migrants made an important contribution to risk reduction. Greater socioeconomic deprivation accounted for 17% and 42% of the excess risk of T2DM in MixESA and MixEAC compared to Europeans, respectively.ConclusionExcess T2DM risks in South Asians and African Caribbeans compared with Europeans in the UK are attenuated by ∼20% in second-generation migrants, demonstrating the marked benefits of favourable changes in environmental risk factors. T2DM prevalence in people of mixed ethnicity was also raised compared with Europeans, but considerably less than in the ethnic minority group; persistent socioeconomic disadvantage accounted for some of the residual excess.

Letteratura della migrazione in lingua italiana. Questioni teoriche e pratiche decolonizzanti

2009 ◽  
pp. 205-232
Author(s):  
Silvia Camilotti
Keyword(s):  
Social Integration ◽  
Second Generation ◽  
Literary Works ◽  
Social Transformations ◽  
Italian Language ◽  
Migration Literature ◽  
The Social ◽  
First And Second Generation ◽  
Second Generation Migrants ◽  
Literary Phenomenon

- The essay aims to give some insights into the topic of migration literature in Italian language, seen as a potential means of acknowledgement and social integration for migrant authors and as a decolonizing occasion for Italian readers. I'm going to question the issue of definition, which at the beginning focused on the concept of italophone literature and that afterward has become more complex. It's hard to reduce this literary phenomenon to strict etiquettes since it is constantly evolving. Moreover, limiting the literary works of first and second generation migrants in Italy to a rigid field runs the risk to betray the ambitions and the wishes of many authors, which instead refuse categories. In the first part of the article, starting from the thesis that these works mirror the social transformations which are going on, I'll seek to contextualize the phenomenon and stress some central aspects; in the second part I will show how artistic works not only reflect changes but also deconstruct and answer back to ethnic and Euro-centric visions, starting a decolonizing process into the readers.keywords Migrant writers in Italy (parola unica); Italophone literature (parola unica); Decolonization Italy Literature (parola unica)

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