Abstract
This chapter explores how the COVID-19 pandemic has affected the health of migrants and refugees in Europe. In particular, it focuses on how the pandemic has affected migrants’ mental health and their access to vaccination and healthcare services. Throughout the pandemic, migrants were at higher risk of COVID19 infection and death, with a high rate of hesitancy to get vaccinated. Migrants are more likely to work in jobs that are at high risk of accidents and in sectors that are key for society, especially during the pandemic, such as transport and healthcare, among others. This fact, jointly with cultural barriers, socioeconomic disadvantages, and, in some cases, discrimination, has directly and indirectly deteriorated migrants’ health outcomes, or created new vulnerabilities in this population. European governments should make further effort on addressing these issues, by, for example, adopting new public health interventions to mitigate and prevent the negative consequences of COVID-19 on migrants.
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References
Abbott A (2016) The mental-health crisis among migrants. Nature 538:158–160
Alacevich C, Nicodemo C (2019) “Immigration and Work-Related Injuries: Evidence from Italian Administrative Data,” IZA Discussion Papers 12510, Institute of Labor Economics (IZA)
Andersen RM, Davidson PL, Baumeister SE (2014) Improving access to care. In: Kominski GE (ed) Changing the U.S. health care system: key issues in health services, policy, and management. Wiley, San Francisco, pp 33–69
Aragona M, Barbato A, Cavani A, Costanzo G, Mirisola C (2020) Negative impacts of COVID-19 lockdown on mental health service access and follow-up adherence for immigrants and individuals in socio-economic difficulties. Public Health 186:52–56. https://doi.org/10.1016/j.puhe.2020.06.055
Ayling K, Jia R, Chalder T, Massey A, Broadbent E, Coupland C, Vedhara K (2020) Mental health of keyworkers in the UK during the COVID-19 pandemic: a cross-sectional analysis of a community cohort. medRxiv. https://doi.org/10.1101/2020.11.11.20229609
Barbieri A (2020) Time to rethink large refugee centres in Europe. 6(1):E8. https://doi.org/10.1016/S2468-2667(20)30255-3
Barbieri A, Visco-Comandini F, Alunni Fegatelli D et al (2020) Patterns and predictors of PTSD in treatment-seeking African refugees and asylum seekers: a latent class analysis. Int J Soc Psychiatry. https://doi.org/10.1177/0020764020959095
Bazzoli M, Madia JE, Podesta F (2022) Another battle of the have-nots? The impact of immigration on the poverty risk of Western European natives. FBK-IRVAPP working paper, n. 2022
Brzoska P, Ellert U, Kimil A, Razum O, Sass A-C, Salman R et al (2015) Reviewing the topic of migration and health as a new national health target for Germany. Int J Public Health 60:13–20
D’Amuri F, Peri G (2014) Immigration, jobs, and employment protection: evidence from Europe before and during the great recession. J Eur Econ Assoc 12(2):432–464
Drefahl S, Wallace M, Mussino E et al (2020) A population-based cohort study of sociodemographic risk factors for COVID-19 deaths in Sweden. Nat Commun 11:5097
Entringer T, Jacobsen J, Kröger H, Metzing M (2021) Refugees’ mental health during the coronavirus pandemic: psychological distress and continued loneliness. Berlin: DIW Weekly Report, 2021–21
European Commission (2020) Overall figures of immigrants in European society. https://ec.europa.eu/info/strategy/priorities-2019-2024/promoting-our-european-way-life/statistics-migration-europe_en#the-atlas-on-migration. Accessed Feb 2022
European Commission (2021) Potential migration implications of the COVID-19 crisis. https://knowledge4policy.ec.europa.eu/foresight/potential-migration-implications-covid-19-crisis_en. Accessed Feb 2022
European Parliamentary Research Service (2021) Mental health and the pandemic. PE 696.164. https://www.europarl.europa.eu/RegData/etudes/BRIE/2021/696164/EPRS_BRI(2021)696164_EN.pdf. Accessed Feb 2022
Fabiani M, Mateo-Urdiales A, Andrianou X et al (2021) Epidemiological characteristics of COVID-19 cases in non-Italian nationals notified to the Italian surveillance system. Eur J Pub Health 31:37–44
Fakhoury J, Burton-Jeangros C, Consoli L et al (2021) Mental health of undocumented migrants and migrants undergoing regularization in Switzerland: a cross-sectional study. BMC Psychiatry 21:175. https://doi.org/10.1186/s12888-021-03149-7
Fasani F, Mazza J (2020) A vulnerable workforce: migrant workers in the COVID-19 pandemic. Publications Office of the European Union, Luxembourg. https://doi.org/10.2760/316665. EUR 30225 EN, ISBN 978-92-76-18958-9, JRC120730
Fisher KA, Bloomstone SJ, Walder J, Crawford S, Fouayzi H, Mazor KM (2020) Attitudes toward a potential SARSCoV-2 vaccine: a survey of U.S. adults. Ann Intern Med 173(12):964–973
Galasso V, Pons V, Profeta P, Becher M, Brouard S, Foucault M (2022) From anti-vax intentions to vaccination: panel and experimental evidence from nine countries. CESifo working paper no. 9564
Gardner Z (2021) Migrants deterred from healthcare during the COVID-19 pandemic. The Joint Council for the Welfare of Migrants. https://www.jcwi.org.uk/Handlers/Download.ashx?IDMF=fa346f70-cb08-46c1-b366-9a1f192ff4f3. Accessed Feb 2022
Giambi C, Del Manso M, Marchetti G, Olsson K, Ali KA, Declich S, Ramsay M (2019) Immunisation of migrants in EU/EEA countries: Policies and practices. Vaccine, 37(36):5439–5451
Gibson B, Schneider J, Talamonti D, Forshaw M (2021) The impact of inequality on mental health outcomes during the COVID-19 pandemic: a systematic review. Can Psychol 62(1):101–126. https://doi.org/10.1037/cap0000272
Giuntella O, Nicodemo C, Vargas-Silva C (2018) The effects of immigration on NHS waiting times. J Health Econ 2018(58):123–143
Hansson E, Albin M, Rasmussen M, Jakobsson K (2020) Large differences in excess mortality in March-May 2020 by country of birth in Sweden. Lakartidningen 117
Hayward SE, Deal A, Cheng C et al (2021) Clinical outcomes and risk factors for COVID-19 among migrant populations in high-income countries: a systematic review. J Migr Health 3:100041
Infomigrants (2022) Germany: lower vaccination rate among migrants, but higher readiness. https://www.infomigrants.net/en/post/38378/germany-lower-vaccination-rate-among-migrants-but-higher-readiness. Accessed Feb 2022
Ingleby D, Petrova-Benedict R, Huddleston T et al (2018) The MIPEX Health strand: a longitudinal, mixed-methods survey of policies on migrant health in 38 countries. Eur J Pub Health 29:458–462. https://doi.org/10.1093/eurpub/cky233. Pmid: 30403788
Jongedijk RA, Eising DD, van der Aa N, Kleber RJ, Boelen PA (2020) Severity profiles of posttraumatic stress, depression, anxiety, and somatization symptoms in treatment seeking traumatized refugees. J Affect Disord 266:71–81. https://doi.org/10.1016/j.jad.2020.01.077
Kerwin D, Nicholson M, Alulema D, Warren R (2020) US foreign-born essential workers by status and state, and the global pandemic. Center for Migration Studies.
Kokou-Kpolou CK, Moukouta CS, Masson J, Bernoussi A, Cénat JM, Bacqué MF (2020) Correlates of grief-related disorders and mental health outcomes among adult refugees exposed to trauma and bereavement: a systematic review and future research directions. J Affect Disord. https://doi.org/10.1016/j.jad.2020.02.026
Kumar BN, Hargreaves S, Agyemang C, James RA, Blanchet K, Gruer L (2021) Reducing the impact of the coronavirus on disadvantaged migrants and ethnic minorities. Eur J Pub Health 31(Suppl 4):iv9–iv13. https://doi.org/10.1093/eurpub/ckab151
Malik AA, McFadden SM, Elharake J, Omer SB (2020) Determinants of COVID-19 vaccine acceptance in the US. EClinical Med 26:100495
Mental Health UK (2020) Managing your mental health as a key worker during the coronavirus outbreak. https://mentalhealth-uk.org/blog/managing-your-mental-health-as-a-key-worker-during-the-coronavirus-outbreak/. Accessed Feb 2022
Migration Integration Policy Index (2020) Migration Integration Policy Index, Health module. https://www.mipex.eu/health. Accessed Feb 2022
Moreno C, Wykes T, Galderisi S, Nordentoft M, Crossley N, Jones N, Cannon M, Correll CU, Byrne L, Carr S, Chen EYH, Gorwood P, Johnson S, Kärkkäinen H, Krystal JH, Lee J, Lieberman J, López-Jaramillo C, Männikkö M, Phillips MR, Uchida H, Vieta E, Vita A, Arango C (2020) How mental health care should change as a consequence of the COVID-19 pandemic. Lancet Psychiatry 7(9):813–824. https://doi.org/10.1016/S2215-0366(20)30307-2. ISSN 2215-0366
Morgan G, Melluish S, Welham A (2017) Exploring the relationship between postmigratory stressors and mental health for asylum seekers and refused asylum seekers in the UK. Transcult Psychiatry 54:653–674
Mucci N, Traversini V, Giorgi G, Tommasi E, De Sio S, Arcangeli G (2020) Migrant workers and psychological health: a systematic review. Sustainability 12(1):120. https://doi.org/10.3390/su12010120
OECD (2020) OECD Policy Responses to Coronavirus (COVID-19) COVID-19 and key workers: what role do migrants play in your region? https://www.oecd.org/coronavirus/policy-responses/covid-19-and-key-workers-what-role-do-migrants-play-in-your-region-42847cb9/. Accessed Feb 2022
OECD (2021) Tackling the mental health impact of the COVID-19 crisis: an integrated, whole-of-society response. OECD Policy Responses to Coronavirus (COVID-19). https://www.oecd.org/coronavirus/policy-responses/tackling-the-mental-health-impact-of-the-covid-19-crisis-an-integrated-whole-of-society-response-0ccafa0b/#section-d1e939. Accessed Feb 2022
Ottaviano GIP, Peri G (2012) Rethinking the effect of immigration on wages. J Eur Econ Assoc 10(1):152–197
Pascoe EA, Richman LS (2009) Perceived discrimination and health: a meta-analytic review. Psychol Bull 135:531–554
Paul E, Steptoe A, Fancourt D (2021) Attitudes towards vaccines and intention to vaccinate against COVID-19: implications for public health communications. Lancet Reg Health – Eur 1:100012
Pereira M, Oliveira AM (2020) Poverty and food insecurity may increase as the threat of COVID-19 spreads. Public Health Nutr 23:3236–3240
Pierce M, Hope H, Ford T, Hatch S, Hotopf M, John A, Kontopantelis E, Webb R, Wessely S, McManus S, Abel KM (2020) Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry 7(10):883–892. https://doi.org/10.1016/S2215-0366(20)30308-4. Epub 2020 Jul 21. PMID: 32707037; PMCID: PMC7373389
Pifarré i Arolas H, Acosta E, López-Casasnovas G, Lo A, Nicodemo C, Riffe T, Myrskylä M (2021) Years of life lost to COVID-19 in 81 countries. Sci Rep 11(1):1–6
Pinzón-Espinosa J, Valdés-Florido MJ, Riboldi I, Baysak E, Vieta E (2021) The COVID-19 pandemic and mental health of refugees, asylum seekers, and migrants. J Affect Disord 280(Part A):407–408. https://doi.org/10.1016/j.jad.2020.11.029. ISSN 0165-0327
Rechel B, Mladovsky P, Ingleby D, Mackenbach JP, McKee M (2013) Migration and health in an increasingly diverse Europe. Lancet 381:1235–1245
Rossi R, Socci V, Talevi D, Mensi S, Niolu C, Pacitti F, Di Lorenzo G (2020) COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in psychiatry, 790.
Rostila M, Cederström A, Wallace M, Brandén M, Malmberg B, Andersson G (2021) Disparities in COVID-19 deaths by country of birth in Stockholm, Sweden: a total population based cohort study. Am J Epidemiol 190:1510–1518
Schmitt MT, Branscombe N, Postmes T, Garcia A (2014) The consequences of perceived discrimination for psychological well-being: a meta-analytic review. Psychol Bull 140:921–948
Sengoelge M, Solberg Ø, Nissen A, Saboonchi F (2020) Exploring social and financial hardship, mental health problems and the role of social support in asylum seekers using structural equation modelling. Int J Environ Res Public Health 17(19):6948. https://doi.org/10.3390/ijerph17196948. PMID: 32977521; PMCID: PMC7579644
Shaaban AN, Peleteiro B, Martins MRO (2020) The Writing’s on the Wall: On Health Inequalities, Migrants, and Coronavirus. Frontiers in public health, 8, 505.
Spiritus-Beerden E, Verelst A, Devlieger I, Langer Primdahl N, Botelho Guedes F, Chiarenza A, De Maesschalck S, Durbeej N, Garrido R, Gaspar de Matos M et al (2021) Mental health of refugees and migrants during the COVID-19 pandemic: the role of experienced discrimination and daily stressors. Int J Environ Res Public Health 18:6354. https://doi.org/10.3390/ijerph18126354
Swedish Public Health Agency (Folkhälsomyndigheten) (2021) Vaccinationstäckning och födelseland vecka 20. Folkhälsomyndigheten, Stockholm
Tabri N, Hollingshead SJ, Wohl MJA (2020) Framing Covid-19 as an existential threat predicts anxious arousal and prejudice. https://doi.org/10.31234/osf.io/mpbtr
United Nations (2020) International migration 2020 highlights. Available online: https://www.un.org/development/desa/pd/news/international-migration-2020
Virupaksha HG, Kumar A, Nirmala BP (2014) Migration and mental health: an interface. J Nat Sci Biol Med 5(2):233–239. https://doi.org/10.4103/0976-9668.136141
Whitehead M, Taylor-Robinson D, Barr B (2021) Poverty, health, and covid-19. BMJ 372:376
World Health Organization and Calouste Gulbenkian Foundation (2014) Social determinants of mental health. World Health Organization, Geneva. https://apps.who.int/iris/bitstream/handle/10665/112828/9789241506809_eng.pdf. Accessed Feb 2022
World Health Organization (2020) Apart together survey preliminary overview of refugees and migrants self-reported impact of COVID-19. Available online: https://apps.who.int/iris/bitstream/handle/10665/337931/9789240017924-eng.pdf?sequence=1&isAllowed=y
Acknowledgments
Responsible Section Editor: Sergio Scicchitano
The chapter has benefitted from valuable comments of the editors, anonymous referees, Stuart Reading and Madeleine Turner. Nicodemo receives funding from the Economic and Social Research Council [grant number ES/T008415/1] and from the National Institute for Health Research Applied Research Collaboration Oxford and Thames Valley at Oxford Health NHS Foundation Trust. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR. There is no conflict of interest.
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Madia, J.E., Nicodemo, C. (2022). Migration and Health During COVID-19 Period. In: Zimmermann, K.F. (eds) Handbook of Labor, Human Resources and Population Economics. Springer, Cham. https://doi.org/10.1007/978-3-319-57365-6_361-1
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DOI: https://doi.org/10.1007/978-3-319-57365-6_361-1
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