Migrant Health

Bernadette N. Kumar leads the Migration Health work package of the EU Joint Action on Health Inequalities and is the current President of the EUPHA section of Migration and Ethnic Minority Health. She was appointed Director of NAKMI (Norwegian Center for Migration and Minority Health, now part of the Norwegian Institute of Public Health) in 2010 and Associate Professor, Global Health at the Institute for Health and Society, University of Oslo in 2013. She has also been a commissioner of the Lancet Commission on Migration and Health. Esperanza Diaz is a Specialist in Primary Care. She works as Associate Professor in the Department of Global Public Health and Primary Care, University of Bergen, and is a Senior Researcher at the Unit for Migration and Health, Norwegian Institute of Public Health, Norway.

• Section I: Overarching Themes. 1. Migration and migrants: What we know about worldwide mobility and why it matters. 2. Migration health theories: Healthy migrant effect and allostatic load. Can both be true? 3. Culture, language and the clinic - Three stories, two keys. 4. The ethics of migrant health: Power and privilege versus rights and entitlements. 5. Discrimination and health. 6. Migrants’ use of primary health care services: Overuse, underuse, or both? Section II: A Life-Course Perspective. 7. A life-course perspective on migrant health. 8. Promoting the health of migrant children and children of migrants. 9. Adolescent migrant health. 10. Health care for older and elderly migrants. 11. Family and group as a unit of care. Section III: Health Challenges at the Clinic. 12. Health challenges at the clinic. 13. Gynaecology and obstetrics. 14. Chronic disease prevention and management: An understated priority. 15. Understanding unexplained and complex symptoms and diseases. 16. Cancer among migrant patients. 17. Migration and mental health. 18. Multimorbidity: The complexity. Section IV: Opportunities and Tools. 19. Opportunities and tools when meeting migrant patients. 20. Bridging cultural and language discordance. 21. Evidence-based guidelines and advocacy. 22. Diversity-sensitive versus adapted services for migrants: The example of dementia care in Germany. 23. Assessment tools for dementia and depression in older migrants. 24. Community participation in primary health care: Meaningful involvement of migrants.

This is an outstanding monograph on the medical and psychological considerations clinicians must keep in mind when caring for a person who has immigrated to a land with different customs and lifestyles. The book offers insights thatclinicians usually are not exposed to in their training programs. The book also is a tremendous asset for clinicians who participate in medical missions to developing areas, sensitizing them to the cultures they may not have experiencewith.Vincent F Carr, DO, MSA, FACC, FACP(Uniformed Services University of the Health Sciences)