The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization

Introduction: Undocumented migrants are at high risk of adverse consequences during crises because of a lack of access to essential securities and sources of support. This study aims to describe the impact of the COVID-19 crisis on the health and living circumstances of precarious migrants in Switze...

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Main Authors: Claudine Burton-Jeangros, Aline Duvoisin, Sarah Lachat, Liala Consoli, Julien Fakhoury, Yves Jackson
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2020.596887/full
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author Claudine Burton-Jeangros
Claudine Burton-Jeangros
Aline Duvoisin
Aline Duvoisin
Sarah Lachat
Liala Consoli
Liala Consoli
Julien Fakhoury
Julien Fakhoury
Yves Jackson
author_facet Claudine Burton-Jeangros
Claudine Burton-Jeangros
Aline Duvoisin
Aline Duvoisin
Sarah Lachat
Liala Consoli
Liala Consoli
Julien Fakhoury
Julien Fakhoury
Yves Jackson
author_sort Claudine Burton-Jeangros
collection DOAJ
description Introduction: Undocumented migrants are at high risk of adverse consequences during crises because of a lack of access to essential securities and sources of support. This study aims to describe the impact of the COVID-19 crisis on the health and living circumstances of precarious migrants in Switzerland and to assess whether those undergoing legal status regularization fared better than undocumented migrants.Materials and methods: This cross-sectional mixed methods study was conducted during the COVID-19 lockdown in April–May 2020. Undocumented and recently regularized migrants taking part in an ongoing cohort study were asked to respond to an online questionnaire. A subsample was selected to undergo semi-directed phone interviews.Results: Overall, 117 of the 379 (30.9%) cohort study participants responded to the questionnaire. Seventeen interviews were conducted. Migrants faced cumulative and rapidly progressive difficulties in essential life domains. As a consequence, they showed high prevalence of exposure to COVID-19, poor mental health along with frequent avoidance of health care. Moreover, the loss of working hours and the related income overlapped with frequent food and housing insecurity. Around one participant in four had experienced hunger. Despite these unmet needs, half of the participants had not sought external assistance for reasons that differ by legal status. Both groups felt that seeking assistance might represent a threat for the renewal or a future application for a residency permit. While documented migrants were less severely affected in some domains by having accumulated more reserves previously, they also frequently renounced to sources of support.Conclusions: The cumulated difficulties faced by migrants in this period of crisis and their limited search for assistance highlight the need to implement trust-building strategies to bridge the access gap to sources of support along with policies protecting them against the rapid loss of income, the risk of losing their residency permit and the exposure to multi-fold insecurities.
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spelling doaj.art-7b8747630fd84431add97f937af83b312022-12-21T21:30:35ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-12-01810.3389/fpubh.2020.596887596887The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status RegularizationClaudine Burton-Jeangros0Claudine Burton-Jeangros1Aline Duvoisin2Aline Duvoisin3Sarah Lachat4Liala Consoli5Liala Consoli6Julien Fakhoury7Julien Fakhoury8Yves Jackson9Institute of Sociological Research, University of Geneva, Geneva, SwitzerlandSwiss NCCR “LIVES - Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, SwitzerlandSwiss NCCR “LIVES - Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, SwitzerlandCenter for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, SwitzerlandFaculty of Public Health and Policy, London School of Tropical Medicine and Hygiene, London, United KingdomSwiss NCCR “LIVES - Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, SwitzerlandCenter for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, SwitzerlandSwiss NCCR “LIVES - Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, SwitzerlandCenter for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, SwitzerlandDivision of Primary Care Medicine, Geneva University Hospital and University of Geneva, Geneva, SwitzerlandIntroduction: Undocumented migrants are at high risk of adverse consequences during crises because of a lack of access to essential securities and sources of support. This study aims to describe the impact of the COVID-19 crisis on the health and living circumstances of precarious migrants in Switzerland and to assess whether those undergoing legal status regularization fared better than undocumented migrants.Materials and methods: This cross-sectional mixed methods study was conducted during the COVID-19 lockdown in April–May 2020. Undocumented and recently regularized migrants taking part in an ongoing cohort study were asked to respond to an online questionnaire. A subsample was selected to undergo semi-directed phone interviews.Results: Overall, 117 of the 379 (30.9%) cohort study participants responded to the questionnaire. Seventeen interviews were conducted. Migrants faced cumulative and rapidly progressive difficulties in essential life domains. As a consequence, they showed high prevalence of exposure to COVID-19, poor mental health along with frequent avoidance of health care. Moreover, the loss of working hours and the related income overlapped with frequent food and housing insecurity. Around one participant in four had experienced hunger. Despite these unmet needs, half of the participants had not sought external assistance for reasons that differ by legal status. Both groups felt that seeking assistance might represent a threat for the renewal or a future application for a residency permit. While documented migrants were less severely affected in some domains by having accumulated more reserves previously, they also frequently renounced to sources of support.Conclusions: The cumulated difficulties faced by migrants in this period of crisis and their limited search for assistance highlight the need to implement trust-building strategies to bridge the access gap to sources of support along with policies protecting them against the rapid loss of income, the risk of losing their residency permit and the exposure to multi-fold insecurities.https://www.frontiersin.org/articles/10.3389/fpubh.2020.596887/fullCOVID-19migrantimpactlockdownundocumentedhealth
spellingShingle Claudine Burton-Jeangros
Claudine Burton-Jeangros
Aline Duvoisin
Aline Duvoisin
Sarah Lachat
Liala Consoli
Liala Consoli
Julien Fakhoury
Julien Fakhoury
Yves Jackson
The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization
Frontiers in Public Health
COVID-19
migrant
impact
lockdown
undocumented
health
title The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization
title_full The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization
title_fullStr The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization
title_full_unstemmed The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization
title_short The Impact of the Covid-19 Pandemic and the Lockdown on the Health and Living Conditions of Undocumented Migrants and Migrants Undergoing Legal Status Regularization
title_sort impact of the covid 19 pandemic and the lockdown on the health and living conditions of undocumented migrants and migrants undergoing legal status regularization
topic COVID-19
migrant
impact
lockdown
undocumented
health
url https://www.frontiersin.org/articles/10.3389/fpubh.2020.596887/full
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