The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border

BackgroundMexican migrants traveling across the Mexico-United States (U.S.) border region represent a large, highly mobile, and socially vulnerable subset of Mexican nationals. Population-level health data for this group is hard to obtain given their geographic dispersion, mobility, and largely unau...

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Main Authors: Ana P. Martinez-Donate, Gudelia Rangel, Catalina Correa, Leah Bakely, Jesús Eduardo Gonzalez-Fagoaga, Ahmed Asadi González, Catalina Amuedo-Dorantes, Xiao Zhang, Carlos Magis-Rodriguez, Félice Lê-Scherban, Sylvia Guendelman, Emilio Parrado
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1032420/full
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author Ana P. Martinez-Donate
Gudelia Rangel
Catalina Correa
Leah Bakely
Jesús Eduardo Gonzalez-Fagoaga
Ahmed Asadi González
Catalina Amuedo-Dorantes
Xiao Zhang
Carlos Magis-Rodriguez
Félice Lê-Scherban
Sylvia Guendelman
Emilio Parrado
author_facet Ana P. Martinez-Donate
Gudelia Rangel
Catalina Correa
Leah Bakely
Jesús Eduardo Gonzalez-Fagoaga
Ahmed Asadi González
Catalina Amuedo-Dorantes
Xiao Zhang
Carlos Magis-Rodriguez
Félice Lê-Scherban
Sylvia Guendelman
Emilio Parrado
author_sort Ana P. Martinez-Donate
collection DOAJ
description BackgroundMexican migrants traveling across the Mexico-United States (U.S.) border region represent a large, highly mobile, and socially vulnerable subset of Mexican nationals. Population-level health data for this group is hard to obtain given their geographic dispersion, mobility, and largely unauthorized status in the U.S. Over the last 14 years, the Migrante Project has implemented a unique migration framework and novel methodological approach to generate population-level estimates of disease burden and healthcare access for migrants traversing the Mexico-U.S. border. This paper describes the rationale and history of the Migrante Project and the protocol for the next phases of the project.Methods/designIn the next phases, two probability, face-to-face surveys of Mexican migrant flows will be conducted at key crossing points in Tijuana, Ciudad Juarez, and Matamoros (N = 1,200 each). Both survey waves will obtain data on demographics, migration history, health status, health care access, COVID-19 history, and from biometric tests. In addition, the first survey will focus on non-communicable disease (NCD), while the second will dive deeper into mental health and substance use. The project will also pilot test the feasibility of a longitudinal dimension with 90 survey respondents that will be re-interviewed by phone 6 months after completing the face-to-face baseline survey.DiscussionInterview and biometric data from the Migrante project will help to characterize health care access and health status and identify variations in NCD-related outcomes, mental health, and substance use across migration phases. The results will also set the basis for a future longitudinal extension of this migrant health observatory. Analyses of previous Migrante data, paired with data from these upcoming phases, can shed light on the impact of health care and immigration policies on migrants’ health and inform policy and programmatic responses to improve migrant health in sending, transit, and receiving communities.
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spelling doaj.art-b6cc94e012a74acd8a6692e343735b932023-04-17T06:00:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.10324201032420The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. borderAna P. Martinez-Donate0Gudelia Rangel1Catalina Correa2Leah Bakely3Jesús Eduardo Gonzalez-Fagoaga4Ahmed Asadi González5Catalina Amuedo-Dorantes6Xiao Zhang7Carlos Magis-Rodriguez8Félice Lê-Scherban9Sylvia Guendelman10Emilio Parrado11Department of Community Health & Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesMexico Section of the U.S.-Mexico Border Health Commission, Tijuana, Baja California, MexicoDepartment of Community Health & Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Community Health & Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesMexico Section of the U.S.-Mexico Border Health Commission, Tijuana, Baja California, MexicoSchool of Medicine and Psychology, Autonomous University of Baja California (UABC), Tijuana, Baja California, MexicoDepartment of Economics, University of California, Merced, Merced, CA, United StatesSchool of Medicine, National Autonomous University of Mexico (UNAM), Mexico City, MexicoDepartment of Pediatrics, University of Wisconsin, Madison, WI, United StatesDepartment of Epidemiology & Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesSchool of Social Welfare, University of California, Berkeley, Berkeley, CA, United StatesDepartment of Sociology, University of Pennsylvania, Philadelphia, PA, United StatesBackgroundMexican migrants traveling across the Mexico-United States (U.S.) border region represent a large, highly mobile, and socially vulnerable subset of Mexican nationals. Population-level health data for this group is hard to obtain given their geographic dispersion, mobility, and largely unauthorized status in the U.S. Over the last 14 years, the Migrante Project has implemented a unique migration framework and novel methodological approach to generate population-level estimates of disease burden and healthcare access for migrants traversing the Mexico-U.S. border. This paper describes the rationale and history of the Migrante Project and the protocol for the next phases of the project.Methods/designIn the next phases, two probability, face-to-face surveys of Mexican migrant flows will be conducted at key crossing points in Tijuana, Ciudad Juarez, and Matamoros (N = 1,200 each). Both survey waves will obtain data on demographics, migration history, health status, health care access, COVID-19 history, and from biometric tests. In addition, the first survey will focus on non-communicable disease (NCD), while the second will dive deeper into mental health and substance use. The project will also pilot test the feasibility of a longitudinal dimension with 90 survey respondents that will be re-interviewed by phone 6 months after completing the face-to-face baseline survey.DiscussionInterview and biometric data from the Migrante project will help to characterize health care access and health status and identify variations in NCD-related outcomes, mental health, and substance use across migration phases. The results will also set the basis for a future longitudinal extension of this migrant health observatory. Analyses of previous Migrante data, paired with data from these upcoming phases, can shed light on the impact of health care and immigration policies on migrants’ health and inform policy and programmatic responses to improve migrant health in sending, transit, and receiving communities.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1032420/fullMexican migrantsmigrant flowshealthhealthcare accessMexico-U.S. border
spellingShingle Ana P. Martinez-Donate
Gudelia Rangel
Catalina Correa
Leah Bakely
Jesús Eduardo Gonzalez-Fagoaga
Ahmed Asadi González
Catalina Amuedo-Dorantes
Xiao Zhang
Carlos Magis-Rodriguez
Félice Lê-Scherban
Sylvia Guendelman
Emilio Parrado
The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border
Frontiers in Public Health
Mexican migrants
migrant flows
health
healthcare access
Mexico-U.S. border
title The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border
title_full The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border
title_fullStr The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border
title_full_unstemmed The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border
title_short The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border
title_sort next phases of the migrante project study protocol to expand an observatory of migrant health on the mexico u s border
topic Mexican migrants
migrant flows
health
healthcare access
Mexico-U.S. border
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1032420/full
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