Terminally ill immigrant patients may wish to return to their homeland to die. However, the challenges and repatriation experiences faced by terminally ill Latinx immigrants who return to their country of origin (COO) remain underexplored. This study examines bereaved caregiver accounts of end-of-life (EOL) care and repatriation experiences of Latinx immigrants who returned to their COO following a terminal diagnosis.

Bereaved caregivers were interviewed via telephone. Primary outcomes were patient repatriation prior to death and caregiver perceptions of patient quality of death (QOD). Secondary outcomes included repatriation barriers, symptom burden and management, health-care utilization, and location of death. Caregivers of deceased patients treated at a U.S. urban tertiary medical center from 2013 to 2020 who requested and returned to their COO for death were included. Deceased patient clinical and sociodemographic information was obtained from the chart review.

Nineteen caregivers of patients who returned to their COO were included, most (n = 15/19, 78.9%) from the Dominican Republic. Two patients experienced logistical challenges during travel to their COO. None received supplementary nutrition or ventilatory support. Most patients had well-controlled symptoms (12/19 had pain, 11/12 pain was controlled) and died peacefully with dignity (84.2%) at their preferred location (73.7%). Most caregivers reported that their loved one was happy with repatriation (89.5%) and that repatriation improved EOL quality of life (84.2%). QOD was rated favorably (average score of 4.2/5).

QOD was favorable after repatriation. Successful repatriation is feasible and an important component of QOD that should be included in goals of care discussions.

Obesity is a growing global public-health concern, particularly among immigrants to high-income countries. This umbrella literature review synthesises evidence from systematic reviews to explore the multifactorial cultural, socio-economic and environmental determinants of obesity and weight gain among immigrants to high-income countries.

A systematic search of PubMed, Web of Science and Scopus was conducted from January 2015 to November 2025 to identify systematic reviews and meta-analyses examining the impact of cultural, socio-economic and environmental factors on obesity among adult immigrants (i.e. economic, students and refugees) to high-income countries.

Thirty-three reviews were included and thematically synthesised under four domains: physical climate and physiological changes, socio-economic stressors and psychological mediators, cultural factors and methodological quality – rated using the A Measurement Tool to Assess Systematic Reviews tool.

The review found consistent evidence linking longer duration of residence and higher levels of acculturation with increased obesity risk. Socio-economic disadvantage, food insecurity and psychological stress – particularly acculturation stress – were key mediators of weight gain. Less sunny colder climates impacted on weight gain indirectly through limiting physical activity and accessibility to traditional-healthy diet outlets. Cultural dietary transitions and intergenerational differences further influenced obesity trajectories. Methodological quality varied, with only six reviews providing meta-analysis pooled estimates of obesity and being rated as high to moderate quality.

Obesity among immigrants is shaped by intersecting cultural, socio-economic, environmental and physiological factors. Public-health strategies must adopt culturally sensitive approaches that address structural barriers and support healthy transitions post-migration. Future research should emphasise longitudinal, intersectional and climate-tailored studies to inform targeted interventions.

To determine the psychometric properties of the Sympathy–Acceptance–Understanding–Caring Competence (SAUC) model questionnaire for foreign-born parents evaluating nursing encounters in the Swedish Primary Child Health Care (PCHC) services.

Multicultural encounters in child health care from the nursing perspective are challenging and problematic worldwide. A suitable theory-based and validated questionnaire is needed for foreign-born parents to assess the quality of their encounters with nurses.

The SAUC questionnaire, modified for use by new, foreign-born parents using the Swedish PCHC services, was evaluated for its congruence with the theory of Confirming Encounter. The study was ethically approved and data were collected between March and August 2009 from 83 new, foreign-born parents seen at 50 clinics.

Exploratory factor analysis was used to identify related factors, and goodness-of-fit tests were used to estimate theoretical consistency. Confirmatory Factor Analysis was used to verify the results.

The questionnaire had satisfactory theoretical consistency with the theory of Confirming Encounter. Three factors identified by exploratory factor analysis and confirmed by confirmatory factor analysis – person support, self-support, and self-perspective support – indicated internal consistency and validated the three factors implicit in the theory Confirming Encounter. In addition, a new factor, concordance, was identified that is compatible with the theory. To conclude, despite the fact that a modified questionnaire have its limitations results demonstrate that the SAUC-model questionnaire seems to be a reliable and valid nursing quality-control measure with which foreign-born parents can evaluate the qualities of a confirming encounter with nurses. However, we suggest the need for testing the questionnaire in a larger population.

This study investigates how lifecourse, immigrant status and acculturation, and neighbourhood of residence influence food purchasing and preparation among low-income women with children, living in the USA. This research sought to understand physical and economic access to food, from both ‘individual’ and ‘community’ perspectives.

This study used qualitative methodology (focus groups) to examine the mechanisms and pathways of food preparation and purchasing within the context of daily life activity for US- and foreign-born women, living in the USA. The study methodology analysed notes and verbatim transcripts, summarised recurring responses and identified new themes in the discussions.

A total of 44 women were purposively sampled from two metropolitan areas in Massachusetts, USA, based on (1) neighbourhood of residence and (2) primary language spoken. All focus groups were conducted in community health centres and community centres co-located with offices of the special supplemental nutritional programme for Women, Infants, and Children.

Analysis of key response themes suggested that scarcity of food and physical access to food purchasing points did not influence food purchasing and preparation as much as (1) limited time for food shopping, cooking and family activities; and (2) challenges in transportation to stores and childcare. The study results demonstrated differing attitudes toward food acquisition and preparation between immigrant and US-born women and between women who lived in two metropolitan areas in the western and eastern regions of the state of Massachusetts, USA.

The findings illustrate ‘hidden’ constraints that need to be captured in measures of physical and economic access and availability of food. US policies and programmes that aim to improve access, availability and diet quality would benefit from considering the social context of food preparation and purchasing, and the residential environments of low-income women and families.

To measure rates of hunger and food insecurity among young US-born Latino children with Mexican immigrant parents (Latinos) compared with a non-immigrant non-Latino population (non-Latinos) in a low-income clinic population.

A repeated cross-sectional survey of 4278 caregivers of children < 3 years of age in the paediatric clinic of an urban county hospital for a 5-year period from 1998 to 2003. A total of 1310 respondents had a US-born child with at least one parent born in Mexico. They were compared with a reference group comprised of non-Latino US-born participants (n = 1805). Child hunger and household food insecurity were determined with the US Household Food Security Scale.

Young Latino children had much higher rates of child hunger than non-Latinos, 6.8 versus 0.5%. Latino families also had higher rates of household food insecurity than non-Latinos, 53.1 versus 15.6%. Latino children remained much more likely to be hungry (odds ratio (OR) = 13.0, 95% confidence interval (CI) = 5.9–28.7, P < 0.01) and in household food-insecure households (OR = 6.6, 95% CI = 5.2–8.3, P < 0.01) than non-Latinos after controlling for the following variables in multivariate analysis: child's age, sex, maternal education level, single-headed household status, family size, young maternal age ( < 21 years), food stamp programme participation, TANF (Temporary Assistance to Needy Families, or ‘welfare’) programme participation and WIC (Women, Infants, and Children) usage, and reason for clinic visit (sick visit versus well-child).

Young children in Mexican immigrant families are at especially high risk for hunger and household food insecurity compared with non-immigrant, non-Latino patients in a low-income paediatric clinic.