Researchers, policy makers, and practitioners increasingly pay attention to sport and physical activity as a means and context for refugee wellbeing and integration, influenced by wider political and policy concerns about forced migration. Considering this growing scholarly and policy attention, it is timely to take stock of, and critically reflect on, recent developments in this field of research. This paper offers an integrative, critical review of the scientific literature on the topic. It critically synthesizes what is known about the sport and physical activity experiences of people with refugee and forced migrant backgrounds, and identifies key issues and directions for future research in this field. This review of contemporary academic literature comprises 83 publications derived from fourteen languages published between 1996 and 2019. It shows a substantial increase in the volume of published research on the topic in recent years (2017-2019). Published research is concentrated primarily in Western countries around the themes of health promotion, integration and social inclusion, and barriers and facilitators to participation in sport and physical activity. The findings foreground the use of policy categories, deficit approaches, and intersectionalities as three pressing challenges in this area of research. Based on this synthesis, the authors identify four research gaps that require attention in future research: the experiential (embodied emotional) dimensions of sport and physical activity, the need to decolonize research, the space for innovative methodologies, and research ethics.

Elite and semielite athletes commonly experience mental health concerns and disorders. Compared with men athletes, women athletes are at greater risk of a range of psychological stressors that contribute to health concerns and mental health disorders, which can impact their career satisfaction and longevity. In order to address and improve the mental health of women athletes, it is necessary to simultaneously tackle the gender specific psychosocial stressors that contribute to mental health outcomes. This narrative review examines the gender-specific stressors that affect mental health and well-being in women athletes, some of which are modifiable. Psychosocial stressors identified include exposure to violence, be it psychological, physical or sexual in nature, which can result in a myriad of acute and long-lasting symptoms; and inequities as reflected in pay disparities, under-representation in the media, fewer opportunities in leadership positions and implications associated with family planning and motherhood. Strategies to promote mental health in women athletes should be considered, and where possible, should proactively address gender-specific stressors likely to influence mental health in order to maximise positive outcomes in women athletes.

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Background This study aimed to determine the impact of pulmonary complications on death after surgery both before and during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Methods This was a patient-level, comparative analysis of two, international prospective cohort studies: one before the pandemic (January–October 2019) and the second during the SARS-CoV-2 pandemic (local emergence of COVID-19 up to 19 April 2020). Both included patients undergoing elective resection of an intra-abdominal cancer with curative intent across five surgical oncology disciplines. Patient selection and rates of 30-day postoperative pulmonary complications were compared. The primary outcome was 30-day postoperative mortality. Mediation analysis using a natural-effects model was used to estimate the proportion of deaths during the pandemic attributable to SARS-CoV-2 infection. Results This study included 7402 patients from 50 countries; 3031 (40.9 per cent) underwent surgery before and 4371 (59.1 per cent) during the pandemic. Overall, 4.3 per cent (187 of 4371) developed postoperative SARS-CoV-2 in the pandemic cohort. The pulmonary complication rate was similar (7.1 per cent (216 of 3031) versus 6.3 per cent (274 of 4371); P = 0.158) but the mortality rate was significantly higher (0.7 per cent (20 of 3031) versus 2.0 per cent (87 of 4371); P < 0.001) among patients who had surgery during the pandemic. The adjusted odds of death were higher during than before the pandemic (odds ratio (OR) 2.72, 95 per cent c.i. 1.58 to 4.67; P < 0.001). In mediation analysis, 54.8 per cent of excess postoperative deaths during the pandemic were estimated to be attributable to SARS-CoV-2 (OR 1.73, 1.40 to 2.13; P < 0.001). Conclusion Although providers may have selected patients with a lower risk profile for surgery during the pandemic, this did not mitigate the likelihood of death through SARS-CoV-2 infection. Care providers must act urgently to protect surgical patients from SARS-CoV-2 infection.

A growing body of research suggests that economic crises tend to exacerbate existing gender inequalities, particularly in the realms of paid work and political representation. Translating this to the case of sport, how and why might the impacts of the Coronavirus pandemic be felt unevenly by professional female athletes and women leaders? In this essay, the authors reflect on the classic feminist critique of the gendered construction of dependence and consider how its application in the context of sport might aid scholars in making sense of (a) the persistence of gendered precarity and inequality in sport, (b) the prospect of their exacerbation under conditions of a pandemic, and (c) how the current crisis might enable sport to move toward a model of interdependence in which its vastly unequal structures are changed for the better.