Multifocal Integration and Marginalisation: A Theoretical Model and an Empirical Study on Three Immigrant Groups

Kemppainen, Teemu; Kemppainen, Laura; Kuusio, Hannamaria; Rask, Shadia; Saukkonen, Pasi

doi:10.1177/0038038520904715

Cited by 13 publications

(17 citation statements)

References 69 publications

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“…Third, our results cannot be generalized to the general population or to other migrant populations. In an earlier study on working-age migrants in Finland, Russian-origin migrants were more transnationally oriented than the other 2 migrant groups-Somalis and Kurds-which is likely to manifest as a higher level of DIT use [44]. Notwithstanding these limitations, this study is an important contribution to the growing literature on health and DIT use in older adults.…”

Section: Strengths and Limitationsmentioning

confidence: 82%

Digital Information Technology Use, Self-Rated Health, and Depression: Population-Based Analysis of a Survey Study on Older Migrants

Kouvonen¹,

Kemppainen²,

Ketonen³

et al. 2021

J Med Internet Res

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Background Previous studies have found that in general, poor health is associated with a lower likelihood of internet use in older adults, but it is not well known how different indicators of health are associated with different types of digital information technology (DIT) use. Moreover, little is known about the relationship between health and the types of DIT use in older ethnic minority and migrant populations. Objective The aim of this study is to examine the associations among depressive symptoms and self-rated health (SRH) with different dimensions of DIT use in older migrants. Methods We analyzed data from the Care, Health and Ageing of Russian-speaking Minority (CHARM) study, which is based on a nationally representative sample of community-dwelling, Russian-speaking adults aged 50 years or older residing permanently in Finland (men: 616/1082, 56.93%; age: mean 63.2 years, SD 8.4 years; response rate: 1082/3000, 36.07%). Data were collected in 2019 using a postal survey. Health was measured using depressive symptoms (measured using the Center for Epidemiologic Studies Depression Scale) and SRH. Binary logistic regression analyses were used to investigate the associations between the two health indicators and the following six outcomes: daily internet use, smartphone ownership, the use of the internet for messages and calls, social media use, the use of the internet for personal health data, and obtaining health information from the internet. A number of sociodemographic and socioeconomic factors were controlled for in the logistic regression regression analysis. Analyses were performed with weights accounting for the survey design and nonresponse. Results After adjusting for sociodemographic and socioeconomic factors, depressive symptoms (odds ratio [OR] 2.68, 95% CI 1.37-5.24; P=.004) and poor SRH (OR 7.90, 95% CI 1.88-33.11; P=.005) were associated with a higher likelihood of not using the internet daily. Depressive symptoms (OR 1.88, 95% CI 1.06-3.35; P=.03) and poor SRH (OR 5.05, 95% CI 1.58-16.19; P=.006) also increased the likelihood of smartphone nonuse. Depressive symptoms were additionally associated with a lower likelihood of social media use, and poor SRH was associated with a lower likelihood of using the internet for messaging and calling. Conclusions Poor SRH and depressive symptoms are associated with a lower likelihood of DIT use in older adults. Longitudinal studies are required to determine the directions of these relationships.

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Section: Strengths and Limitationsmentioning

confidence: 82%

Digital Information Technology Use, Self-Rated Health, and Depression: Population-Based Analysis of a Survey Study on Older Migrants

Kouvonen¹,

Kemppainen²,

Ketonen³

et al. 2021

J Med Internet Res

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“…Our study challenges and complements this approach by emphasizing the agency side of the phenomenon and asking how older adults with migration backgrounds also actively resolve issues related to their own health and well-being, for example, by using DIT and seeking healthcare abroad. This way, we depict the health service use of older migrants as an active process involving various geographical domains [ 18 ], and a complex interaction of virtual and real transnational spaces. Our results suggest that, although older adults with migrant backgrounds would be more likely to feel challenged in accessing THC compared to younger people, it is probable that they can overcome this challenge if they use DIT for multiple purposes.…”

Section: Discussionmentioning

confidence: 99%

“…The study also found that low social integration in the destination country encouraged the utilization of THC. Kemppainen et al [ 18 ] showed that, among working-age migrants, the older age groups (55–64 years old) are less integrated into their destination societies than the younger age groups. Older migrants are exposed to specific conditions and risks of exclusion and social isolation [ 1 ].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…Russian speakers are the largest foreign language group in Finland, comprising almost 21% (around 79,000 persons) of all foreign language speakers [ 17 ]. The Russian speakers—those who have migrated to Finland from several different countries that belonged to the former Soviet Union—actively take part in transnational practices and tend to socially be better integrated into the Finnish society compared to many other foreign-born minority groups in Finland [ 18 ]. This is usually explained by both geographical and cultural proximity [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Digital Information Technology Use and Transnational Healthcare: A Population-Based Study on Older Russian-Speaking Migrants in Finland

Shin

Koskinen

Kouvonen

et al. 2021

J Immigrant Minority Health

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This study examines the association between digital information technology (DIT) use and the utilization of transnational healthcare (THC) in older migrants, and investigates how this relationship depends on social integration or perceived discrimination in health services in the destination country. The data from a population-based study conducted in Finland in 2019, which targeted Russian-speaking residents aged 50 and above (n = 1082) nationwide, are analyzed. The analysis demonstrates that those who had a high level of DIT use were significantly more likely to use THC than those who had a low level of use. However, the findings do not show that the relationship depends on social integration or perceived discrimination. Older migrants can actively use transnational networks to address their health and well-being issues by using DIT and seeking healthcare abroad. Their health service use can be illustrated as an active process involving various geographical domains.

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“…Separation from one's primary family has been demonstrated to be significantly associated with the well-being and integration of migrants of Somali and Kurdish origin in Finland (Rask et al, 2016). Recent studies have drawn attention to multifocal marginalisation risk (T. Kemppainen et al, 2020) and the co-occurrence of substance use, affective symptoms and suicidal ideation (Salama et al, 2020) within the Kurdish migrant population in Finland.…”

Section: Three Migrant Groups In Finland: Backgroundmentioning

confidence: 99%

Transnational Activities and Identifications -A population-based study on three immigrant groups in Finland

Kemppainen

Kemppainen²,

Rask

et al. 2022

Migration and Development

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Our understanding of the lived experience of transnationalism is limited by the scarcity of high-quality quantitative evidence. Representative evidence on the emotional and identification aspects of transnationalism is especially missing. To address this gap, we investigated the transnational involvement of three migrant groups-Somali, Kurdish and Russian-in Finland. Using high-quality random sample survey data, the study examined transnational activitiesremittance sending, following media, keeping in touch with and visits to the country of origin-as well as transnational identification with significant others living abroad. Multiple correspondence analysis (MCA) demonstrated that transnational involvement can be empirically divided into transnational activities and identifications, as suggested by prior theoretical works. Regression analysis showed that transnational activities and identifications varied strongly between the three groups. Russians were the most active in transnational activities while Somalis showed the highest levels of identification with their country of origin. Activities increased with the longer stay, while identification decreased. Family ties played a role in transnational identification. Our results point towards the complexity in the relationship between transnational involvement and economic integration in the host society.

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Multifocal Integration and Marginalisation: A Theoretical Model and an Empirical Study on Three Immigrant Groups

Cited by 13 publications

References 69 publications

Digital Information Technology Use, Self-Rated Health, and Depression: Population-Based Analysis of a Survey Study on Older Migrants

Digital Information Technology Use, Self-Rated Health, and Depression: Population-Based Analysis of a Survey Study on Older Migrants

Digital Information Technology Use and Transnational Healthcare: A Population-Based Study on Older Russian-Speaking Migrants in Finland

Transnational Activities and Identifications -A population-based study on three immigrant groups in Finland

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