Socioeconomic reintegration of return migrants and the varieties of legal status trajectory in Europe

That migrants' legal status has impacts on their integration in receiving countries is a recognised fact. We further argue that it also affects their reintegration on returning to the home country, although with some significant variations depending on the details of their legal status history. Using data from the Senegalese TEMPER survey, we adopt a life course approach of migrant's status while they were in Europe to identify links between several indicators of reintegration and different patterns of irregular status (moment when they were in an irregular situation and the duration in this situation). The results of our multivariate analyses show that only those migrants whose irregular situations were the most extreme (deported, or irregular throughout their stay in Europe) are at a disadvantage compared to nonmigrants as well as other returnees. This shows that the initial disadvantage of out-migrating from Africa without proper documentation does not turn systematically into a cumulative disadvantage

Réintégration socio-économique des migrants de retour et hétérogénéité des trajectoires légales en Europe

Cet article veut tester l’hypothèse selon laquelle le statut légal des migrants n’influence pas seulement leurs conditions de vie pendant leur séjour dans le pays de destination, mais également leurs conditions de réintégration dans leur pays d’origine après leur retour. Plus spécifiquement, il étudie l’effet des trajectoires légales en Europe des migrants sénégalais sur leur réintégration socio-économique au Sénégal. En utilisant les données de l’enquête TEMPER, nous tenons compte de la dimension longitudinale du statut légal des individus pour mieux cerner l’association entre différentes formes d’irrégularité et différents indicateurs d’intégration au pays d’origine. Les résultats des régressions montrent que seuls les migrants qui connaissent les situations d’irrégularité les plus extrêmes (expulsion, irrégularité permanente) se trouvent en situation de désavantage par rapport aux autres migrants de retour et aux non migrants. L’effet négatif du statut légal s’explique en partie par les difficultés d’accumulation de capital social, humain ou économique pendant le séjour en Europe

Patients' perspectives on how to improve endometriosis care: A large qualitative study within the ComPaRe-Endometriosis e-cohort

International audienceEndometriosis is a chronic gynecological condition that affects about 10% of women of reproductive age. Despite its prevalence, diagnosis is often delayed, misdiagnosis is common, and treatment options are poor. This study aimed at capturing ideas to improve endometriosis care from the patients' perspectives. Materials and Methods: We analyzed cross-sectional data from 1,000 adult patients in ComPaRe-Endometriosis (a French prospective e-cohort focused on endometriosis) who answered to the open-ended question: "If you had a magic wand, what would you change about your health care?". The free-text responses were analyzed by qualitative thematic analysis using an inductive approach. Results: Patients had a mean age of 34.1 years (standard deviation = 8.1); 56% and 42% had stage IV disease or deep endometriosis, respectively. They elicited 2,487 ideas to improve the management of endometriosis, which were categorized into 61 areas of improvement, further grouped into 14 themes. The top five areas of improvement were mentioned by >10% of the patients and were to (1) train caregivers to develop their knowledge on the disease, (2) provide better management of daily pain and pain attacks, (3) take patient-reported symptoms seriously, (4) standardize diagnostic processes to improve early detection, and (5) have caregivers listen more to the patients. Conclusions: We identified 61 areas for improvement in endometriosis care. These results reflect patients' expectations in terms of management of their disease and will be useful to design a better global care for endometriosis from the patients' perspectives