Migrants’ perspectives on environmental change and translocal practices in Morocco, Senegal, and the Democratic Republic of Congo

This qualitative study takes a translocal perspective by considering migrants’ views on environmental change, migration decisions and translocal practices in favour of environmental adaptation. This article addresses the following question: To what extent do migrants’ perceptions of environmental change in their region of origin influence their translocal practices in favour of adaptation to socio-environmental change? Our data show that while environmental change may not be the primary reason that people migrate, nor do they perceive it as such, their translocal practices may have very concrete impacts in environmentally fragile areas, especially with respect to non-migrants in the place of origin. Most practices (e.g. family economic remittances) are spontaneous and unintentionally adaptive to environmental change. In contrast, collective projects initiated through hometown associations, especially in Senegal and Morocco, often have a more intentional and proactive character, resulting in translocal adaptive socio-environmental dynamics

Migrants’ perspectives on environmental change and translocal practices in Morocco, Senegal, and the Democratic Republic of Congo

This qualitative study takes a translocal perspective by considering migrants’ views on environmental change, migration decisions and translocal practices in favour of environmental adaptation. This article addresses the following question: To what extent do migrants’ perceptions of environmental change in their region of origin influence their translocal practices in favour of adaptation to socio-environmental change? Our data show that while environmental change may not be the primary reason that people migrate, nor do they perceive it as such, their translocal practices may have very concrete impacts in environmentally fragile areas, especially with respect to non-migrants in the place of origin. Most practices (e.g. family economic remittances) are spontaneous and unintentionally adaptive to environmental change. In contrast, collective projects initiated through hometown associations, especially in Senegal and Morocco, often have a more intentional and proactive character, resulting in translocal adaptive socio-environmental dynamics

Migration and Environmental Change in Morocco

This open access book studies the migration aspirations and trajectories of people living in two regions in Morocco that are highly affected by environmental change or emigration, namely Tangier and Tinghir, as well as the migration trajectories of immigrants coming from these regions currently living in Belgium. This book departs from the development of a new theoretical framework on the relationship between environmental changes and migration that can be applied to the Moroccan case. Qualitative research conducted in both countries demonstrate how the interplay between migration and environmental factors is not as straightforward as it seems, due to its wider social, political, economic, demographic and environmental context. Findings show how existing cultures of migration, remittances, views on nature and discourses on climate change create distinct abilities, capacities and aspirations to migrate due to environmental changes. The results illustrate how migration and environmental factors evolve gradually and mutually influence each other. In doing so, this book offers new insights in the ways migration can be seen as an adaptation strategy to deal with environmental change in Morocco

Migrants’ perspectives on environmental change and translocal practices in Morocco, Senegal, and the Democratic Republic of Congo

peer reviewedThis qualitative study takes a translocal perspective by considering migrants’ views on environmental change, migration decisions and translocal practices in favour of environmental adaptation. This article addresses the following question: To what extent do migrants’ perceptions of environmental change in their region of origin influence their translocal practices in favour of adaptation to socio-environmental change? Our data show that while environmental change may not be the primary reason that people migrate, nor do they perceive it as such, their translocal practices may have very concrete impacts in environmentally fragile areas, especially with respect to non-migrants in the place of origin. Most practices (e.g. family economic remittances) are spontaneous and unintentionally adaptive to environmental change. In contrast, collective projects initiated through hometown associations, especially in Senegal and Morocco, often have a more intentional and proactive character, resulting in translocal adaptive socio-environmental dynamics.MIGRADAPT - Making Migration Work for Adaptation to Environmental Changes – A Belgian Appraisa

Forced displacement related to the impacts of climate change and disasters

editorial reviewe

Socio-economic determinants for the place of last care: results from the acute palliative care unit of a large comprehensive cancer center in a high-income country in Europe

BACKGROUND AND INTRODUCTION The place of last care carries importance for patients at the end of life. It is influenced by the realities of the social welfare and healthcare systems, cultural aspects, and symptom burden. This study aims to investigate the place of care trajectories of patients admitted to an acute palliative care unit. MATERIALS AND METHODS The medical records of all patients hospitalized on our acute palliative care unit in 2019 were assessed. Demographic, socio-economic and disease characteristics were recorded. Descriptive and inferential statistics were used to identify determinants for place of last care. RESULTS A total of 377 patients were included in this study. Median age was 71 (IQR, 59-81) years. Of these patients, 56% (n = 210) were male. The majority of patients was Swiss (80%; n = 300); about 60% (n = 226) reported a Christian confession; and 77% had completed high school or tertiary education. Most patients (80%, n = 300) had a cancer diagnosis. The acute palliative care unit was the place of last care for 54% of patients. Gender, nationality, religion, health insurance, and highest level of completed education were no predictors for place of last care, yet previous outpatient palliative care involvement decreased the odds of dying in a hospital (OR, 0.301; 95% CI, 0.180-0.505; p-value < 0.001). CONCLUSION More than half of patients admitted for end-of-life care died on the acute palliative care unit. While socio-economic factors did not determine place of last care, previous involvement of outpatient palliative care is a lever to facilitate dying at home

Characteristics and clinical challenges in patients with substance use disorder in palliative care-experience from a tertiary center in a high-income country

BACKGROUND: Access to palliative care is often limited for challenging and vulnerable groups, including persons with substance use disorders. However, with optimized healthcare options and liberal substitution policies, this patient group is likely to increase over the upcoming years, and comorbidities will also influence the need for palliative support. Here, we aim at analyzing characteristics and specific challenges associated with substance use disorders (SUD) in palliative care. METHODS: We retrospectively reviewed all patients diagnosed with substance use disorder that were treated at our Competence Center Palliative Care within the University Hospital Zurich, Switzerland between 2015 and 2021. Patient characteristics, including age, gender, duration of hospitalization, as well as specific metrics like body mass index, distinct palliative care assessment scores, and in-hospital opioid consumption were retrieved from the electronic patient files. Demographics and clinical data were analyzed by descriptive statistics, and compared to those of a control group of palliative care patients without SUD. An opioid calculator was used to standardize opioid intake based on morphine equivalents for meaningful comparisons. RESULTS: The primary characteristics revealed that the majority of individuals were single (56%), had no children (83%), lived alone (39%), and were either unemployed or recipients of a disability pension (in total 50%). Nicotine (89%), opioids (67%), and alcohol (67%) were the most used substances. We identified various comorbidities including psychiatric illnesses alongside SUD (56%), hepatitis A, B, or C (33%), and HIV infection (17%). Patients with SUD were significantly younger (p < 0.5), predominantly male (p < 0.05), and reported a higher prevalence of pain (p < 0.5) compared to the standard cohort of palliative patients. Regarding the challenges most frequently reported by healthcare practitioners, non-compliance, multimorbidity, challenging communication, biographical trauma, lack of social support, and unstable housing situations played a key role. CONCLUSION: Patients with SUD represent a complex and vulnerable group dealing with multiple comorbidities that profoundly affect both their physical and psychological well-being. Understanding their unique characteristics is pivotal in providing precise and suitable palliative care

Migrants’ perspectives on environmental change and translocal practices in Morocco, Senegal, and the Democratic Republic of Congo.

This qualitative study takes a translocal perspective by considering migrants’ views on environmental change, migration decisions and translocal practices in favour of environmental adaptation. This article addresses the following question: To what extent do migrants’ perceptions of environmental change in their region of origin influence their translocal practices in favour of adaptation to socio-environmental change? Our data show that while environmental change may not be the primary reason that people migrate, nor do they perceive it as such, their translocal practices may have very concrete impacts in environmentally fragile areas, especially with respect to non-migrants in the place of origin. Most practices (e.g. family economic remittances) are spontaneous and unintentionally adaptive to environmental change. In contrast, collective projects initiated through hometown associations, especially in Senegal and Morocco, often have a more intentional and proactive character, resulting in translocal adaptive socio-environmental dynamics.0Funding support for this article was provided by the BELSPO: MIGRADAPT - Making Migration Work for Adaptation to Environmental Changes–A Belgian Appraisal Contract (BR/175/A4/MIGRADAPT).info:eu-repo/semantics/publishe