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(1) Background: Refugees and asylum-seekers from Afghanistan have been shown to be highly distressed as a result of pre- and post-resettlement traumas. However, little is known about the challenges that Afghan migrants endure while residing in Turkey, a population that has grown at unprecedented rates in recent years, and largely deemed illegal by Turkish asylum and settlement laws; (2) Methods: We conducted interviews with 15 Afghan males residing in Istanbul, Turkey in late 2015. A qualitative content analysis technique informed by Qualitative Description was used to analyze the data; (3) Results: Narratives revealed that motives for migrating to Turkey are driven by both a humanitarian need for protection against persecution and economic deprivation. While they are in transit, we observed that Afghan migrants are victimized, exposed to multiple traumas; and, in Turkey experience poverty, unemployment, and exploitation while living in poor conditions and receive no social assistance. Lastly, interviews revealed that their hopes reflect their motives for migrating, that is, to have a stable life and to support their families back home where ever they end up resettling; and (4) Conclusions: Our qualitative interviews clarified the harrowing and demoralizing transit experiences and the depth of exploitation and precarious living conditions that Afghans currently face. Findings have implications for asylum policies, and for delivering culturally-competent interventions that promote the overall well-being of Afghans in Turkey.

This qualitative study explored how Afghan refugees conceptualize frames of mind that may reflect depression in general and as it relates to trauma they experienced. We performed in-depth interviews with 18 Afghans residing in the San Diego area. Views regarding the causes, symptoms, and perceived treatments of depression were gathered through free-listing techniques, and supplemented with narratives relating to pre- and post-resettlement stressors and coping mechanisms. Data were analyzed with standard qualitative content analysis methods. Items endorsed with relation to depression causality included pre-migration war traumas, notably separation from family, and post-migration stressors including status dissonance and cultural conflicts that ranged from linguistic challenges to intergenerational problems. Depressive symptoms were viewed as highly debilitating, and included changes in temperament, altered cognitions, avoidance and dissociative behaviors, and somatic complaints. Relief was sought through family reunification and community support, reliance on prayer, and the academic success of their children in the US. The findings underscore the need for practitioners to take into account situational stressors, cultural aspects of mourning and symptomatology, and existing coping mechanisms in developing interventions that are based on refugees' articulated needs.

Assets church members believed they needed to engage in effective HIV/AIDS prevention and control activities. We used the three-step forum focus group discussion (FFGD) methodology to elicit responses from 32 church leaders and lay members, representing five denominations in Aba, Nigeria. Concrete resources, health expertise, finances, institutional support, capacity building, and spiritual support connected to the collective interest of members were indicated as useful for church members to engage in HIV/AIDS prevention and control activities. Adequate planning and delivery of cost-effective, appropriate and sustainable health promotion programs require an understanding of perceived church-based assets.

AbstractWe examined characteristics of Afghan youth who intend to stay in Afghanistan, a generation of young people critical to rebuilding the country. A survey of 232 young adults residing in Kabul assessed various demographic, health and psychological factors. The majority of participants reported that they had no intent to seek asylum, and our analyses showed that these individuals were financially stable, physically healthier, experienced less stress, resilient and more hopeful for their country's sociopolitical future when compared to those intending on seeking asylum. Findings provide justification for renewing a social contract that assures various protections and opportunities for social advancement. © 2018 John Wiley & Sons, Ltd.

Research participation is an important component of advancing whole health and eliminating health disparities, especially in communities facing environmental justice (EJ) issues. Though federally mandated, recruitment of racial and ethnic minorities can be a daunting task and recruitment of children an even greater challenge. A range of typical recruitment strategies (printed materials, word of mouth, broadcast etc.) for those of ethnically and culturally diverse backgrounds have exhibited only limited to modest success, depending on the community being served and the type of engagement. To date, there has been only limited assessment of the use of community-based participatory research (CBPR) theatre as a culturally relevant recruitment strategy.
The ENRRICH Railyard Study used CBPR theatre to engage an underserved EJ community, and to assess the health impact of residential proximity to a major freight railyard. The railyard community is comprised of primarily low-income Hispanic families. To promote participation, a CBPR theatre play – a partnership between a community- based organisation (CBO) and a university institution – was produced, from design to production, at two elementary schools. Following the play, parental consents and surveys were sent home. The response was immediate and one of the largest to date – 74 percent of children participated in the study.



The CBPR theatre, university and CBO partnership provided an opportunity to engage under-served minority children and their parents, thus encouraging participation and facilitating educationon respiratory health and the environment. This article includes experiences and lessons learned from using CBPR theatre to encourage study participation, critical for promoting sustainable change in an EJ community.

Background: This study explored how low-income women already distressed by reproductive challenges were affected during the initial lockdown conditions of the COVID-19 pandemic in Mumbai, India. Methods: Women with reproductive challenges and living in established slums participated in a longitudinal mixed-methods study comparing their mental health over time, at pre-COVID-19 and at one and four-months into India's COVID-19 lockdown. Results: Participants (n = 98) who presented with elevated mental health symptoms at baseline had significantly reduced symptoms during the initial lockdown. Improvements were associated with income, socioeconomic status, perceived stress, social support, coping strategies, and life satisfaction. Life satisfaction explained 37% of the variance in mental health change, which was qualitatively linked with greater family time (social support) and less worry about necessities, which were subsidized by the government. Conclusions: As the pandemic continues and government support wanes, original mental health issues are likely to resurface and possibly worsen, if unaddressed. Our research points to the health benefits experienced by the poor in India when basic needs are at least partially met with government assistance. Moreover, our findings point to the critical role of social support for women suffering reproductive challenges, who often grieve alone. Future interventions to serve these women should take this into account.

Abstract
Air pollution is a significant health threat around the world. Young children are a more vulnerable population. Environmental Protection Agency (EPA) and World Health Organizations (WHO) guidelines may not adequately protect them. Given children's rapid growth, it is important to review studies, consider the weight of evidence, and identify knowledge gaps. Our purpose was to conduct a systematic literature review of epidemiological studies of adverse health outcomes not previously considered; specifically, we reviewed evidence for traffic-related air pollution (TRAP) CO, NO2, SO2, O3, PM10, and PM2.5 in children ≤ 5 years in age, with special attention to adverse effects occurring within current air pollutant guidelines. Data sources are electronic search of PubMed, MEDLINE, and Google Scholar. Articles on air pollutants and additional health outcomes in children (0–5 years), between Jan. 1997 and Dec. 2018. Search included terms such as "air pollution, children, and adverse effects". Fifty-two studies met the inclusion criteria. Seven (7) health outcome categories were identified: respiratory diseases; developmental disorders; allergies, eczema, and allergic rhinitis; ear infections; cancer; obesity; and others, with greatest associations for respiratory and developmental disorders. Strongest findings were for NO2, O3, PM10, and PM2.5, and most health effects reviewed occurred within WHO limits. Our findings are pertinent for health professionals, researchers, government officials, and others to collaboratively support policy efforts toward exposure reductions for pregnant women and children to prevent acute and chronic diseases. This is critical for building a culture of health and ensuring health equity for vulnerable populations.

Despite promising evidence of the effectiveness of psychosocial-based approaches to drug abuse prevention, these programs have not been widely adopted by schools. This article considers the feasibility of widespread diffusion of empirically based prevention programs in school settings. The literature on determinants of diffusion is reviewed, results of recent research on strategies to increase diffusion are discussed, and barriers to successful diffusion in school settings are identified. The article concludes by presenting implications of these research findings for policy, practice, and future research.

Partnerships among local public environmental health (EH), emergency preparedness and response (EPR) programs, and the communities they serve have great potential to build community environmental health emergency preparedness (EHEP) capacity. In the study described in this article, the beliefs and organizational practices pertaining to community EHEP outreach and capacity were explored through key informant (KI) interviews (N = 14) with a sample of governmental EH and EPR administrators and top-level managers from Riverside and San Bernardino counties in Southern California. The results indicate that KIs were highly confident in their workforces' efficacy, ability, willingness, and motivation to directly engage local communities in EHEP. Best practices to combat organizational and systematic barriers to community EHEP outreach were identified. Based on the authors' results, training in participatory methods is needed to bridge technical knowledge in emergency management to daily practice. The lessons learned will form the basis of future interventions aimed to prepare EH and EPR professions to implement community-focused emergency preparedness strategies.