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The purpose of this paper is to investigate the health and well-being of Thai immigrant women in transnational marriages.

Interviews with 13 Thai women living in Norway who have (had) a Norwegian spouse/partner were conducted and the transcripts were analysed using thematic analysis.

Initial culture shock and a mixture of employment issues, transnational ties, marital relationships and social networks intertwined to influence women’s health and well-being over time. Sending financial remittances to family in Thailand could be challenging due to struggles to obtain suitable employment, working in low-paid physical jobs and spouses’ lack of understanding of this cultural practice. Over time, these intertwined factors led to chronic stress and deteriorating health for some. Thai networks and friendships were important for emotional and practical support.

More organised assistance may be beneficial to facilitate integration, reduce social isolation and improve employment opportunities.

Research on Thai women has so far focused on their position as immigrant wives and the vulnerabilities to exploitation and abuse they face. Focusing on only discourses around marital relationships may be limiting when trying to understand factors that influence the health and well-being of Thai immigrant women.

Post-migration stress is an important aspect of refugees’ mental health, but little is known about the relationship with insomnia. The purpose of this study was to investigate the assication between different post-migration stress factors and insomnia among Syrian refugees living in Norway.

The authors analysed survey data from the REFUGE study with 873 Syrian adults who resettled in Norway between 2015 and 2017. Potential participants were randomly selected from The Norwegian Population Register. Insomnia was measured using the Bergen Insomnia Scale. Perceived-discrimination, navigation difficulties, financial strain and loss of social status were measured via the refugee post-migration stress scale. The authors ran logistic regression analyses, controlling for socio-demographics, potentially traumatic experiences and symptoms of post-traumatic stress.

Overall, 59% (95% CI, 56%–62%) of the sample reported experiencing insomnia. In the fully-adjusted model, only financial strain and navigation difficulties were significantly associated with increased odds of insomnia. Loss of social status was also related to insomnia but only before adjusting for symptoms of post-traumatic stress.

Financial strain and navigation difficulties appear to be the most important post-migration stress factors in terms of insomnia among Syrian refugees living in Norway. Ameliorating these difficulties could potentially reduce insomnia among refugees. Since insomnia is a risk factor for the subsequent development of post-traumatic stress and depression, it is important to prevent or improve symptoms of insomnia among Syrian refugees, especially considering the high prevalence found in this study.

High socioeconomic status (SES) is associated with better health and lower use of health care services in the general population. Among immigrants, the relationship appears less consistent. The purpose of this paper is to determine if the relationship between income level (a proxy for SES) and use of primary health care services for mental health problems differs for natives and five immigrant groups in Norway. It also explores the moderating effect of length of stay (LoS) among immigrants.

Using data from two registers with national-level coverage, logistic regression analyses with interactions were carried out to determine the association between income level and having used primary health care services for mental health problems.

For Norwegian men and women there was a clear negative relationship between income and service use. Interaction analyses suggested that the relationship differed for all immigrant groups compared with Norwegians. When stratifying by LoS, income was not associated with service use among recently arrived immigrants but was negatively associated among immigrants staying more than two years (with the exception of Pakistani and Iraqi women).

Country of origin and LoS should be considered when applying measures of SES in immigrant health research.

There may be an initial transition period for recently arrived immigrants where competing factors mask the association between SES and service use.

This study benefits from nationwide coverage, eliminating self-selection biases. It demonstrates the complexity of the relationship between SES and health care use.

The purpose of this paper is to present a qualitative analysis of the role of self-harm self-help groups from the perspective of group members.

A qualitative case study approach guided the research, which involved working with two self-harm self-help groups and all regularly attending members.

A thematic approach to the analysis of the findings indicates that self-harm self-help groups can provide a safe, non-judgemental space where those who self-harm can meet, listen and talk to others who share similar experiences for reciprocal peer support. Offering a different approach to that experienced in statutory services, the groups reduced members’ isolation and offered opportunities for learning and findings ways to lessen and better manage their self-harm.

This was a small-scale qualitative study, hence it is not possible to generalise the findings to all self-harm self-help groups.

The value of peers supporting one another, as a means of aiding recovery and improving well-being, has gained credence in recent years, but remains limited for those who self-harm. The findings from this research highlight the value of self-help groups in providing opportunities for peer support and the facilitative role practitioners can play in the development of self-harm self-help groups.

Self-harm self-help groups remain an underexplored area, despite such groups being identified as a valuable source of support by its members. This research provides empirical evidence, at an individual and group level, into the unique role of self-harm self-help groups.