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A qualitative exploration of immigrant’s experiences, practices and feelings about health‐care management, diet quality and food security issues, in Greece

Athanasios Michalis (Department of Economics and Sustainable Development, School of Environment Geography and Applied Economics, Harokopio University of Athens, Athens, Greece)
Demosthenes B. Panagiotakos (Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Attica, Greece)
Apostolos Papadopoulos (Department of Geography, School of Environment Geography and Applied Economics, Harokopio University of Athens, Athens, Greece)
Vassiliki Costarelli (Department of Economics and Sustainable Development, School of Environment Geography and Applied Economics, Harokopio University of Athens, Athens, Greece)

International Journal of Migration, Health and Social Care

ISSN: 1747-9894

Article publication date: 27 November 2023

36

Abstract

Purpose

The study aims to have adults discuss experiences, practices needs and feelings related to health management, diet and food security.

Design/methodology/approach

A total of 22 immigrants were recruited from the Open School of Immigrants in Piraeus, Attica, Greece, to participate in focus group discussions. The discussions were audio recorded and thematically analyzed. Three major themes were developed: pathways to health care, nutrition management and experiences related to food shortages.

Findings

Most of the participants identified internet as the most commonly used way to obtain health advice; they also stated that unexpected ill-health is usually accompanied by feelings of fear, anxiety and loneliness. Immigrants, who had visited a public hospital in Greece, identified the language barrier as the most challenging issue, followed by the long waiting lists. Fear and anxiety of hospital visits was an important factor in their decision to vaccinate against COVID-19. Lack of time, high cost of healthy food and lack of knowledge were the most common obstacles to a healthy diet. One in two immigrants reported that they have faced food insecurity issues in the past. Stress, psychological distress and irritation were reported, due to food shortages, especially during the first few years of arriving in Greece. The exclusion of some foods, reduced portion sizes and buying cheaper foods were among the coping strategies to address food shortages.

Originality/value

The study offers an insight into immigrant’s experiences, practices and feelings about managing health issues and could be useful for health-care practitioners, researchers and policymakers.

Keywords

Acknowledgements

The authors would like to cordially thank all the participants to the focus group discussions together with the “Open School of Migrants of Piraeus” for facilitating the the recruitment of the participants.

Funding: The study was not funded.

Citation

Michalis, A., Panagiotakos, D.B., Papadopoulos, A. and Costarelli, V. (2023), "A qualitative exploration of immigrant’s experiences, practices and feelings about health‐care management, diet quality and food security issues, in Greece", International Journal of Migration, Health and Social Care, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/IJMHSC-06-2023-0061

Publisher

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Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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