Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Perspective
  • Published:

Engaging migrants and immigrants in genetics research

Abstract

Human populations are always moving within and between countries, setting differential patterns of migration. However, there is a lack of representation of migrants and immigrants in genetics research, which hinders scientific discovery and exacerbates health disparities. This Perspective examines challenges to equitable participation and proposes actionable strategies to enhance inclusion. Drawing from a comprehensive review of recruitment approaches, we advocate for community-centered, digitally enhanced and culturally responsive strategies, including partnerships with community organizations, trusted cultural spaces and multilingual outreach. Integrating migrants into research conducted in host countries is both cost-effective and essential for enhancing genetic heterogeneity in study samples, as it allows for the inclusion of globally diverse populations without the logistical and financial burdens of conducting international recruitment. By embracing inclusive, community-driven approaches that reflect the realities of global mobility, the field can produce more generalizable genomic knowledge.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Hannigan, A., O’Donnell, P., O’Keeffe, M. & MacFarlane, A. How Do Variations in Definitions of “Migrant” and Their Application Influence the Access of Migrants to Health Care Services? Health Evidence Network Synthesis Report No. 46 (WHO Regional Office for Europe, 2016).

  2. Mance, B. & Splichal, S. Refugees and (im)migrants: (re)conceptualizing and (re)contextualizing migration in the media. J. Immigr. Refug. Stud. https://doi.org/10.1080/15562948.2024.2324305 (2024).

    Article  Google Scholar 

  3. Abudiab, S. et al. “Beyond just the four walls of the clinic”: the roles of health systems caring for refugee, immigrant and migrant communities in the United States. Front. Public Health 11, 1078980 (2023).

    PubMed  PubMed Central  Google Scholar 

  4. Ornek, O. K., Waibel, J., Wullinger, P. & Weinmann, T. Precarious employment and migrant workers’ mental health: a systematic review of quantitative and qualitative studies. Scand. J. Work Environ. Health 48, 327–350 (2022).

    PubMed Central  Google Scholar 

  5. Bloemraad, I. & Menjívar, C. Precarious times, professional tensions: the ethics of migration research and the drive for scientific accountability. Int. Migr. Rev. 56, 4–32 (2022).

    PubMed  Google Scholar 

  6. Young, J. L. et al. Beyond race: recruitment of diverse participants in clinical genomics research for rare disease. Front. Genet. 13, 949422 (2022).

    PubMed  PubMed Central  Google Scholar 

  7. Baxter, S. M. et al. Centers for Mendelian Genomics: a decade of facilitating gene discovery. Genet. Med. 24, 784–797 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Spataro, N., Rodríguez, J. A., Navarro, A. & Bosch, E. Properties of human disease genes and the role of genes linked to Mendelian disorders in complex disease aetiology. Hum. Mol. Genet. 26, 489–500 (2017).

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Brandes, N., Weissbrod, O. & Linial, M. Open problems in human trait genetics. Genome Biol. 23, 131 (2022).

    PubMed  PubMed Central  Google Scholar 

  10. Fatumo, S. et al. A roadmap to increase diversity in genomic studies. Nat. Med. 28, 243–250 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  11. National Institutes of Health (U.S.) & Biological Sciences Curriculum Study. Understanding Human Genetic Variation. NIH Curriculum Supplement Series (National Institutes of Health, 2007).

  12. Fernández-Rhodes, L. Beyond borders: a commentary on the benefit of promoting immigrant populations in genome-wide association studies. HGG Adv. 4, 100205 (2023).

    PubMed  PubMed Central  Google Scholar 

  13. Chen, M. S. Jr, Lara, P. N., Dang, J. H. T., Paterniti, D. A. & Kelly, K. Twenty years post-NIH Revitalization Act: enhancing minority participation in clinical trials (EMPaCT): laying the groundwork for improving minority clinical trial accrual: renewing the case for enhancing minority participation in cancer clinical trials. Cancer 120, 1091–1096 (2014).

    PubMed  Google Scholar 

  14. Rebbeck, T. R. et al. A framework for promoting diversity, equity, and inclusion in genetics and genomics research. JAMA Health Forum 3, e220603 (2022).

    PubMed  PubMed Central  Google Scholar 

  15. Biddle, L., Hintermeier, M., Costa, D., Wasko, Z. & Bozorgmehr, K. Context, health and migration: a systematic review of natural experiments. EClinicalMedicine 64, 102206 (2023).

    PubMed  PubMed Central  Google Scholar 

  16. Hindorff, L. A. et al. Prioritizing diversity in human genomics research. Nat. Rev. Genet. 19, 175–185 (2018).

    CAS  PubMed  Google Scholar 

  17. Hanchard, N. A., Chahrour, M. & de Vries, J. Tailored community engagement to address the genetics diversity gap. Med 3, 369–370 (2022).

    PubMed  Google Scholar 

  18. Sirugo, G., Williams, S. M. & Tishkoff, S. A. The missing diversity in human genetic studies. Cell 177, 26–31 (2019).

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Wagner, J. K. Ethical and legal considerations for the inclusion of underserved and underrepresented immigrant populations in precision health and genomic research in the United States. Ethn. Dis. 29, 641–650 (2019).

    PubMed  PubMed Central  Google Scholar 

  20. Barlow, F. K. Nature vs. nurture is nonsense: on the necessity of an integrated genetic, social, developmental, and personality psychology. Aust. J. Psychol. 71, 68–79 (2019).

    Google Scholar 

  21. Bulik, C. M. et al. ARFID Genes and Environment (ARFID-GEN): study protocol. BMC Psychiatry 23, 863 (2023).

    PubMed  PubMed Central  Google Scholar 

  22. Barr, P. B. et al. Education and alcohol use: a study of gene–environment interaction in young adulthood. Soc. Sci. Med. 162, 158–167 (2016).

    PubMed  PubMed Central  Google Scholar 

  23. Abdellaoui, A., Dolan, C. V., Verweij, K. J. H. & Nivard, M. G. Gene–environment correlations across geographic regions affect genome-wide association studies. Nat. Genet. 54, 1345–1354 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Zhou, Q. et al. Gene–environment correlation: the role of family environment in academic development. Mol. Psychiatry 30, 999–1008 (2025).

    CAS  PubMed  Google Scholar 

  25. Saunders, G. R. B. et al. Genetic diversity fuels gene discovery for tobacco and alcohol use. Nature 612, 720–724 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Graham, S. E. et al. The power of genetic diversity in genome-wide association studies of lipids. Nature 600, 675–679 (2021).

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Peterson, R. E. et al. Genome-wide association studies in ancestrally diverse populations: opportunities, methods, pitfalls, and recommendations. Cell 179, 589–603 (2019).

    CAS  PubMed  PubMed Central  Google Scholar 

  28. Uffelmann, E. et al. Genome-wide association studies. Nat. Rev. Methods Primers 1, 59 (2021).

    CAS  Google Scholar 

  29. Strom, N. I. et al. Genome-wide association study identifies new loci associated with OCD. Preprint at medRxiv https://doi.org/10.1101/2024.03.06.24303776 (2024).

  30. Stanaway, I. B. et al. Multi-ancestry meta-analysis of genome-wide association studies discovers 67 new loci associated with chronic back pain. Nat. Commun. 16, 1525 (2025).

    CAS  PubMed  PubMed Central  Google Scholar 

  31. Shim, J. K., Ackerman, S. L., Darling, K. W., Hiatt, R. A. & Lee, S. S.-J. Race and ancestry in the age of inclusion: technique and meaning in post-genomic science. J. Health Soc. Behav. 55, 504–518 (2014).

    PubMed  PubMed Central  Google Scholar 

  32. Duello, T. M., Rivedal, S., Wickland, C. & Weller, A. Race and genetics versus ‘race’ in genetics: a systematic review of the use of African ancestry in genetic studies. Evol. Med. Public Health 9, 232–245 (2021).

    PubMed  PubMed Central  Google Scholar 

  33. Mills, M. C. & Rahal, C. The GWAS Diversity Monitor tracks diversity by disease in real time. Nat. Genet. 52, 242–243 (2020).

    CAS  PubMed  Google Scholar 

  34. Fong, K. C. et al. The intersection of immigrant and environmental health: a scoping review of observational population exposure and epidemiologic studies. Environ. Health Perspect. 130, 96001 (2022).

    CAS  PubMed  Google Scholar 

  35. Galanter, J. M. et al. Differential methylation between ethnic sub-groups reflects the effect of genetic ancestry and environmental exposures. eLife 6, e20532 (2017).

    PubMed  PubMed Central  Google Scholar 

  36. Parkin, D. M. International variation. Oncogene 23, 6329–6340 (2004).

    CAS  PubMed  Google Scholar 

  37. Carress, H., Lawson, D. J. & Elhaik, E. Population genetic considerations for using biobanks as international resources in the pandemic era and beyond. BMC Genomics 22, 351 (2021).

    CAS  PubMed  PubMed Central  Google Scholar 

  38. Bustamante, L. H. U., Cerqueira, R. O., Leclerc, E. & Brietzke, E. Stress, trauma, and posttraumatic stress disorder in migrants: a comprehensive review. Braz. J. Psychiatry 40, 220–225 (2017).

    PubMed  PubMed Central  Google Scholar 

  39. Szaflarski, M. & Bauldry, S. The effects of perceived discrimination on immigrant and refugee physical and mental health. Adv. Med. Sociol. 19, 173–204 (2019).

    PubMed  PubMed Central  Google Scholar 

  40. Odoms-Young, A., Brown, A. G. M., Agurs-Collins, T. & Glanz, K. Food insecurity, neighborhood food environment, and health disparities: state of the science, research gaps and opportunities. Am. J. Clin. Nutr. 119, 850–861 (2024).

    CAS  PubMed  Google Scholar 

  41. Zhou, A. & Ryan, J. Biological embedding of early-life adversity and a scoping review of the evidence for intergenerational epigenetic transmission of stress and trauma in humans. Genes 14, 1639 (2023).

    CAS  PubMed  PubMed Central  Google Scholar 

  42. Clausing, E. S. & Non, A. L. Epigenetics as a mechanism of developmental embodiment of stress, resilience, and cardiometabolic risk across generations of Latinx immigrant families. Front. Psychiatry 12, 696827 (2021).

    PubMed  PubMed Central  Google Scholar 

  43. Sumner, J. A. et al. Epigenetics of early-life adversity in youth: cross-sectional and longitudinal associations. Clin. Epigenetics 14, 48 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  44. Domínguez-Andrés, J. & Netea, M. G. Impact of historic migrations and evolutionary processes on human immunity. Trends Immunol. 40, 1105–1119 (2019).

    PubMed  PubMed Central  Google Scholar 

  45. Jiang, S., Postovit, L., Cattaneo, A., Binder, E. B. & Aitchison, K. J. Epigenetic modifications in stress response genes associated with childhood trauma. Front. Psychiatry 10, 808 (2019).

    PubMed  PubMed Central  Google Scholar 

  46. Holuka, C. et al. Transgenerational impacts of early life adversity: from health determinants, implications to epigenetic consequences. Neurosci. Biobehav. Rev. 164, 105785 (2024).

    CAS  PubMed  Google Scholar 

  47. Fallet, M. et al. Present and future challenges for the investigation of transgenerational epigenetic inheritance. Environ. Int. 172, 107776 (2023).

    CAS  PubMed  Google Scholar 

  48. Ko, Y., Butcher, R. & Leong, R. W. Epidemiological studies of migration and environmental risk factors in the inflammatory bowel diseases. World J. Gastroenterol. 20, 1238–1247 (2014).

    PubMed  PubMed Central  Google Scholar 

  49. Rosenthal, T., Touyz, R. M. & Oparil, S. Migrating populations and health: risk factors for cardiovascular disease and metabolic syndrome. Curr. Hypertens. Rep. 24, 325–340 (2022).

    PubMed  PubMed Central  Google Scholar 

  50. Constant, A. F., García-Muñoz, T., Neuman, S. & Neuman, T. A “healthy immigrant effect” or a “sick immigrant effect”? Selection and policies matter. Eur. J. Health Econ. 19, 103–121 (2018).

    PubMed  Google Scholar 

  51. Markides, K. S. & Rote, S. The healthy immigrant effect and aging in the United States and other Western countries. Gerontologist 59, 205–214 (2019).

    PubMed  Google Scholar 

  52. Elshahat, S., Moffat, T. & Newbold, K. B. Understanding the healthy immigrant effect in the context of mental health challenges: a systematic critical review. J. Immigr. Minor. Health 24, 1564–1579 (2022).

    PubMed  Google Scholar 

  53. Moullan, Y. & Jusot, F. Why is the ‘healthy immigrant effect’ different between European countries? Eur. J. Public Health 24, 80–86 (2014).

    PubMed  Google Scholar 

  54. Ruiz, J. M., Steffen, P. & Smith, T. B. Hispanic mortality paradox: a systematic review and meta-analysis of the longitudinal literature. Am. J. Public Health 103, e52–e60 (2013).

    PubMed  PubMed Central  Google Scholar 

  55. Bacong, A. M. & Menjívar, C. Recasting the immigrant health paradox through intersections of legal status and race. J. Immigr. Minor. Health 23, 1092–1104 (2021).

    PubMed  PubMed Central  Google Scholar 

  56. Holmboe-Ottesen, G. & Wandel, M. Changes in dietary habits after migration and consequences for health: a focus on South Asians in Europe. Food Nutr. Res. https://doi.org/10.3402/fnr.v56i0.18891 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  57. Sebastián Leonidas, R. Migraciones y percepción de seguridad alimentaria: el caso de la cultura alimentaria de las mujeres matsigenka de la comunidad nativa Nuevo Mundo (Megantoni, Cusco). Amazon. Peru. 34, 99–112 (2021).

    Google Scholar 

  58. Hassan, G., Ventevogel, P., Jefee-Bahloul, H., Barkil-Oteo, A. & Kirmayer, L. J. Mental health and psychosocial wellbeing of Syrians affected by armed conflict. Epidemiol. Psychiatr. Sci. 25, 129–141 (2016).

    CAS  PubMed  PubMed Central  Google Scholar 

  59. Grajek, M. et al. Nutrition and mental health: a review of current knowledge about the impact of diet on mental health. Front. Nutr. 9, 943998 (2022).

    PubMed  PubMed Central  Google Scholar 

  60. Lee, B. Y. et al. Research gaps and opportunities in precision nutrition: an NIH workshop report. Am. J. Clin. Nutr. 116, 1877–1900 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  61. Cantor-Graae, E. & Selten, J.-P. Schizophrenia and migration: a meta-analysis and review. Am. J. Psychiatry 162, 12–24 (2005).

    PubMed  Google Scholar 

  62. Bourque, F., van der Ven, E. & Malla, A. A meta-analysis of the risk for psychotic disorders among first- and second-generation immigrants. Psychol. Med. 41, 897–910 (2011).

    CAS  PubMed  Google Scholar 

  63. Martinez, O. et al. Evaluating the impact of immigration policies on health status among undocumented immigrants: a systematic review. J. Immigr. Minor. Health 17, 947–970 (2015).

    PubMed  PubMed Central  Google Scholar 

  64. Gil-González, D. et al. Is health a right for all? An umbrella review of the barriers to health care access faced by migrants. Ethn. Health 20, 523–541 (2015).

    PubMed  Google Scholar 

  65. George, S., Duran, N. & Norris, K. A systematic review of barriers and facilitators to minority research participation among African Americans, Latinos, Asian Americans, and Pacific Islanders. Am. J. Public Health 104, e16–e31 (2014).

    PubMed  PubMed Central  Google Scholar 

  66. Bentley, A. R., Callier, S. & Rotimi, C. N. Diversity and inclusion in genomic research: why the uneven progress? J. Community Genet. 8, 255–266 (2017).

    PubMed  PubMed Central  Google Scholar 

  67. Rockwell, D. H., Yobs, A. R. & Moore, M. B. Jr. The Tuskegee study of untreated syphilis: the 30th year of observation. Arch. Intern. Med. 114, 792–798 (1964).

    CAS  PubMed  Google Scholar 

  68. Martin, A. R. et al. Clinical use of current polygenic risk scores may exacerbate health disparities. Nat. Genet. 51, 584–591 (2019).

    CAS  PubMed  PubMed Central  Google Scholar 

  69. Lennon, N. J. et al. Selection, optimization and validation of ten chronic disease polygenic risk scores for clinical implementation in diverse US populations. Nat. Med. 30, 480–487 (2024).

    CAS  PubMed  PubMed Central  Google Scholar 

  70. Suzuki, K. et al. Genetic drivers of heterogeneity in type 2 diabetes pathophysiology. Nature 627, 347–357 (2024).

    CAS  PubMed  PubMed Central  Google Scholar 

  71. Raven-Adams, M. C. et al. Defining and pursuing diversity in human genetic studies. Nat. Genet. 56, 1985–1988 (2024).

    CAS  PubMed  Google Scholar 

  72. Raymond-Flesch, M., Siemons, R. & Brindis, C. D. Research and engagement strategies for young adult immigrants without documentation: lessons learned through community partnership. Prog. Community Health Partnersh. 10, 373–382 (2016).

    PubMed  Google Scholar 

  73. Beesley, L. J. et al. The emerging landscape of health research based on biobanks linked to electronic health records: existing resources, statistical challenges, and potential opportunities. Stat. Med. 39, 773–800 (2020).

    PubMed  Google Scholar 

  74. Salowe, R. J. et al. Recruitment strategies and lessons learned from a large genetic study of African Americans. PLOS Glob. Public Health 2, e0000416 (2022).

    PubMed  PubMed Central  Google Scholar 

  75. Bishop, M. R. et al. Establishment of the Alabama Hereditary Cancer Cohort—strategies for the inclusion of underrepresented populations in cancer genetics research. Mol. Genet. Genomic Med. 6, 766–778 (2018).

    PubMed  PubMed Central  Google Scholar 

  76. Kisa, S. & Kisa, A. “No Papers, No Treatment”: a scoping review of challenges faced by undocumented immigrants in accessing emergency healthcare. Int. J. Equity Health 23, 184 (2024).

    PubMed  PubMed Central  Google Scholar 

  77. Twersky, S. E., Jefferson, R., Garcia-Ortiz, L., Williams, E. & Pina, C. The impact of limited English proficiency on healthcare access and outcomes in the U.S.: a scoping review. Healthcare 12, 364 (2024).

    PubMed  PubMed Central  Google Scholar 

  78. Adigun, S., Barroso, C., Mixer, S., Myers, C. & Anderson, J. Minding the gaps: health care access for foreign-born people in the U.S.: an integrative review. J. Health Care Poor Underserved 32, 1653–1674 (2021).

    PubMed  Google Scholar 

  79. Outram, M. A., Figueroa, M., Sperschneider, J., Williams, S. J. & Dodds, P. N. Seeing is believing: exploiting advances in structural biology to understand and engineer plant immunity. Curr. Opin. Plant Biol. 67, 102210 (2022).

    PubMed  Google Scholar 

  80. All of Us Research Program Genomics Investigators. Genomic data in the All of Us Research Program. Nature 627, 340–346 (2024).

    Google Scholar 

  81. Smith, H. et al. Recruitment and retention strategies for historically marginalized populations in colorectal cancer trials: a cross-sectional analysis using systematic review methods. J. Gastrointest. Cancer 56, 24 (2024).

    PubMed  PubMed Central  Google Scholar 

  82. World Health Organization Regional Office for Europe. Participatory health research with migrants: a country implementation guide. WHO IRIS https://iris.who.int/server/api/core/bitstreams/1a2371b0-d2c7-4c7b-95d3-92af1c28c99b/content (2022).

  83. Buseh, A. G., Stevens, P. E., Millon-Underwood, S., Kelber, S. T. & Townsend, L. Embracing an “African Ethos” to facilitate African immigrants participation in medical genetics and genomics research. Nurs. Outlook 65, 9–17 (2017).

    PubMed  Google Scholar 

  84. Ochs-Balcom, H. M. et al. “It takes a village”: multilevel approaches to recruit African Americans and their families for genetic research. J. Community Genet. 6, 39–45 (2015).

    PubMed  Google Scholar 

  85. Boyer, B. B., Mohatt, G. V., Pasker, R. L., Drew, E. M. & McGlone, K. K. Sharing results from complex disease genetics studies: a community based participatory research approach. Int. J. Circumpolar Health 66, 19–30 (2007).

    PubMed  Google Scholar 

  86. Smith, A. et al. Sistas Taking a Stand for Breast Cancer Research (STAR) study: a community-based participatory genetic research study to enhance participation and breast cancer equity among African American women in Memphis, TN. Int. J. Environ. Res. Public Health 15, 2899 (2018).

    PubMed  PubMed Central  Google Scholar 

  87. Skinner, H. G. et al. Using community-based participatory research principles to develop more understandable recruitment and informed consent documents in genomic research. PLoS ONE 10, e0125466 (2015).

    PubMed  PubMed Central  Google Scholar 

  88. Sengupta, D., Choudhury, A. & Ramsay, M. H3Africa: a model for implementing biobank-based genomic research in resource-constrained settings. Hum. Mol. Genet. https://doi.org/10.1093/hmg/ddaf113 (2025).

    Article  PubMed  Google Scholar 

  89. Fogarty International Center at the National Institutes of Health. Human Heredity and Health in Africa (H3Africa) at NIH. Fogarty International Center https://www.fic.nih.gov:443/Funding/Pages/collaborations-h3africa.aspx (2022).

  90. Zierhut, H. A. et al. Engaging communities: a scoping literature review of community-based participatory research in genetics service delivery settings. J. Community Genet. 15, 583–602 (2024).

    PubMed  PubMed Central  Google Scholar 

  91. Barton, K. S. et al. Genetic research within Indigenous communities: engagement opportunities and pathways forward. Genet. Med. 26, 101158 (2024).

    CAS  PubMed  Google Scholar 

  92. Lalika, M. et al. Efficacy of a culturally tailored mobile health lifestyle intervention on cardiovascular health among African Americans with preexisting risk factors: the FAITH! Trial. Digit. Health 10, 20552076241295305 (2024).

    PubMed  PubMed Central  Google Scholar 

  93. Brewer, L. C. et al. Fostering African-American Improvement in Total Health (FAITH!): an application of the American Heart Association’s Life’s Simple 7™ among Midwestern African-Americans. J. Racial Ethn. Health Disparities 4, 269–281 (2017).

    PubMed  Google Scholar 

  94. Dong, X. The population study of Chinese elderly in Chicago. J. Aging Health 26, 1079–1084 (2014).

    PubMed  Google Scholar 

  95. Khosla, P., Amin, K. & Doshi, R. Combating chronic disease with barbershop health interventions: a review of current knowledge and potential for big data. Yale J. Biol. Med. 97, 239–245 (2024).

    PubMed  PubMed Central  Google Scholar 

  96. Tafolla, M. et al. Barriers, motivators and strategies to increase participation in genetic research among Asian and Black families of autistic individuals. J. Community Genet. 15, 559–572 (2024).

    PubMed  PubMed Central  Google Scholar 

  97. Wallerstein, N. & Duran, B. Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am. J. Public Health 100, S40–S46 (2010).

    PubMed  PubMed Central  Google Scholar 

  98. Moore, E. G. et al. Examining the cascade of participant attrition in a genomic medicine research study: barriers and facilitators to achieving diversity. Public Health Genomics 20, 332–342 (2017).

    PubMed  Google Scholar 

  99. Brieger, K. et al. Genes for good: engaging the public in genetics research via social media. Am. J. Hum. Genet. 105, 65–77 (2019).

    CAS  PubMed  PubMed Central  Google Scholar 

  100. Lee, S. Bridging the digital divide for immigrants: empowering newcomers with essential digital skills for a smoother transition. Number Analytics https://www.numberanalytics.com/blog/digital-literacy-programs-for-immigrants (2025).

  101. Fung, K. K., Lai, C. Y., Hung, S. L., Yu, Y. & He, L. A systematic review of the digital divide experienced by migrant women. J. Int. Migr. Integr. 26, 1177–1204 (2025).

    Google Scholar 

  102. Horowitz, C. R. et al. Successful recruitment and retention of diverse participants in a genomics clinical trial: a good invitation to a great party. Genet. Med. 21, 2364–2370 (2019).

    PubMed  Google Scholar 

  103. Yeung, A. W. K. et al. The promise of digital healthcare technologies. Front. Public Health 11, 1196596 (2023).

    PubMed  PubMed Central  Google Scholar 

  104. Frampton, G. K., Shepherd, J., Pickett, K., Griffiths, G. & Wyatt, J. C. Digital tools for the recruitment and retention of participants in randomised controlled trials: a systematic map. Trials 21, 478 (2020).

    PubMed  PubMed Central  Google Scholar 

  105. Lee, C.-Y. et al. Emerging trends in gamification for clinical reasoning education: a scoping review. BMC Med. Educ. 25, 435 (2025).

    PubMed  PubMed Central  Google Scholar 

  106. Zamora, A. N., Brown, J. E. H., Outram, S. & Ackerman, S. L. Using visual storytelling to share aggregate findings with families participating in clinical genomics research. Genet. Med. Open 2, 101844 (2024).

    PubMed  PubMed Central  Google Scholar 

  107. Miller, E. G. et al. Opportunities and pitfalls of social media research in rare genetic diseases: a systematic review. Genet. Med. 23, 2250–2259 (2021).

    PubMed  PubMed Central  Google Scholar 

  108. Radu, I. et al. Digital health for migrants, ethnic and cultural minorities and the role of participatory development: a scoping review. Int. J. Environ. Res. Public Health 20, 6962 (2023).

    PubMed  PubMed Central  Google Scholar 

  109. Matlin, S. A. et al. Digital solutions for migrant and refugee health: a framework for analysis and action. Lancet Reg. Health Eur. 50, 101190 (2025).

    PubMed  Google Scholar 

  110. Johnson, V. A., Powell-Young, Y. M., Torres, E. R. & Spruill, I. J. A systematic review of strategies that increase the recruitment and retention of African American adults in genetic and genomic studies. ABNF J. 22, 84–88 (2011).

    PubMed  PubMed Central  Google Scholar 

  111. Underwood, S. M., Buseh, A. G., Kelber, S. T., Stevens, P. E. & Townsend, L. Enhancing the participation of African Americans in health-related genetic research: findings of a collaborative academic and community-based research study. Nurs. Res. Pract. 2013, 749563 (2013).

    Google Scholar 

  112. Henderson, V. et al. Pilot study of a culturally sensitive intervention to promote genetic counseling for breast cancer risk. BMC Health Serv. Res. 22, 826 (2022).

    PubMed  PubMed Central  Google Scholar 

  113. Cunningham-Erves, J. et al. Development and pilot implementation of guidelines for culturally tailored research recruitment materials for African Americans and Latinos. BMC Med. Res. Methodol. 22, 248 (2022).

    PubMed  PubMed Central  Google Scholar 

  114. Roura, M., Dias, S., LeMaster, J. W. & MacFarlane, A. Participatory health research with migrants: opportunities, challenges, and way forwards. Health Expect. 24, 188–197 (2021).

    PubMed  PubMed Central  Google Scholar 

  115. Griffin, G., Ali, M., Nau, S. Z., Riggs, E. & Dantas, J. A. R. Accessing and navigating healthcare: a scoping review of the experiences of women of refugee background from Myanmar. Health Soc. Care Community 30, e3459–e3476 (2022).

    PubMed  PubMed Central  Google Scholar 

  116. Griffin, G., Nau, S. Z., Ali, M., Riggs, E. & Dantas, J. A. R. Seeking health information: a qualitative study of the experiences of women of refugee background from Myanmar in Perth, Western Australia. Int. J. Environ. Res. Public Health 19, 3289 (2022).

    PubMed  PubMed Central  Google Scholar 

  117. Wong, C. K., Lassemillante, A.-C., White, C. & Belski, R. Understanding the health literacy experiences and practices of Australian-resettled Myanmar refugees: relevance for nutrition and dietetics practice. Nutrients 16, 3109 (2024).

    PubMed  PubMed Central  Google Scholar 

  118. MacFarlane, A. et al. Framework for refugee and migrant health research in the WHO European Region. Trop. Med. Int. Health 28, 90–97 (2023).

    PubMed  PubMed Central  Google Scholar 

  119. Cratsley, K., Brooks, M. A. & Mackey, T. K. Refugee mental health, global health policy, and the Syrian crisis. Front. Public Health 9, 676000 (2021).

    PubMed  PubMed Central  Google Scholar 

  120. Bunn, M. et al. Family-based mental health interventions for refugees across the migration continuum: a systematic review. SSM Ment. Health 2, 100153 (2022).

    PubMed  PubMed Central  Google Scholar 

  121. James, R. D. et al. Strategies and stakeholders: minority recruitment in cancer genetics research. Community Genet. 11, 241–249 (2008).

    PubMed  Google Scholar 

  122. Malakar, Y., Lacey, J., Twine, N. A., McCrea, R. & Bauer, D. C. Balancing the safeguarding of privacy and data sharing: perceptions of genomic professionals on patient genomic data ownership in Australia. Eur. J. Hum. Genet. 32, 506–512 (2024).

    PubMed  Google Scholar 

  123. Yamanis, T. J. et al. Understanding fear of deportation and its impact on healthcare access among immigrant Latinx men who have sex with men. Adv. Med. Sociol. 21, 103–131 (2021).

    PubMed  PubMed Central  Google Scholar 

  124. Turton, W., Bing, C. & Asher-Schapiro, A. The IRS is building a vast system to share millions of taxpayers’ data with ICE. ProPublica https://www.propublica.org/article/trump-irs-share-tax-records-ice-dhs-deportations (2025).

  125. Alkhatib, R. & Gaede, K. I. Data management in biobanking: strategies, challenges, and future directions. BioTech 13, 34 (2024).

    CAS  PubMed  PubMed Central  Google Scholar 

  126. Zuo, Z. et al. Data anonymization for pervasive health care: systematic literature mapping study. JMIR Med. Inform. 9, e29871 (2021).

    PubMed  PubMed Central  Google Scholar 

  127. Balaji, D. & Terry, S. F. Benefits and risks of sharing genomic information. Genet. Test. Mol. Biomarkers 19, 648–649 (2015).

    PubMed  PubMed Central  Google Scholar 

  128. Rossi, A. & Lenzini, G. Transparency by design in data-informed research: a collection of information design patterns. Comput. Law Secur. Rev. 37, 105402 (2020).

    Google Scholar 

  129. MacDermod, C. et al. Recommendations to encourage participation of individuals from diverse backgrounds in psychiatric genetic studies. Am. J. Med. Genet. B Neuropsychiatr. Genet. 189, 163–173 (2022).

    PubMed  PubMed Central  Google Scholar 

  130. Kadam, R. A. Informed consent process: a step further towards making it meaningful! Perspect. Clin. Res. 8, 107–112 (2017).

    PubMed  PubMed Central  Google Scholar 

  131. Hill, A. et al. Accelerating implementation of visual key information to improve informed consent in research: a single-institution feasibility study and implementation testing. BMJ Open 15, e092185 (2025).

    PubMed  PubMed Central  Google Scholar 

  132. Wan, Z. et al. Sociotechnical safeguards for genomic data privacy. Nat. Rev. Genet. 23, 429–445 (2022).

    CAS  PubMed  PubMed Central  Google Scholar 

  133. Wolf, L. E. et al. The web of legal protections for participants in genomic research. Health Matrix Clevel. 29, 3 (2019).

    PubMed  PubMed Central  Google Scholar 

  134. Esmaeilzadeh, P. The impacts of the perceived transparency of privacy policies and trust in providers for building trust in health information exchange: empirical study. JMIR Med. Inform. 7, e14050 (2019).

    PubMed  PubMed Central  Google Scholar 

  135. Patterson, A. R. et al. Successful strategies for increasing African American participation in cancer genetic studies: hopeful signs for equalizing the benefits of genetic medicine. Community Genet. 11, 208–214 (2008).

    PubMed  Google Scholar 

  136. Taylor, J. Y. Recruitment of three generations of African American women into genetics research. J. Transcult. Nurs. 20, 219–226 (2009).

    PubMed  PubMed Central  Google Scholar 

  137. Hood, S., Campbell, B. & Baker, K. Culturally Informed Community Engagement: Implications for Inclusive Science and Health Equity (RTI Press, 2023).

  138. Saadi, A., Platt, R. E., Danaher, F. & Zhen-Duan, J. Partnering with immigrant patients and families to move beyond cultural competence: a role for clinicians and health care organizations. Acad. Pediatr. 24, 6–15 (2024).

    PubMed  PubMed Central  Google Scholar 

  139. Swietlik, E. M., Fay, M. & Morrell, N. W. Understanding what drives genetic study participation: perspectives of patients, carers, and relatives. Pulm. Circ. 14, e12346 (2024).

    CAS  PubMed  PubMed Central  Google Scholar 

  140. Appiah, R., Raviola, G. & Weobong, B. Balancing ethics and culture: a scoping review of ethico-cultural and implementation challenges of the individual-based consent model in African research. J. Empir. Res. Hum. Res. Ethics 19, 143–172 (2024).

    PubMed  PubMed Central  Google Scholar 

  141. Fisher-Hoch, S. P., Below, J. E., North, K. E. & McCormick, J. B. Challenges and strategies for recruitment of minorities to clinical research and trials. J. Clin. Transl. Sci. 7, e154 (2023).

    PubMed  PubMed Central  Google Scholar 

  142. Koehn, P. H. Globalization, migration health, and educational preparation for transnational medical encounters. Global. Health 2, 2 (2006).

    PubMed  PubMed Central  Google Scholar 

  143. Quay, T. A., Frimer, L., Janssen, P. A. & Lamers, Y. Barriers and facilitators to recruitment of South Asians to health research: a scoping review. BMJ Open 7, e014889 (2017).

    PubMed  PubMed Central  Google Scholar 

  144. Morgan, S., Lajonchere, C., Prelip, M. & Palmer, C. G. S. Exploring perceptions of genetic counseling student-run free clinics as an innovative service delivery model to increase access to genetic counseling services. J. Genet. Couns. 34, e1966 (2025).

    PubMed  Google Scholar 

  145. Ewing, A., Thompson, N. & Ricks-Santi, L. Strategies for enrollment of African Americans into cancer genetic studies. J. Cancer Educ. 30, 108–115 (2015).

    PubMed  PubMed Central  Google Scholar 

  146. Belsky, D. W., Moffitt, T. E. & Caspi, A. Genetics in population health science: strategies and opportunities. Am. J. Public Health 103, S73–S83 (2013).

    PubMed  PubMed Central  Google Scholar 

  147. Baskir, R. et al. Research for all: building a diverse researcher community for the All of Us Research Program. J. Am. Med. Inform. Assoc. 32, 38–50 (2024).

    PubMed Central  Google Scholar 

  148. Vaughn, L. M., Jacquez, F., Lindquist-Grantz, R., Parsons, A. & Melink, K. Immigrants as research partners: a review of immigrants in community-based participatory research (CBPR). J. Immigr. Minor. Health 19, 1457–1468 (2017).

    PubMed  Google Scholar 

  149. Fête, M., Aho, J., Benoit, M., Cloos, P. & Ridde, V. Barriers and recruitment strategies for precarious status migrants in Montreal, Canada. BMC Med. Res. Methodol. 19, 41 (2019).

    PubMed  PubMed Central  Google Scholar 

  150. Step, K., Ndong Sima, C. A. A., Mata, I. & Bardien, S. Exploring the role of underrepresented populations in polygenic risk scores for neurodegenerative disease risk prediction. Front. Neurosci. 18, 1380860 (2024).

    PubMed  PubMed Central  Google Scholar 

  151. Patel, A. P. & Fahed, A. C. Pragmatic approach to applying polygenic risk scores to diverse populations. Curr. Protoc. 3, e911 (2023).

    PubMed  PubMed Central  Google Scholar 

  152. Ojewunmi, O. O. & Fatumo, S. Driving global health equity and precision medicine through African genomic data. Hum. Mol. Genet. https://doi.org/10.1093/hmg/ddaf025 (2025).

    Article  PubMed  Google Scholar 

  153. Madden, E. B. et al. Advancing genomics to improve health equity. Nat. Genet. 56, 752–757 (2024).

    CAS  PubMed  PubMed Central  Google Scholar 

  154. Barlow, P., Mohan, G. & Nolan, A. Utilisation of healthcare by immigrant adults relative to the host population: evidence from Ireland. J. Migr. Health 5, 100076 (2021).

    PubMed  PubMed Central  Google Scholar 

  155. Lemke, A. A. et al. Community engagement in biobanking: experiences from the eMERGE Network. Life Sci. Soc. Policy 6, 50 (2010).

    Google Scholar 

  156. Mc Cord, K. A. & Hemkens, L. G. Using electronic health records for clinical trials: where do we stand and where can we go? CMAJ 191, E128–E133 (2019).

    Google Scholar 

  157. Virupaksha, H. G., Kumar, A. & Nirmala, B. P. Migration and mental health: an interface. J. Nat. Sci. Biol. Med. 5, 233–239 (2014).

    CAS  PubMed  PubMed Central  Google Scholar 

  158. Popejoy, A. B. & Fullerton, S. M. Genomics is failing on diversity. Nature 538, 161–164 (2016).

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

D.S.A. received funding from the Southern and Eastern Norway Regional Health Authority through research project number 150901.

Author information

Authors and Affiliations

Authors

Contributions

M.V.-A. conceptualized the Perspective, outlined the manuscript structure and wrote the first draft. J.L.C. compiled and analyzed relevant literature and assisted with editing. D.S.A. supervised the overall project, developed the central concepts and guided the writing process. All authors reviewed, edited and approved the final manuscript.

Corresponding author

Correspondence to Dawit Shawel Abebe.

Ethics declarations

Competing interests

The authors declare no competing interests.

Peer review

Peer review information

Nature Genetics thanks Lindsay Fernandez-Rhodes, Anna Lewis and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Valdez-Aguilar, M., Conklin, J.L. & Abebe, D.S. Engaging migrants and immigrants in genetics research. Nat Genet 57, 2634–2643 (2025). https://doi.org/10.1038/s41588-025-02373-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Version of record:

  • Issue date:

  • DOI: https://doi.org/10.1038/s41588-025-02373-1

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing