Problematic Social Media Use Profiles and Adolescent Substance Use Across Countries: A Latent Class Analysis With Multilevel Models.

Over the past five decades, global migration has increased steadily, with international migrants now comprising over 3.6% of the world’s population []. Today, more women live outside their country of birth and navigate maternity and health systems that are often distant from their cultural contexts and usual support networks. Migrant women often face unique challenges in the perinatal period (pregnancy, birth, and the first year postpartum), including systemic barriers, cultural dislocation, and unfamiliar care structures that are difficult to navigate [, ]. These, along with other socioeconomic factors, contribute to persistent disparities in perinatal mental health outcomes for women from migrant communities [–]. This study explores how migrant women navigate the transition to parenthood during the perinatal period with particular attention to the role of digital health in shaping their pathways to support. By examining how women engage with, interpret, and experience digital tools within broader social and structural contexts, the study aims to understand both the opportunities and limitations of digital health as a means of reaching more equitable perinatal mental health care. Globally, perinatal mental health conditions affect up to 20% of women [, ]. However, women from refugee and migrant backgrounds face a high risk of perinatal mental health conditions, up to 40%, due to stressors experienced before, during, and after migration [, ]. These stressors include the challenges of resettlement, adapting to new health systems, building social networks, and balancing competing settlement priorities, which often take precedence over women’s health [, ]. Migrant women also experience barriers in navigating perinatal care, including language and health literacy challenges, difficulties navigating complex and unclear health system pathways, financial constraints, cultural beliefs that may conflict with mainstream practices, limited access to culturally responsive care, and increasing challenges associated with digital literacy and navigating online health platforms [–].