Health Impacts of Migration and Policy on the Iranian Diaspora

• In Event: The Health Consequences of Forced Migration and Democratic Erosion

Abstract

Background: Migration is shaped by a complex interplay of political, economic, and social factors that drive individuals to seek stability and better prospects abroad. Since the 1979 Islamic Revolution, Iran has witnessed significant emigration of its highly educated population, driven by political instability, economic challenges, and restrictive societal norms. This study explores the push and pull factors of migration for highly educated immigrants and the impact of U.S. immigration policies as social determinants of health for this population.
Method: This qualitative study employed a phenomenological approach to examine the lived experiences of highly educated Iranian immigrants in the United States. A total of 40 semi-structured interviews were conducted in English via Zoom across two phases (2023 and 2024). Participants were recruited using convenience and snowball sampling methods. Interviews averaged 43 minutes in length (range: 25–75 minutes) and explored migration motivations, integration challenges, and the effects of immigration policies. Transcripts were analyzed using reflexive thematic analysis to systematically identify and interpret themes.
Results: Analysis identified three main themes: (1) Push and pull factors of migration for the largest Iranian diaspora; (2) Emotional Burden of navigating the complexities of nationality-based immigration policies; and (3) Financial distress linked to sanctions and currency depreciation. Although most participants held advanced degrees—72.5% were pursuing or had completed doctoral studies—they encountered barriers that constrained their integration. 

Conclusions: The findings highlight the challenges of navigating a restrictive immigration system while illustrating the participants’ resilience. This study underscores the importance of inclusive immigration policies, such as decoupling immigration processes from geopolitical tensions and improving financial accessibility, are recommended to improve integration pathways for highly educated migrants.

Authors

• Jihye Lee, Washington University in St. Louis
  Presenting Author

• Mitra Naseh, Washington University in St. Louis
  Non-Presenting Co-Author

• Sahar Badiezadeh, University of Massachusetts at Boston
  Non-Presenting Co-Author

• Sarvenaz Taridashti, Montclair State University
  Non-Presenting Co-Author