{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:29:08Z","timestamp":1785403748945,"version":"3.56.0"},"reference-count":55,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005416","name":"The Research Council of Norway","doi-asserted-by":"publisher","award":["326661"],"award-info":[{"award-number":["326661"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]},{"award":["326661"],"award-info":[{"award-number":["326661"]}],"id":[{"id":"https:\/\/ror.org\/00epmv149","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Highly educated migrants in Norway often experience prolonged delays before accessing employment that matches their qualifications. During this period, many participate in compulsory education or language training, or work in jobs unrelated to their professions. This study explores how the introductory program for migrants and work outside one\u2019s professional field shape health, identity, and the broader integration process. Methods: This exploratory qualitative study used semi-structured interviews with eight highly educated migrants enrolled in the introductory program in Kristiansand municipality in Norway. Interviews were transcribed verbatim and analyzed using reflexive thematic analysis informed by Social Identity Theory. Findings: Participants described employment, and particularly their former professions, as central to their self-esteem, sense of meaning, and social belonging. Prolonged credential recognition processes and limited opportunities for meaningful social contact due to employment status loss contributed to feelings of stagnation, exclusion, and weakened professional identity. Many participants emphasized a strong desire to contribute to society and regain their professional status. While the introductory program offered valuable peer support and facilitated language learning, it was not experienced as a direct pathway to inclusion in Norwegian society and professional life. The findings indicate that early access to work-based integration opportunities, such as internships or relevant job placements, may enhance well-being, foster language acquisition, and strengthen social inclusion for highly educated migrants. Conclusions: The study findings suggest that policymakers and practitioners should prioritize measures that streamline credential recognition and expand early, relevant work-based integration opportunities. Such approaches can improve language development, support identity reconstruction, strengthen social belonging, and ultimately promote better health and integration outcomes for highly educated migrants.<\/jats:p>","DOI":"10.3390\/ijerph23070896","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T02:34:44Z","timestamp":1783996484000},"page":"896","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Highly Educated Migrants in Norway: Identity and Well-Being During Delayed Workforce Entry\u2014A Qualitative Study"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2200-2034","authenticated-orcid":false,"given":"Siv Karin","family":"Eriksen","sequence":"first","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen, 5007 Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8019-5214","authenticated-orcid":false,"given":"Khadra Yasien","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen, 5007 Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7698-4331","authenticated-orcid":false,"given":"Esperanza","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen, 5007 Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Blystad","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, University of Bergen, 5007 Bergen, Norway"},{"name":"Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5007 Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2606","DOI":"10.1016\/S0140-6736(18)32114-7","article-title":"The UCL\u2013Lancet Commission on Migration and Health: The health of a world on the move","volume":"392","author":"Abubakar","year":"2018","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.socscimed.2017.09.002","article-title":"Post-migration employment changes and health: A dyadic spousal analysis","volume":"191","author":"Ro","year":"2017","journal-title":"Soc. Sci. Med."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Hajak, V.L., Sardana, S., Verdeli, H., and Grimm, S. (2021). A systematic review of factors affecting mental health and well-being of asylum seekers and refugees in Germany. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.643704"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s11482-020-09877-4","article-title":"Health-related quality of life of asylum seekers and refugees in Germany: A cross-sectional study with data from the German socio-economic panel","volume":"17","author":"Grochtdreis","year":"2022","journal-title":"Appl. Res. Qual. Life"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1177\/13505084221145631","article-title":"Migrant worker well-being as a struggle for meaningful work: Evidence from Bangladeshi migrants in a developing country","volume":"30","author":"Sambajee","year":"2023","journal-title":"Organization"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1177\/10892680251352819","article-title":"Crisis migration and identity disruption: An integrative perspective","volume":"29","author":"Schwartz","year":"2025","journal-title":"Rev. General. Psychol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1002\/ejsp.2668","article-title":"The how and the when of the social cure: A conceptual model of group-and individual-level mechanisms linking social identity to health and well-being","volume":"50","author":"Junker","year":"2020","journal-title":"Eur. J. Soc. Psychol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/00036846.2020.1795070","article-title":"Over-education among immigrants: The role of demographics, time, and firm characteristics","volume":"53","author":"Jacobs","year":"2021","journal-title":"Appl. Econ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1080\/1369183X.2024.2399638","article-title":"Navigating employment and overeducation: Comparative study of immigrant experiences in 17 Western European nations","volume":"51","author":"Cantalini","year":"2025","journal-title":"J. Ethn. Migr. Stud."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Becker, C.C. (2022). Migrants\u2019 social integration and its relevance for national identification: An empirical comparison across three social spheres. Front. Sociol., 6.","DOI":"10.3389\/fsoc.2021.700580"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1037\/a0034946","article-title":"The integration paradox: Level of education and immigrants\u2019 attitudes towards natives and the host society","volume":"20","author":"Martinovic","year":"2014","journal-title":"Cult. Divers. Ethn. Minor. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Abate, B.B., Sendekie, A.K., Tadesse, A.W., Engdaw, T., Mengesha, A., Zemariam, A.B., Alamaw, A.W., Abebe, G., and Azmeraw, M. (2024). Resilience after adversity: An umbrella review of adversity protective factors and resilience-promoting interventions. Front. Psychiatry, 15.","DOI":"10.3389\/fpsyt.2024.1391312"},{"key":"ref_13","first-page":"11","article-title":"\u201cIt\u2019s not just finding them a job\u201d,(Re) imagining Meaningful Employment and Economic Inclusion Among Forced Migrants: Narratives from Service Providers","volume":"12","author":"Haran","year":"2024","journal-title":"Online J. Workforce Educ. Dev."},{"key":"ref_14","unstructured":"SSB (2025). Immigrants and Norwegian-Born to Immigrant Parents Norway, Statistics Norway. Available online: https:\/\/www.ssb.no\/en\/befolkning\/innvandrere\/statistikk\/innvandrere-og-norskfodte-med-innvandrerforeldre."},{"key":"ref_15","unstructured":"SSB (2022). How Many Immigrants Are Overqualified?, Statistics Norway. Available online: https:\/\/www.ssb.no\/arbeid-og-lonn\/sysselsetting\/artikler\/hvor-mange-innvandrere-er-overkvalifisert."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Syse, A., Dzamarija, M.T., Kumar, B.N., and Diaz, E. (2018). An observational study of immigrant mortality differences in Norway by reason for migration, length of stay and characteristics of sending countries. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5435-4"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1093\/esr\/jcz011","article-title":"The effects of recognition of foreign education for newly arrived immigrants","volume":"35","author":"Tibajev","year":"2019","journal-title":"Eur. Sociol. Rev."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1007\/s10903-021-01247-y","article-title":"Promotion of resilience in migrants: A systematic review of study and psychosocial intervention","volume":"24","author":"Ciaramella","year":"2022","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Naseh, M., Zeng, Y., Rai, A., Sutherland, I., and Yoon, H. (2023). Migration integration policies as social determinants of health for highly educated immigrants in the United States. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-16254-x"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1177\/01979183231170809","article-title":"The integration paradox: A review and meta-analysis of the complex relationship between integration and reports of discrimination","volume":"58","author":"Schaeffer","year":"2024","journal-title":"Int. Migr. Rev."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/phr08100","article-title":"Reducing loneliness among migrant and ethnic minority people: A participatory evidence synthesis","volume":"8","author":"Salway","year":"2020","journal-title":"Public Health Res."},{"key":"ref_22","first-page":"26","article-title":"Immigrant and refugee social networks: Determinants and consequences of social support among women newcomers to Canada","volume":"43","author":"Hynie","year":"2011","journal-title":"Can. J. Nurs. Res. Arch."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s40878-022-00279-z","article-title":"A help or hindrance? Highly educated refugees\u2019 perceptions of the role of civic integration programmes in accessing the labour market in Oslo, Malm\u00f6 and Munich","volume":"10","year":"2022","journal-title":"Comp. Migr. Stud."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Kienzler, H. (2024). Community integration, quality of life, thriving, and mental health among refugees and asylum seekers. A London service provider perspective. Front. Public Health, 12.","DOI":"10.3389\/fpubh.2024.1358250"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"100074","DOI":"10.1016\/j.anzjph.2023.100074","article-title":"Precarious employment and associated health and social consequences; a systematic review","volume":"47","author":"Jaydarifard","year":"2023","journal-title":"Aust. N. Z. J. Public Health"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Matsaganis, M.D., Petraki, M., and Balourdos, D. (2024). Poor Employment Conditions and Immigrant Health in Europe. Soc. Sci., 14.","DOI":"10.3390\/socsci14010002"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Jetten, J., Haslam, S.A., and Haslam, C. (2012). The case for a social identity analysis of health and well-being. The Social Cure, Psychology Press. [1st ed.].","DOI":"10.4324\/9780203813195"},{"key":"ref_28","unstructured":"HK-dir (2024, November 05). Foreign Education: Norwegian Directorate for Higher Education and Skills 2023. Available online: https:\/\/hkdir.no\/en\/foreign-education."},{"key":"ref_29","unstructured":"HK-dir (2024, September 10). Regulated Professions: Norwegian Directorate for Higher Education and Skills. Available online: https:\/\/hkdir.no\/en\/foreign-education\/lists-and-databases\/regulated-professions."},{"key":"ref_30","unstructured":"(2024, November 05). Do You Have Questions About Recognition of Foreign Education?: Norwegian Directorate for Higher Education and Skills. Available online: https:\/\/hkdir.no\/en\/foreign-education\/education-from-outside-of-norway\/do-you-have-questions-about-recognition-of-foreign-education."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1080\/2156857X.2023.2165534","article-title":"The association between work and integration in the Norwegian welfare context, and its implications for immigrants and social work practice: An integrative review","volume":"14","author":"Ims","year":"2024","journal-title":"Nord. Soc. Work Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"4320","DOI":"10.1080\/1369183X.2025.2536702","article-title":"How introduction programs help and hinder refugee integration: Evidence from Norway","volume":"51","author":"Bugge","year":"2025","journal-title":"J. Ethn. Migr. Stud."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1080\/15562948.2015.1045054","article-title":"(Dis) empowering new immigrants and refugees through their participation in introduction programs in Sweden, Denmark, and Norway","volume":"13","author":"Fernandes","year":"2015","journal-title":"J. Immigr. Refug. Stud."},{"key":"ref_34","unstructured":"Austin, W.G., and Worchel, S. (1979). An integrative theory of inter-group conflict. The Social Psychology of Inter-Group Relations, Brooks\/Cole."},{"key":"ref_35","unstructured":"Worchel, S., and Austin, W. (1986). The Social Identity Theory of Intergroup Behavior. Psychology of Intergroup Relations, Nelson-Hall Publishers. [2nd ed.]."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1464-0597.2008.00379.x","article-title":"Social identity, health and well-being: An emerging agenda for applied psychology","volume":"58","author":"Haslam","year":"2009","journal-title":"Appl. Psychol.-Int. Rev.-Psychol. Appl.-Rev. Int."},{"key":"ref_37","unstructured":"UIB (2026, March 25). Integration for Health [Web-page]: University of Bergen. Available online: https:\/\/www4.uib.no\/en\/research\/research-projects\/integration-for-health."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Ahmed, K.Y., Fadnes, L.T., Kumar, B., Hasha, W., and Diaz, E. (2024). Including highly educated migrants in academia to improve their health\u2014Protocol for a pilot intervention. Front. Public Health, 12.","DOI":"10.3389\/fpubh.2024.1347992"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Ahmed, K.Y., Sima, Y.T., Lunde, A., Blystad, A., Hasha, W., Fadnes, L.T., Kumar, B., and Diaz, E. (2025). Changes in health after a work-related intervention among highly educated migrants in Norway: A pilot study. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-25025-9"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis","volume":"11","author":"Braun","year":"2019","journal-title":"Qual. Res. Sport Exerc. Health"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Herold, R., Lieb, M., Borho, A., Voss, A., Unverzagt, S., Morawa, E., Rothermund, E., and Erim, Y. (2024). Working conditions and mental health of migrants and refugees in Europe considering cultural origin\u2013a systematic review. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-18096-7"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1111\/bjso.12745","article-title":"Social identity, mental health and the experience of migration","volume":"63","author":"Brance","year":"2024","journal-title":"Br. J. Soc. Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"12634","DOI":"10.1007\/s12144-023-05336-z","article-title":"Cultural integration, subjective identity, and well-being: Global migrants in the UK","volume":"43","author":"Wang","year":"2024","journal-title":"Curr. Psychol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1177\/2156869320913090","article-title":"The \u201cHow\u201d question of the healthy immigrant paradox: Understanding psychosocial resources and demands as pathways linking migration to mental health risks","volume":"11","author":"Yang","year":"2021","journal-title":"Soc. Ment. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"32","DOI":"10.56397\/SPS.2023.09.03","article-title":"Group belongingness: Investigating the formation, maintenance, and influencing factors of social identity and group membership","volume":"1","author":"He","year":"2023","journal-title":"Stud. Psychol. Sci."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1037\/0021-9010.91.5.1037","article-title":"Stressing the group: Social identity and the unfolding dynamics of responses to stress","volume":"91","author":"Haslam","year":"2006","journal-title":"J. Appl. Psychol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s13384-022-00600-w","article-title":"Professional identity and agency in immigrant teachers\u2019 professional transition to work in Australia","volume":"51","author":"Yip","year":"2024","journal-title":"Aust. Educ. Res."},{"key":"ref_48","first-page":"33","article-title":"Not all Syrian doctors become taxi drivers: Stagnation and continuity among highly educated Syrians in Norway","volume":"22","author":"Bygnes","year":"2021","journal-title":"J. Int. Migr. Integr."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"38","DOI":"10.18060\/26776","article-title":"Understanding the Ulysses Syndrome, effective engagement, and ways to heal","volume":"4","author":"Roberts","year":"2022","journal-title":"ENGAGE!"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"294","DOI":"10.15171\/ijhpm.2017.131","article-title":"Settling ulysses: An adapted research agenda for refugee mental health","volume":"7","author":"Namer","year":"2017","journal-title":"Int. J. Health Policy Manag."},{"key":"ref_51","unstructured":"Norsk organisasjon for asyls\u00f8kere (NOAS) (2026, January 15). Ventetiden for Asylintervjuer er Uholdbar. NOAS. Available online: https:\/\/www.noas.no\/ventetiden-for-asylintervjuer-er-uholdbar\/."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Trummer, U., Novak-Zezula, S., and Wilczewska, I.T. (2025). Social Determinants of Health in Continental Europe and the Relevance of Migration. Handbook on the Social Determinants of Health, Edward Elgar Publishing.","DOI":"10.4337\/9781035302093.00030"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/00016993241309551","article-title":"How exposure to natives in the workplace affects cultural assimilation among non-Western immigrants","volume":"68","author":"Diop","year":"2025","journal-title":"Acta Sociol."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Bar-Haim, E., and Birgier, D.P. (2024). Language distance and labor market integration of migrants: Gendered perspective. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0299936"},{"key":"ref_55","unstructured":"Di Bartolomeo, A., Kalantaryan, S., and Bonfanti, S. (2015). Measuring Integration of Migrants. A Multivariate Approach, European University Institute."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/7\/896\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T04:30:55Z","timestamp":1784176255000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/7\/896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,12]]},"references-count":55,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["ijerph23070896"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23070896","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,12]]}}}