Community Health Needs Assessment of Ethiopian American Immigrants in Two Nontraditional Migration Cities

The Ethiopian American immigrant (EAI) population is the second-largest African immigrant group in the U.S., yet little health research exists on this community. Ethiopian American immigrants arrive with good health but face declines over time due to acculturation, dietary changes, and health care barriers, increasing their risk of chronic diseases and mental health issues. This study assessed the health needs of EAIs in Cincinnati and Columbus, Ohio—two non-traditional migration cities. Through qualitative interviews with 45 community members, leaders, and health/social providers, we identified six key themes on cultural influences, health care barriers, and social connections. Using thematic analysis and deductive mapping, we classified health concerns into four categories: medical conditions, health behaviors, community conditions, and health system priorities. Findings highlight EAI health needs and priorities in less established migration areas, informing strategies to improve health care access and support for this growing population.