Barriers and facilitators to access mental health services among refugee women in high-income countries: a systematic review

DeSa, Sarah; Gebremeskel, Akalewold T; Omonaiye, Olumuyiwa; Yaya, Sanni

doi:10.1186/s13643-022-01936-1

Cited by 27 publications

(17 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Con respecto al sexismo y accesibilidad a atención médica mental, en mujeres refugiadas mayores de 18 años en países de altos ingresos, tuvieron una mayor prevalencia de enfermedades mentales por las migraciones forzadas por problemas bélicos en sus ciudades natales, y las principales barreras identificadas fueron el idioma, la estigmatización y la necesidad de prácticas culturalmente sensibles dentro de un contexto religioso y cultural. Evidenciándose que la estigmatización de la salud mental dentro de la población de mujeres refugiadas es una barrera importante para el comportamiento de búsqueda de salud mental y solicitar asilo (DeSa et al, 2022). En Estados Unidos, el sexismo también redujo la calidad de atención y la equidad en el servicio médico, siendo estas barreras diferentes según la raza/origen étnico.…”

Section: Resultados Y Discusionunclassified

“…Por todo lo antes detallado, es importante conocer que, los principales facilitadores para el acceso a los servicios médicos, resultan de una adecuada gestión con disponibilidad de servicios, preocupados por la fuerte promoción de la salud, la concientización en los países de reasentamiento y el apoyo social a las mujeres refugiadas y solicitantes de asilo. (DeSa et al, 2022).…”

Section: Resultados Y Discusionunclassified

“…ISN 2707-2207/ISSN 2707-2215 (en línea), noviembre-diciembre, 2022, Volumen 6, Número 6 p 978 lado encontramos a la demanda (población solicitante de los servicios). La accesibilidad puede evaluarse en 4 dimensiones, primero la disponibilidad de servicios , la capacidad de usar los servicios médicos en forma equitativa, la presencia de barreras sean personales y geográficas, económicas, organizacionales y barreras sociales y culturales; y finalmente los Resultados obtenidos en las prestaciones de promoción y cuidados de la salud a través de un óptimo acceso a los servicios en el tiempo adecuado y en un espacio correcto, asegurando el mejor resultado (DeSa et al, 2022) La equidad, es la libertad de acceder sin restricciones a cualquier institución de salud, alcanzando la mayor satisfacción y su bienestar, en ausencia de barreras financieras, geográficas, étnicas, socioculturales, para revertir la desigualdad en temas de salud, garantizando la prestación de servicios sanitarios con igualdad (Moore et al, 2022) Selección de estudios Las citas se importaron al software de gestión de citas de Zotero y se cargaron en un archivo zip. Los artículos recuperados de las búsquedas dentro de cada base de datos se cargaron en el sistema de gestión de artículos de Covidence y fueron examinados por los autores dentro de la base de datos mencionada, de acuerdo a la relevancia y elegibilidad para la revisión.…”

Section: Categorización De La Variableunclassified

See 2 more Smart Citations

La importancia de las Barreras de acceso y equidad en la atención de los servicios de salud

Fiorini

Rivera²

2022

Ciencia Latina

View full text Add to dashboard Cite

Objetivo: Explicar cómo las “barreras de accesibilidad” a los servicios médicos influye sobre el estado de la salud poblacional en las diferentes realidades. Material y métodos: Investigación con método deductivo, estudio básico, de diseño no experimental y transversal, mediante la realización de una revisión bibliográfica con énfasis descriptivo y retrospectivo; categorizando las variables de interés, bajo el método deductivo desde investigaciones afines. La revisión fue realizada durante los meses de junio a Julio del año 2022.Resultados: El Acceso a servicios de atención presenta múltiples barreras como las financieras, sociales, culturales, entre otras; las cuales deben ser identificados precozmente y no siempre son las mismas ni tienen la misma magnitud en las diferentes realidades; pero es frecuente hallar que esta limitación en el acceso es usual en los lugares alejados a las grandes urbes por falta de infraestructura y profesionales especializados en salud, asimismo afecta a poblaciones vulnerables y a los más pobres. Conclusiones: Se evidenció que la disminución de las “barreras de acceso”, mejoran la equidad en los servicios médicos y el estado de salud poblacional, existen múltiples “barreras de acceso” como los geográficos, los financieros, sociales, culturales, étnicos, sexuales, entre otros; existen múltiples modelos públicos de gestión, todos implantados de acuerdos a sus políticas públicas para disminuir las brechas con respeto a la salud que existen en las diferentes realidades

show abstract

Section: Resultados Y Discusionunclassified

Section: Categorización De La Variableunclassified

See 1 more Smart Citation

La importancia de las Barreras de acceso y equidad en la atención de los servicios de salud

Fiorini

Rivera²

2022

Ciencia Latina

View full text Add to dashboard Cite

show abstract

“…Despite the various barriers to health status and healthcare access, prior studies have found that the awareness and availability of community services, social support and resilience (DeSa et al., 2022) and behaviors of healthcare professionals, such as use of effective resources and techniques, use of demonstration to indicate understanding, avoiding stigma about refugees and respecting individuals by concentrating on their needs (Parajuli & Horey, 2019) facilitate refugees’ healthcare access. Refugees’ English proficiency and health literacy predicted better health status (Feinberg et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Health status and Healthcare Access of Southeast Asian refugees in the United States: An integrative review

Bang

Huang

Kuo

et al. 2023

Public Health Nursing

View full text Add to dashboard Cite

Objective: Since 2010, more than 527,000 refugees have resettled in the United States (US), most from Asia, fleeing war, violence, and persecution. However, there is little research that integrates findings about health among Southeast Asian refugees (SEAR). Design:We conducted an integrative review of studies that examined health status, risk factors, and barriers to healthcare access among SEAR in the US. We synthesized findings of studies published from 1980, when the Refugee Act was enacted, to 2022 using five databases. We reviewed 20 articles and data were extracted into a table for synthesis.Results: Participants were from Cambodia, Vietnam, Laos, Burma and the Thailand-Myanmar border. Hypertension (12%-64%), hypercholesterolemia (37%-39%), diabetes (0.6%-27%), heart disease (7%), bone and muscle problems (23%-50%), and chronic pain (8%-51%) were most common physical health problems; and PTSD (45%-86%) and depression (20%-80%) were the most common mental health problems.Trauma, resettlement stress, lack of community or religious engagement were associated with mental health problems. Language differences, transportation, and lack of health insurance were the most significant obstacles to receiving healthcare. Conclusion: SEAR experienced worse physical and mental health than the general US population. Different patterns of disease were identified depending on gender, time settled in the US, and ethnic group. Qualitative and longitudinal studies will elucidate refugees' experience and should guide interventions. K E Y W O R D S access to healthcare, ethnic minority, health disparity, health status, refugees 1 BACKGROUND Nearly 89.3 million people were forcibly displaced from their homes worldwide in 2021, and an additional 10 million were displaced in the first 5 months of 2022. Over 27 million currently displaced persons have been designated as refugees (The Office of the United Nations High Commissioner for Refugees (UNHCR), 2022), meaning that they are people who have fled war, violence, conflict, or persecution and have crossed an international border to find safety in another country (United Nations, n.d.). The number of refugees more than doubled from 2010 to 2020 and continues to rise due to unstable political situations in many countries, with more refugees in the world than ever in history. Many refugees have experienced considerable trauma in their home country and during migration (Sangalang et al., 2019). The United States (US) accepts the most refugees and has had the largest resettlement program in the world since the 1970s (UNHCR, 2022). In the past 45 years about 3,450,000 refugees from throughout the world resettled in the US; 600,900 refugees arrived in the US 324

show abstract

“…The difficulty with medical terminology in host countries is a well‐known challenge for displaced groups (DeSa et al, 2022). In line with previous literature, some of the participants in this trial highlighted several caveats, namely using simpler wording on the G‐TEP worksheet.…”

Section: Discussionmentioning

confidence: 99%

“Online delivery gave me privacy and distance from others”: feasibility trial and qualitative evaluation of an online intervention for refugees and asylum seekers; LTP + EMDR G‐TEP

Kaptan

Varese

Yılmaz

et al. 2022

Couns and Psychother Res

View full text Add to dashboard Cite

Rates of mental health difficulties are high among refugees and asylum seekers who are parents, which makes their family members vulnerable to further negative outcomes such as behavioural problems or withdrawal. Maternal health and responsive parenting can stimulate the well‐being of family members. However, displaced parents may fail to fulfil this role due to their own personal emotional issues. This current study is the first trial that tested the acceptability and feasibility of a remote multicomponent parenting intervention for refugees and asylum seekers: Learning Through Play and EMDR Group Traumatic Episode Protocol. The study was a single‐arm feasibility trial with an embedded qualitative component, and took place in the UK. We recruited caregivers of children under three years of age and offered eight sessions of a remote group Learning Through Play parenting intervention and Eye Movement Desensitisation Reprocessing Group Traumatic Episode Protocol (LTP+ EMDR G‐TEP). We administered assessments, including the Parenting Sense of Competence Scale, International Trauma Questionnaire, Generalized Anxiety Disorder‐7 and Patient Health Questionnaire‐9, followed by qualitative interviews. Of the 16 participants approached, 14 consented and were eligible to participate. Both qualitative and quantitative results showed the acceptability and feasibility of the intervention based on a recruitment rate of 88% of eligible participants and a 78% attendance rate for all sessions. Participants showed improvements in all outcome measures, an increase in parental self‐esteem and a reduction in mental health symptoms. Findings also suggest that remote interventions are promising as a scalable approach for displaced families.

show abstract

Barriers and facilitators to access mental health services among refugee women in high-income countries: a systematic review

Cited by 27 publications

References 62 publications

La importancia de las Barreras de acceso y equidad en la atención de los servicios de salud

La importancia de las Barreras de acceso y equidad en la atención de los servicios de salud

Health status and Healthcare Access of Southeast Asian refugees in the United States: An integrative review

“Online delivery gave me privacy and distance from others”: feasibility trial and qualitative evaluation of an online intervention for refugees and asylum seekers; LTP + EMDR G‐TEP

Contact Info

Product

Resources

About