Determinants and Inequities in Sexual and Reproductive Health (SRH) Care Access Among Im/Migrant Women in Canada: Findings of a Comprehensive Review (2008–2018)

Machado, Stefanie; Wiedmeyer, Mei-Ling; Watt, Sarah; Servin, Argentina E.; Goldenberg, Shira M.

doi:10.1007/s10903-021-01184-w

Cited by 14 publications

(14 citation statements)

References 71 publications

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“…Referring to demographic characteristics, general factors, including gender, age, marital status, and education level, were found to be associated with health knowledge and attitude and thus affected migrants' HSU. Gender was found to be associated with both immigrants' (64,71,(87)(88)(89)(90)(91) and IMs' (12,13,17,50,55,(92)(93)(94) HSU; however, the association was mixed. Age also had a mixed effect on immigrants' (64,90) and IMs' (12-14, 38, 92, 95, 96) HSU.…”

Section: Predisposing Factorsmentioning

confidence: 91%

“…Incorporation of these necessary resources would directly facilitate the HSU. Referring to social resources, social isolation or support was found to be associated with immigrants' (71,84,98) and IMs' (15,47,58,122) HSU. Specifically, not having someone to trust and confide (89) and lacking a person to accompany the immigrants to the healthcare facilities (97) were found to be associated with a decrease in HSU by immigrants, while immigrants with more negative family relationships had more HSU (123) because of the poor health status.…”

Section: Enabling Resourcesmentioning

confidence: 94%

“…Third, the healthcare system's organization influences migrants' HSU because the organization determines the access, progress, results, and efficiency of the healthcare service. Accessibility of the healthcare system was frequently mentioned in the literature in terms of both immigrants (44,65,71) and IMs (58,72,73) and measured in different ways. For example, immigrants in host countries always have difficulty navigating a new healthcare system (44,71).…”

Section: General Factorsmentioning

confidence: 99%

“…Accessibility of the healthcare system was frequently mentioned in the literature in terms of both immigrants (44,65,71) and IMs (58,72,73) and measured in different ways. For example, immigrants in host countries always have difficulty navigating a new healthcare system (44,71). The healthcare system of India restricts some treatment to Indian nationals (45).…”

Section: General Factorsmentioning

confidence: 99%

“…These factors were also important determinants that limited immigrants' HSU because they determine the affective comfort during the service. Consequently, lacking special services, such as culturally safe and language-specific care (71), was also found to be associated with immigrants' HSU.…”

Section: Subgroup-specific Factorsmentioning

confidence: 99%

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Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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Universal health coverage is vital to the World Health Organization’s (WHO’s) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population’s HSB have been published; however, most theoretical frameworks on migrants’ HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants’ HSB and Anderson’s behavior model, the author proposes a new conceptual framework of migrants’ HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.

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