Experiences of health service literacy and access amongst Australian young adults from migrant backgrounds

Raymundo, Gianina; Smith‐Merry, Jennifer; McNab, Justin

doi:10.1002/hpja.408

Cited by 4 publications

(2 citation statements)

References 43 publications

(150 reference statements)

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“…In addition, literature on immigrants' HSU showed that health belief identification (89) and health literacy (75,98,121) are associated with migrants' HSU, and so are the IMs (58,103). Quality of life (98) was also found to be a facilitator of immigrants' HSU.…”

Section: Predisposing Factorsmentioning

confidence: 99%

“…Acculturation is mentioned as a protective factor in the overwhelming majority of studies on immigrants' HSU (138). These studies explain acculturation by language competence (40,41,43,44,46,60,62,64,65,69,76,77,79,97,114,120,124,139,140) or communication barriers (3,117,121), discrimination or xenophobia (3,42,43,60,65,71,120), cultural differences (62,75,76,79,89,117,121,124), and self-identified (89). All factors induce poor affective comfort during the HSU process.…”

Section: Immigrant-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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Section: Predisposing Factorsmentioning

confidence: 99%

Section: Immigrant-specific Factorsmentioning

confidence: 99%

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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Cardiovascular health care and health literacy among immigrants in Europe: a review of challenges and opportunities during the COVID-19 pandemic

Wernly

Magnano

et al. 2020

J Public Health (Berl.)

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Objectives Europe is a destination for many migrants, a group whose proportion of the overall population will increase over the next decades. The cardiovascular (CV) risk distribution and outcomes, as well as health literacy, are likely to differ from the host population. Challenges related to migrant health status, cardiovascular risk distribution and health literacy are compounded by the ongoing coronavirus disease 2019 (COVID-2019) crisis. Methods We performed a narrative review of available evidence on migrant CV and health literacy in Europe. Results Health literacy is lower in migrants but can be improved through targeted interventions. In some subgroups of migrants, rates of cardiovascular disease (CVD) risk factors, most importantly hypertension and diabetes, are higher. On the other hand, there is strong evidence for a so-called healthy migrant effect, describing lower rates of CV risk distribution and mortality in a different subset of migrants. During the COVID-19 pandemic, CV risk factors, as well as health literacy, are key elements in optimally managing public health responses in the ongoing pandemic. Conclusions Migrants are both an opportunity and a challenge for public health in Europe. Research aimed at better understanding the healthy migrant effect is necessary. Implementing the beneficial behaviors of migrants could improve outcomes in the whole population. Specific interventions to screen for risk factors, manage chronic disease and increase health literacy could improve health care for migrants. This pandemic is a challenge for the whole population, but active inclusion of immigrants in established health care systems could help improve the long-term health outcomes of migrants in Europe.

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