Migration health research in the United Kingdom: A scoping review

Burns, Rachel J.; Zhang, Claire X.; Patel, Parth; Eley, Ida; Campos-Matos, Inês; Aldridge, Robert W

doi:10.1016/j.jmh.2021.100061

Cited by 27 publications

(32 citation statements)

References 28 publications

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“…Of the three social identities evaluated, only nativity status was consistently associated with both periodontal measures. Immigrants face substantial structural issues when arriving to the UK, including discrimination and other major stressors in today’s political and social climate, all of which could affect their health [ 11 ]. However, the fact that the study sample was drawn from a largely deprived and ethnically diverse population could have played a role in these findings.…”

Section: Discussionmentioning

confidence: 99%

“…The role of migration as a social determinant of health is often overlooked. Most immigrants face challenges upon arrival to a new country, such as language barriers and issues accessing housing, employment opportunities and health care, all of which can impact on health [ 11 , 12 ]. The acculturation framework has traditionally informed studies on migrant health, whereby the initial health advantage of immigrants after arrival to a new country dilutes as they transition to the lifestyles of the host population [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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The Intersections of Ethnicity, Nativity Status and Socioeconomic Position in Relation to Periodontal Status: A Cross-Sectional Study in London, England

Shaharyar

Bernabé

Delgado‐Angulo

2021

IJERPH

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The role of migration as a social determinant of periodontitis has been overlooked. Intersectionality theory could help understand how immigration status interacts with other social determinants of health to engender inequalities in periodontitis. The objective of the present study was to evaluate whether ethnicity, nativity status and socioeconomic position intersect to structure social inequalities in periodontal status. Data from 1936 adults in a deprived and multi-ethnic area of London were analysed. The numbers of teeth with probing depth and clinical attachment loss were determined from clinical examinations. A matrix with 51 intersectional strata, defined according to ethnicity, nativity status and education, was created. A cross-classified multilevel analysis, with participants clustered within intersectional social strata, was performed to assess the extent to which individual differences in periodontal measures were at the intersectional strata level. A complex pattern of social inequalities in periodontal status was found, which was characterised by high heterogeneity between strata and outcome-specificity. The variance partition coefficient of the simple intersectional model, which conflated additive and interaction effects, indicated that 3–5% of the observed variation in periodontal measures was due to between-stratum differences. Moreover, the percentual change in variance from the simple intersectional to the intersectional interaction model indicated that 73–74% of the stratum-level variance in periodontal measures was attributed to the additive effects of ethnicity, nativity status and education. This study found modest evidence of intersectionality among ethnicity, nativity status and education in relation to periodontal status.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Intersections of Ethnicity, Nativity Status and Socioeconomic Position in Relation to Periodontal Status: A Cross-Sectional Study in London, England

Shaharyar

Bernabé

Delgado‐Angulo

2021

IJERPH

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“…Additionally, improvements are needed in both the completeness and accuracy of migration and ethnicity recording in primary care (33). Disaggregation of health outcomes by migrant sub-group is needed to better understand the needs of this diverse population (34) and inform service planning. However, socially excluded migrant sub-groups (e.g.…”

Section: Discussionmentioning

confidence: 99%

Migrants’ primary care utilisation before and during the COVID-19 pandemic in England: An interrupted time series

Zhang

Boukari

Pathak

et al. 2022

Preprint

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Background: How international migrants access and use primary care in England is poorly understood. We aimed to compare primary care consultation rates between international migrants and non-migrants in England before and during the COVID-19 pandemic (2015-2020). Methods: Using linked data from the Clinical Practice Research Datalink (CPRD) GOLD and the Office for National Statistics, we identified migrants using country-of-birth, visa-status or other codes indicating international migration. We ran a controlled interrupted time series (ITS) using negative binomial regression to compare rates before and during the pandemic. Findings: In 262,644 individuals, pre-pandemic consultation rates per person-year were 4.35 (4.34-4.36) for migrants and 4.6 (4.59-4.6) for non-migrants (RR:0.94 [0.92-0.96]). Between 29 March and 26 December 2020, rates reduced to 3.54 (3.52-3.57) for migrants and 4.2 (4.17-4.23) for non-migrants (RR:0.84 [0.8-0.88]). Overall, this represents an 11% widening of the pre-pandemic difference in consultation rates between migrants and non-migrants during the first year of the pandemic (RR:0.89, 95%CI:0.84-0.94). This widening was greater for children, individuals whose first language was not English, and individuals of White British, White non-British and Black/African/Caribbean/Black British ethnicities. Interpretation: Migrants were less likely to use primary care before the pandemic and the first year of the pandemic exacerbated this difference. As GP practices retain remote and hybrid models of service delivery, they must improve services and ensure they are accessible and responsive to migrants' healthcare needs. Funding: This study was funded by the Medical Research Council (MR/V028375/1) and Wellcome Clinical Research Career Development Fellowship (206602).

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“…The scoping review approach has been used very recently across differential studies with refugee and asylum seeker populations. For example, Burns et al (2021) used this approach to identify issues around health with migrants in the UK. In a similar study, Villarroel et al (2019) used a scoping review to explore health factors with refuges in Ireland.…”

Section: Review Methodsmentioning

confidence: 99%

A systematic scoping review of interventions delivered by peers tosupport the resettlement of refugees and asylum seekers

Mahon¹

2022

MHSI

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Purpose The purpose of this study is to conduct a systematic search of the literature as it pertains to interventions delivered by peers to refugees and asylum seekers during the resettlement process. Design/methodology/approach A preferred reporting items for systematic reviews and meta-analysis-compliant scoping review based on Arskey and O’Malley’s (2006) five steps was used. Four databases, Scopus, Embase, Ebsco and ScienceDirect, were searched for peer-reviewed articles published in English from 2000 to 2021. Studies were included if they reported on interventions, outcomes or the training received by adult peers to support refugees and asylum seekers during the resettlement process. Of an initial 632 journal articles retrieved, 14 met the inclusion criteria for this review. Findings Most included studies were conducted in Western high-income countries, with the exception of one. Studies were heterogeneous in terms of the nationalities of peers and those receiving peer interventions, the outcomes reported on, the content of interventions and the methodologies used. Findings suggest that peer interventions seem to be effective in addressing many of the challenges faced by refugees and asylum seekers. Community integration, acculturation and reductions in psychological distress are some of the key benefits. When such interventions are co-produced in participatory research involving refugees, asylum seekers and the civil society organisations that support this population, they are naturally culturally responsive and can, therefore, address issues relative to different ethnic needs during the resettlement process. Originality/value To the best of the authors’ knowledge, this is the first scoping review to be conducted in this area and adds to what is a very limited body of research.

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Migration health research in the United Kingdom: A scoping review

Cited by 27 publications

References 28 publications

The Intersections of Ethnicity, Nativity Status and Socioeconomic Position in Relation to Periodontal Status: A Cross-Sectional Study in London, England

The Intersections of Ethnicity, Nativity Status and Socioeconomic Position in Relation to Periodontal Status: A Cross-Sectional Study in London, England

Migrants’ primary care utilisation before and during the COVID-19 pandemic in England: An interrupted time series

A systematic scoping review of interventions delivered by peers tosupport the resettlement of refugees and asylum seekers

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