Skilled migration: a structural determinant of health

Abstract

Purpose Attention on world migration has mostly focused on economic and inter-personal impacts, leaving a large gap in our understanding of how migration can affect migrants’ health. The purpose of this paper is to illustrate how the interdependent experiences of skilled migrants, as they undertake the latter part of their journey of skilled migration and resettle into their adopted homeland, can be conceptualised as a structural determinant of health. Design/methodology/approach In this qualitative study, semi-structured interviews collected data on skilled migrants’ experiences, including health impacts, related to their migration to Tasmania, Australia. A social determinants of health (SDOH) framework and Bourdieu’s theory of practice were applied to interpret the findings. Findings In total, 16 skilled migrants, from several nations and occupations, provided wide-ranging accounts of social inclusion and exclusion, and frequently reported experiencing psychological stress. There were also some reports of improved mental health. The migration process shapes life’s chances and choices. Many migrants reported access to important social, economic and cultural resources, however, good health was also impeded by equally significant systemic barriers. Research limitations/implications The sample is small and confined to a geographically isolated location, and did not include all types of skilled migrants. Practical implications Countries resettling skilled migrants should modify systems to promote rather than inhibit wellbeing, e.g. government and industry partnerships to facilitate employability and enhance access to supportive information about the migration process. Originality/value This is the first known study to link Bourdieu’s theory to SDOH relevant to skilled migrants. This approach helped reveal the prominence of structural factors beyond the control of migrants but potentially modifiable by the host country. This study illustrates the importance of examining both positive and negative health outcomes associated with migration, and how these factors relate to theory and policy.

Barriers and facilitators to the professional integration of internationally qualified nurses in Australia: a mixed methods systematic review

“…18 This is particularly important in the context of migration, since migration, which has been considered to be a social determinant of health in its own right, may constitute a risk to physical or psychological health. 19 Professional integration into the workplace introduces a new range of challenges that can facilitate or interfere with the adaptation and retention of nurses in the selected workplace. Professional integration is a complex and multifactorial phenomenon, understood differently within different countries and institutions.…”