The sexual health of migrants from Central and Eastern European countries in London: new methods and new data

Amo, Julia del

doi:10.1136/sti.2011.049460

Cited by 4 publications

(2 citation statements)

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“…Across different societies, a general pattern can be observed whereby members of non-dominant minority groups e mainly ethnic and/or racial minorities and individuals of low socioeconomic status e exhibit higher rates of involvement in different high-risk behaviors, compared to the country's majority or dominant group. That is, while there are differences between and within societies and some variation by age and gender, members of nondominant minority groups tend to engage at higher rates in smoking (Osypuk, Kawachi, Subramanian, & Acevedo-Garcia, 2006;Sorensen, Barbeau, Hunt, & Emmons, 2004), alcohol consumption, marijuana and other drug use (Friese & Grube, 2008;Gerevich, Bacskai, Czobor, & Szabo, 2010), as well as sexual risk and HIVrisk behaviors (Dariotis, Sifakis, Pleck, Astone, & Sonenstein, 2011;Del Amo, 2011;Trepka et al, 2008). They tend to have poorer eating habits and to engage less in physical activity (Cockerham, 2005), and they exhibit more unsafe driving-related behaviors (failing to use seat belts, running red lights, etc.)…”

Section: Introductionmentioning

confidence: 99%

Understanding high-risk behavior among non-dominant minorities: A social resistance framework

Factor

Kawachi

Williams

2011

Social Science & Medicine

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Across different societies, non-dominant minority groups, compared to the dominant group, often exhibit higher rates of involvement in high-risk behaviors, such as smoking, drug and alcohol use, sexual risk behaviors, overeating, and unsafe driving habits. In turn, these behaviors have a well-documented impact on chronic disease, morbidity, and mortality. Previous studies have emphasized macro-structural or micro-agentic explanations for this phenomenon. Such explanations suffer from mirror-image shortcomings, such as, by emphasizing structural barriers, macro-level explanations leave out individual agency ("the over-socialized conception of the individual"), while micro-level theories give short shrift to structural constraints that prevent individuals from engaging in health-promoting behaviors ("the under-socialized conception of the individual"). Moreover, most current theories regard individuals as passive players who are influenced by the social environment or by psychological problems, or who make "bad" choices. The current paper develops an integrated theoretical framework that incorporates structural inequalities while leaving intact the role of individual agency. According to the social resistance framework, power relations in society encourage members of non-dominant minority groups to actively engage in everyday resistance practices that include various unhealthy behaviors. The paper develops propositions from which testable hypotheses can be generated, and discusses the implications and contributions of the social resistance framework.

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Section: Introductionmentioning

confidence: 99%

Understanding high-risk behavior among non-dominant minorities: A social resistance framework

Factor

Kawachi

Williams

2011

Social Science & Medicine

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“…We also excluded studies focused on Tripanosoma Cruzi/Chagas disease, which is highly prevalent in some HA populations [ 5 ], because at least 9 previous systematic reviews have already examined this topic [ 6 - 14 ]. Taking into account the conceptual difficulties related to grouping HA migrants as an analytical category and the conundrums of defining who is a “migrant” [ 15 ] we pragmatically considered “HA migrants in Europe” as persons born in any Spanish-speaking country situated in Central-South America/Caribbean, who are currently residing or have ever resided in any European country. The complete citation screening process was conducted by the first author (MR).…”

Section: Methodsmentioning

confidence: 99%

Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review

et al. 2015

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BackgroundPolicy makers and health practitioners are in need of guidance to respond to the growing geographic mobility of Hispano-American migrants in Europe. Drawing from contributions from epidemiology, social sciences, demography, psychology, psychiatry and economy, this scoping review provides an up-to-date and comprehensive synthesis of studies addressing the health status and determinants of this population. We describe major research gaps and suggest specific avenues of further inquiry.MethodsWe identified systematically papers that addressed the concepts “health” and “Hispano Americans” indexed in five data bases from Jan 1990 to May 2014 with no language restrictions. We screened the 4,464 citations retrieved against exclusion criteria and classified 193 selected references in 12 thematic folders with the aid of the reference management software ENDNOTE X6. After reviewing the full text of all papers we extracted relevant data systematically into a table template to facilitate the synthesising process.ResultsMost studies focused on a particular disease, leaving unexplored the interlinkages between different health conditions and how these relate to legislative, health services, environmental, occupational, and other health determinants. We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence. Few studies adopted a trans-national perspective and many consisted of cross-sectional descriptions that considered “Hispano-Americans” as a homogeneous category, limiting our analysis. Our results are also constrained by the availability and varying quality of studies reviewed.ConclusionsBurgeoning research has produced some consistent findings but there are huge gaps in knowledge. To prevent unhelpful generalisations we need a more holistic and nuanced understanding of how mobility, ethnicity, income, gender, legislative status, employment status, working conditions, neighbourhood characteristics and social status intersect with demographic variables and policy contexts to influence the health of the diverse Hispano-American populations present in Europe.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1799-x) contains supplementary material, which is available to authorized users.

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Highlights from this issue

Cassell¹

2011

Sex Transm Infect

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The sexual health of migrants from Central and Eastern European countries in London: new methods and new data

Cited by 4 publications

References 11 publications

Understanding high-risk behavior among non-dominant minorities: A social resistance framework

Understanding high-risk behavior among non-dominant minorities: A social resistance framework

Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review

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