Journal of Migration and Health最新文献

{"title":"Effects of UK hostile environment policies on maternity care for refugees, asylum seekers, and undocumented migrants in Camden: Examining the experiences of healthcare professionals and community organisations","authors":"Poppy Pierce ,&nbsp;Haleema Adil ,&nbsp;Tiffany Kwok ,&nbsp;Catherine Cooke ,&nbsp;Deveney Bazinet ,&nbsp;Kate Roll ,&nbsp;Sara L Hillman","doi":"10.1016/j.jmh.2024.100291","DOIUrl":"10.1016/j.jmh.2024.100291","url":null,"abstract":"<div><h3>Background</h3><div>The London borough of Camden has long been home for many refugees, asylum seekers, and undocumented migrants (RASUs). Over time, it has witnessed an increase in the population of these migrant groups, accompanied by notable changes in the obstacles they encounter when seeking health services, particularly maternity care. We explore how the ‘hostile environment’ policies affect access to and delivery of quality maternity services for RASUs.</div></div><div><h3>Methods</h3><div>This study was conducted over eight months (November 2021–July 2022) both remotely and face-to-face, in various locations in Camden and in the Maternity Department at University College London Hospital, UK. Healthcare professionals (HCPs) and community organisations (COs) were identified as two major stakeholders involved in the care provision for RASUs. 33 semi-structured interviews were conducted (with 22 HCPs and 11 COs) to understand their experiences of delivering care to this population.</div></div><div><h3>Results</h3><div>There was consensus among HCPs and COs that the current immigration policies undermined their duty of care, personal morals, and the principles of the NHS. These policies have created a restrictive environment, making it increasingly difficult for migrants to navigate the healthcare system and creating an atmosphere of distrust, propagating fears of being charged. This has led to HCPs and COs going beyond their remits to ensure that RASUs are accessing and engaging with maternity care, regardless of an individual's status and despite any potential repercussions for themselves.</div></div><div><h3>Conclusion</h3><div>In the face of an intensifying hostile environment under the UK government, supporting RASUs cannot be solely reliant on political measures. We need to advocate for healthcare navigator roles, health justice partnerships, specialist teams, and comprehensive training for service providers. HCPs and COs should be adequately supported in their endeavours to ensure RASUs have access to standardised, high-quality maternity care.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100291"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental mental disorders and school performance among non-immigrant and second-generation immigrant children in Sweden","authors":"Kenta Okuyama ,&nbsp;Sara Larsson Lönn ,&nbsp;Ardavan M. Khoshnood ,&nbsp;Jan Sundquist ,&nbsp;Kristina Sundquist","doi":"10.1016/j.jmh.2025.100329","DOIUrl":"10.1016/j.jmh.2025.100329","url":null,"abstract":"<div><h3>Introduction</h3><div>Immigrant children are often challenged at school. School performance is an important predictor of future socioeconomic position and mental and physical health. While studies have investigated parental mental disorders as a potential factor for poor school performance, no studies have investigated this among children with foreign-born parents, i.e., second-generation immigrant children. We aimed to examine whether parental depressive, anxiety, and personality disorders, affect school performance among non-immigrant children and second-generation immigrant children in Sweden.</div></div><div><h3>Methods</h3><div>Multiple nationwide population register data in Sweden were used. Non-immigrant children, i.e., children born to two Swedish-born parents (<em>n</em> = 593,515), and second-generation immigrant children with two foreign-born parents from non-Western regions (<em>n</em> = 71,721) were included. School grades in the final compulsory school year were used as outcome. Parental mental disorders were measured in the inpatient and outpatient registers. While adjusting for potential confounders, the association between parental mental disorders and school grades was assessed by a linear mixed model. Interaction terms were included to examine whether the association between parental mental disorders and school grades differed by children's immigration status.</div></div><div><h3>Results</h3><div>Parental mental disorder was associated with lower school grades for both non-immigrant and second-generation immigrant children and in both males and females. The school grades were lower among second-generation immigrant children but the effect of parental mental disorder was smaller among second-generation immigrant children than among non-immigrant children.</div></div><div><h3>Conclusion</h3><div>Parental mental disorders affected the school performance of all children negatively. Future studies could examine what type of support at school for both second-generation immigrant children and non-immigrant children of parents with mental disorders are most beneficial.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100329"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health outcomes of COVID-19 in immigrants versus native Spaniards","authors":"Jose Manuel Ruiz Giardin ,&nbsp;Nieves Mesa Plaza ,&nbsp;Almudena Escribá Bárcena ,&nbsp;Juan Victor SanMartín López ,&nbsp;Sonia Gonzalo Pascua ,&nbsp;Luis Antonio Lechuga Suárez ,&nbsp;Santiago Prieto Menchero ,&nbsp;Maria Jesús Domínguez García ,&nbsp;Sergio Serrano Villar ,&nbsp;Santiago Moreno Guillén ,&nbsp;on behalf FUENCOVID group","doi":"10.1016/j.jmh.2025.100354","DOIUrl":"10.1016/j.jmh.2025.100354","url":null,"abstract":"<div><h3>Background</h3><div>During the SARS-CoV-2 pandemic, the differential impact on ethnic groups has been widely debated. This study examines the immigrant population of Fuenlabrada, Spain, analyzing their infection, hospitalization, ICU admission, and mortality rates compared with the Spanish population.</div></div><div><h3>Methods</h3><div>This ambispective observational study (March 2020–January 2023) analyzed infection rates, hospitalizations, ICU admissions, and deaths among 215,000 inhabitants (10 % immigrants). Propensity score analysis was conducted to ensure comparability between groups.</div></div><div><h3>Findings</h3><div>Among 14,688 patients with 18,724 infections, 4102 (21·9 %) infections occurred in immigrants. Of 5429 hospitalized infections, 989 (19·2 %) involved immigrants. Immigrants had more than double the hospitalization rates of Spaniards (fourfold among Latin Americans). Spaniards were older (by 16 years), had higher comorbidities, longer hospital stays, and higher one-month mortality (4·9 % vs. 1 %). Vaccination rates were lower among immigrants (Spaniards 77 %, Latin Americans 70 %, other immigrants ∼50 %). Adjusted analyses revealed no significant differences in mortality between groups.</div></div><div><h3>Interpretation</h3><div>Elevated infection rates in immigrants, particularly Latin Americans, likely explain their higher hospitalization and ICU admission rates. Mortality, adjusted for demographics and clinical factors, did not differ significantly. Future research should explore the socio-demographic and genetic contributors to these disparities.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100354"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical perspectives on migrants, migration, and COVID-19 vaccination editorial for special issue","authors":"Denise L. Spitzer ,&nbsp;Anne-Sophie Jung ,&nbsp;Sally Hargreaves","doi":"10.1016/j.jmh.2023.100210","DOIUrl":"10.1016/j.jmh.2023.100210","url":null,"abstract":"<div><div>The COVID-19 pandemic has exposed—and exacerbated—major health inequities around the globe including amongst many persons framed as ‘migrants whose lives are shaped by discursive legal, political, and social meanings and legal statuses that situate them within local, national, and global hierarchies. This special issue is dedicated to critical analyses of the roll-out of COVID-19 vaccinations in relation to migrants and other minorities associated with migration, and how migrant groups have been considered and neglected by national and global COVID-19 responses. Drawing from work with asylum seekers, internal and international migrants—both documented and undocumented—in countries ranging from Greece, Japan, and India to Thailand and Canada, authors in this special issue apply critical political economic, feminist, and intersectional lenses to examinations of migrants, migration, and COVID-19 vaccinations.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100210"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Media coverage of internally displaced persons in two selected newspapers in Nigeria","authors":"Eric Msughter Aondover ,&nbsp;Abdulrahman Uba Daushe ,&nbsp;Omotola Ogunbola ,&nbsp;Perpetua Ogechi Aondover","doi":"10.1016/j.jmh.2024.100301","DOIUrl":"10.1016/j.jmh.2024.100301","url":null,"abstract":"<div><div>The study focused on the coverage of Internally Displaced Persons (IDPs) in two selected newspapers. It aims to understand the extent and nature of the coverage of IDPs in these newspapers, taking into consideration the various reasons for displacement, such as conflicts and disasters, religious or political persecution, and economic necessity. Through an analysis of the selected newspapers, the study aims to shed light on the portrayal of IDPs, providing a comprehensive understanding of the issue and potential areas for improvement in media coverage. The variables of frequency, prominence, and direction were used to assess the coverage and reporting of IDPs by two Nigerian newspapers, <em>Daily Trust</em> and <em>The Guardian</em> from July, 2023 to December 2023. The study employed the method of content analysis, with coding sheet as an instrument of data collection. Additionally, agenda-setting was adopted in the study. The study period spanned over the population of Nigerian newspapers, while the sample size was made up of <em>Daily Trust</em> and <em>The Guardian</em> newspapers from which 126 editions was analyzed. Based on the data obtained, it is evident that the two newspapers reported the incident of internally displaced person in form of news stories. Similarly, despite the high rate of IDPs, the frequency of media coverage is still low. The selected newspapers cover internally displaced persons more in the inside page than the front and back pages. The study concluded that as the watchdog of the society, the media should put in more effort in reporting cases of internally displaced persons to the appropriate authorities so that proper actions will be taken in addressing the issue of IDPs.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100301"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of south Asian key workers in COVID-19 lockdowns in the United Kingdom","authors":"Rizwana Yousaf ,&nbsp;Tipu Sultan","doi":"10.1016/j.jmh.2024.100300","DOIUrl":"10.1016/j.jmh.2024.100300","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to explore the experiences, challenges, and support given to South Asian Key Workers (food and necessary goods, Transport (delivery and taxi drivers,) working in the United Kingdom in times of the COVID-19 lockdowns between March 2020 to March 2021. The qualitative study aims to explore the experiences, challenges, and financial support given to South Asian Key Workers working in the United Kingdom in times of the COVID-19 lockdowns.</div></div><div><h3>Methods</h3><div>A phenomenological approach was used to explore the experiences of key workers during the COVID-19 lockdowns in the UK. Snowball sampling was used to contact participants, who were South Asian key workers working in food, necessary goods and transport during COVID-19 lockdown in United Kingdom. Semi-structured, in-depth face to face and telephonic interviews were conducted with study participants in February and March 2021. Inductive qualitative approach was used for data analysis, and data analysis was done parallel with data collection.</div></div><div><h3>Results</h3><div>Researcher interviewed 17 key workers. During the data analysis four theme categories emerged: 1) Precarious working conditions, 2) Coping with stress and fear, 3) Sustainability pressures, and 4) Insufficient support. Overall, the results show that the many participants had been working in close interaction with co-workers, customers and clients, poor protective measures to prevent catching infection, excessive workload, received limited support from employer, no access to furlough pay, restriction based on immigration status and limited economic support. Instead, they had to use self-devised strategies to cope with the increased workload, economic burdens and protection from infection.</div></div><div><h3>Conclusion</h3><div>The precarious working conditions exhausted participants physically and economically. They were holding a lot of grievances and hurt inside due to long existing inequalities in the society, where many highly educated and skilled individuals were unable to get stable and secure employments, despite the health vulnerabilities, South Asian key workers worked through the Covid-19 lockdowns to overcome difficulties stem from precarious work. Although currently coping with increased debts, economic burdens and long COVID symptoms, comprehensive job security and entitlement to secure contracts with provisions to sick leaves and pays should be made available to address economic vulnerabilities of south Asian key workers.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"11 ","pages":"Article 100300"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of overweight and obesity prevalence and determinants among immigrant adults in Nordic countries","authors":"Luna Emilia Kronstad ,&nbsp;Miroslava Tokovska ,&nbsp;Adnan Kisa","doi":"10.1016/j.jmh.2025.100377","DOIUrl":"10.1016/j.jmh.2025.100377","url":null,"abstract":"<div><h3>Background</h3><div>Overweight and obesity are major public health challenges worldwide and are disproportionately prevalent among immigrant populations in Western countries, including the Nordic region. However, evidence on their determinants and effective prevention strategies within Nordic immigrant populations remains fragmented.</div></div><div><h3>Purpose</h3><div>This study aims to map existing research on the prevalence, determinants, and interventions related to overweight and obesity among adult immigrants in Nordic countries.</div></div><div><h3>Method</h3><div>A scoping review of peer-reviewed studies published between 2013 and 2023 was conducted using CINAHL, PsycINFO, PubMed, and Web of Science to systematically synthesize evidence on these themes.</div></div><div><h3>Results</h3><div>Immigrants generally exhibited higher rates of overweight and obesity compared with native-born populations, with specific groups such as Somali and Iraqi immigrant women experiencing notably elevated prevalence. Key determinants included low physical activity, high-energy diets, socioeconomic disadvantage, acculturation challenges, and prolonged residence in the host country. Interventions included culturally adapted prevention programs promoting healthier diets, increased physical activity, and lifestyle modification. Promising approaches included gender-specific groups led by culturally sensitive health coaches, cooking classes with motivational support, and community-based physical activity initiatives.</div></div><div><h3>Conclusion</h3><div>Addressing obesity among immigrant populations in the Nordic region requires culturally responsive, community-engaged, and evidence-informed public health strategies. This review emphasizes the importance of integrating cultural competence, gender sensitivity, and structural supports to promote healthy lifestyles and advance equity in obesity prevention.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100377"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proportional representation and incidence rate of repeat visits in ethnic minorities compared to native Dutch people under the age of 25 years in the Netherlands","authors":"Y.J. Evers ,&nbsp;A. Verhaegh ,&nbsp;A. Ibrahim ,&nbsp;C. Peters ,&nbsp;N.H.T.M. Dukers-Muijrers ,&nbsp;R. Reijs ,&nbsp;C.J.P.A. Hoebe","doi":"10.1016/j.jmh.2025.100344","DOIUrl":"10.1016/j.jmh.2025.100344","url":null,"abstract":"<div><h3>Introduction</h3><div>Migration is a growing phenomenon and has impact on sexual and reproductive health outcomes, such as an increased burden for STIs, sexual violence and unintended pregnancies. Equitable access to sexual health care is of great importance for young people from ethnic minorities (EMs). In this study, we aimed to determine the proportional representation of first- and second generation EMs under 25 years at Dutch Sexual Health Centers (SHCs) compared to native Dutch citizens.</div></div><div><h3>Methods</h3><div>In this retrospective cohort study, coded health records data of 270,927 persons in the age group of 15 till 24 years visiting SHCs between 2016 and 2021 were included. Health records data was combined with census tract data (Statistics Netherlands) to average annual calculate consultation rates, i.e., dividing 6-year-average of the number of first consultations of a patient in the study period belonging to a specific EM by the total number of citizens in the age group of 15 till 24 years belonging to that EM in the Netherlands in 2021, multiplied by 1000.</div></div><div><h3>Results</h3><div>The consultation rate for native Dutch patients was 22.0 per 1000 persons (95 %CI: 21.8–22.2, 18.9, 19.8 (95 %CI: 19.8–20.4) for first-generation EMs and 18.4 (95 %CI: 18.0–18.8) for second-generation EMs. In both first- and second generation EMs, consultation rates for patients from Turkey, Morocco, Eastern Europe and Asia were lower than for native Dutch patients. Consultation rates among patients from Africa were lower for first-generation EMs than native Dutch patients. Consultation rates among patients from Indonesia, Suriname/Dutch Antilles, Latin America and other western countries were equal or higher than among native Dutch patients</div></div><div><h3>Discussion</h3><div>Our study showed that several EMs were underserved in Dutch sexual health care, suggesting lower access to care and indicating the need for culturally sensitive approaches to increase access. Using consultation rates is informative to indicate inequalities in access to sexual health care among EMs.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100344"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of humanitarian actors on interprofessional care for persons living with diabetes: Lessons from Aleppo, Syria","authors":"Sigiriya Aebischer Perone ,&nbsp;Kinda Khamasmie ,&nbsp;Ranim Doukki ,&nbsp;Claudine Dauby ,&nbsp;Catherine Savoy ,&nbsp;François Chappuis ,&nbsp;Nicolas Perone ,&nbsp;David Beran","doi":"10.1016/j.jmh.2025.100355","DOIUrl":"10.1016/j.jmh.2025.100355","url":null,"abstract":"<div><h3>Background</h3><div>Proper management of persons living with chronic diseases including diabetes requires collaboration between different health care providers. Yet in humanitarian settings, care is essentially provided by health services organised in silos, without coordination and inclusion of people living with various conditions. Interprofessional teamwork could be a means to address this, but this approach is rarely implemented in such contexts.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with a purposive sample of 12 health care professionals from the International Committee of the Red Cross in Syria and in headquarters Switzerland, to explore their perceptions and experiences of factors influencing the work across professional teams. Qualitative analysis was conducted using an inductive and deductive thematic approach.</div></div><div><h3>Main findings</h3><div>The perspectives of humanitarian actors on interprofessional care for persons living with diabetes in a humanitarian setting identified four key factors that influence interprofessional collaboration: i) person focused inclusive leadership to overcome competing demands and competition between health teams, ii) reorganisation of health services with a clear structure, appropriate resources and processes for interprofessional collaboration, iii) commitment and openness of the individual health professional to work collaboratively and iv) the key role and capacities of people with diabetes, who need to be included as team members. These four elements interact and need to come together to ensure successful interprofessional care.</div></div><div><h3>Implications</h3><div>The findings advocate for an inclusive leadership of the interprofessional team, reorganisation of work, empowerment of all team members, and inclusion of people with a chronic condition in the team. Health care providers are thus encouraged to support interprofessional care to address the needs of people living with a chronic condition in a humanitarian context.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100355"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145043898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical xenophobia and healthcare exclusion of refugees and migrants in Africa: A scoping review","authors":"Alexis Harerimana ,&nbsp;Julian David Pillay ,&nbsp;Gugu Mchunu","doi":"10.1016/j.jmh.2025.100343","DOIUrl":"10.1016/j.jmh.2025.100343","url":null,"abstract":"<div><h3>Background</h3><div>Medical xenophobia, manifesting as discrimination and exclusion from healthcare based on nationality or documentation, threatens migrants’ and refugees’ rights and public health. This study maps evidence of what is known about medical xenophobia and healthcare exclusion of refugees and migrants in Africa.</div></div><div><h3>Methodology</h3><div>The framework established by Levac et al. offered a structured method for executing this scoping review. This research implemented a comprehensive search strategy to identify academic papers and grey literature. Databases such as CINAHL, Emcare, Medline Ovid, Scopus and Web of Science were utilised, focusing on the period from 2014 to 2024. A total of 20 articles were selected for data extraction and thematic synthesis.</div></div><div><h3>Results</h3><div>The scoping review identified pervasive medical xenophobia and exclusion of refugees and migrants in African healthcare systems. This phenomenon included discriminatory attitudes from healthcare personnel, cultural insensitivity, verbal abuse, poor or denial of care due to documentation status of refugees and migrants, financial exploitation, and linguistic discrimination in healthcare settings. Refugees and migrants often avoided healthcare services due to fear of harassment or deportation, worsening their physical, mental and maternal health outcomes. Interventions highlighted in the literature encompassed policy reforms, cultural sensitivity training for providers, community engagement, enhanced service accessibility, and ongoing monitoring to address systemic inequalities.</div></div><div><h3>Conclusion</h3><div>Addressing healthcare access inequities for refugees and migrants necessitates structural reforms to ensure accountability for inadequate treatment, uphold human rights and promote equity and culturally and linguistically inclusive practices.</div></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"12 ","pages":"Article 100343"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}