Promoting labour migrant health equity through action on the structural determinants: A systematic review.
Health inequity
Labour migrants
Review
Social determinants of health
Structural drivers
Journal
Journal of migration and health
ISSN: 2666-6235
Titre abrégé: J Migr Health
Pays: England
ID NLM: 101774615
Informations de publication
Date de publication:
2022
2022
Historique:
received:
22
10
2021
revised:
25
01
2022
accepted:
26
01
2022
entrez:
24
2
2022
pubmed:
25
2
2022
medline:
25
2
2022
Statut:
epublish
Résumé
Labour migrants, who represent over sixty per cent of international migrants globally, frequently have poorer health status than the population of host countries. These health inequities are determined in a large part by structural drivers including political, commercial, economic, normative and social factors, including living and working conditions. Achieving health equity for migrant workers requires structural-level interventions to address these determinants. We undertook a systematic review of peer-reviewed literature designed to answer the question "what is the evidence for the effectiveness of interventions to address the structural determinants of health for labour migrants?" using the Ovid Medline electronic database. We found only two papers that evaluated structural interventions to improve the health of labour migrants. Both papers evaluated the impact of insurance - health or social. In contrast, we found 19 evaluations of more proximal, small-scale interventions focused on changing the knowledge, attitudes and behaviours of labour migrants. Despite the rise in international migration, including for work, and evidence that labour migrants have some higher health risks, there is a paucity of research addressing the structural determinants of health inequities in labour migrants. The research community (including funders and academic institutions) needs to pay greater attention to the structural determinants of health - which generally requires working across disciplines and sectors and thinking more politically about health and health inequities. Wellcome Trust (208712/Z/17/Z).
Sections du résumé
BACKGROUND
BACKGROUND
Labour migrants, who represent over sixty per cent of international migrants globally, frequently have poorer health status than the population of host countries. These health inequities are determined in a large part by structural drivers including political, commercial, economic, normative and social factors, including living and working conditions. Achieving health equity for migrant workers requires structural-level interventions to address these determinants.
METHODS
METHODS
We undertook a systematic review of peer-reviewed literature designed to answer the question "what is the evidence for the effectiveness of interventions to address the structural determinants of health for labour migrants?" using the Ovid Medline electronic database.
FINDINGS
RESULTS
We found only two papers that evaluated structural interventions to improve the health of labour migrants. Both papers evaluated the impact of insurance - health or social. In contrast, we found 19 evaluations of more proximal, small-scale interventions focused on changing the knowledge, attitudes and behaviours of labour migrants.
INTERPRETATION
CONCLUSIONS
Despite the rise in international migration, including for work, and evidence that labour migrants have some higher health risks, there is a paucity of research addressing the structural determinants of health inequities in labour migrants. The research community (including funders and academic institutions) needs to pay greater attention to the structural determinants of health - which generally requires working across disciplines and sectors and thinking more politically about health and health inequities.
FUNDING
BACKGROUND
Wellcome Trust (208712/Z/17/Z).
Identifiants
pubmed: 35199076
doi: 10.1016/j.jmh.2022.100082
pii: S2666-6235(22)00005-8
pmc: PMC8851278
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100082Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
None.
Références
Int J Environ Res Public Health. 2020 Mar 12;17(6):
pubmed: 32178431
Sex Transm Infect. 2018 Sep;94(6):449-456
pubmed: 29444997
East Mediterr Health J. 2021 Dec 28;27(12):1203-1213
pubmed: 35137389
J Chin Med Assoc. 2016 Oct;79(10):531-7
pubmed: 27288189
Asia Pac J Public Health. 2012 Sep;24(5):806-15
pubmed: 21527434
Lancet. 2008 Nov 8;372(9650):1661-9
pubmed: 18994664
Annu Rev Public Health. 2015 Mar 18;36:375-92
pubmed: 25494053
Health Qual Life Outcomes. 2013 Jul 23;11:123
pubmed: 23875650
Indian J Community Med. 2019 Jul-Sep;44(3):252-255
pubmed: 31602114
Am J Ind Med. 2015 Nov;58(11):1127-37
pubmed: 26471878
BMJ. 2019 Sep 16;366:l5324
pubmed: 31527076
Am J Ind Med. 2010 Apr;53(4):329-37
pubmed: 20196095
BMC Health Serv Res. 2010 Mar 19;10:69
pubmed: 20298613
BMC Med Inform Decis Mak. 2007 Jun 15;7:16
pubmed: 17573961
J Migr Health. 2021;3:100041
pubmed: 33903857
Front Public Health. 2019 Sep 18;7:253
pubmed: 31620414
Int J Environ Res Public Health. 2020 Jul 26;17(15):
pubmed: 32722563
Int J Occup Saf Ergon. 2020 Jun;26(2):272-284
pubmed: 29714637
BMC Public Health. 2018 Jun 20;18(1):777
pubmed: 29925353
J Immigr Minor Health. 2007 Apr;9(2):147-56
pubmed: 17186369
PLoS One. 2013 Sep 30;8(9):e76107
pubmed: 24098770
Glob Health Promot. 2017 Sep;24(3):32-39
pubmed: 27160036
Nurs Res. 2018 May/Jun;67(3):231-241
pubmed: 29698329
BMC Public Health. 2018 Feb 27;18(1):296
pubmed: 29486753
Public Health Rep. 2014 Jan-Feb;129 Suppl 2:19-31
pubmed: 24385661
Int J Environ Res Public Health. 2017 Oct 19;14(10):
pubmed: 29048386
Plast Reconstr Surg. 2011 Jul;128(1):305-310
pubmed: 21701348
Int J Behav Med. 2014 Aug;21(4):710-8
pubmed: 24643443
Br J Nurs. 2014 Nov 27-Dec 10;23(21):1147-52
pubmed: 25426530
Bull World Health Organ. 2017 Feb 1;95(2):146-151
pubmed: 28250516
Health Policy Plan. 2016 Mar;31(2):161-70
pubmed: 25900967
Community Ment Health J. 2014 Jul;50(5):619-28
pubmed: 24370752
Fam Community Health. 2013 Oct-Dec;36(4):350-62
pubmed: 23986075
BMC Health Serv Res. 2007 May 31;7:77
pubmed: 17540025
BMC Health Serv Res. 2014 Jul 10;14:300
pubmed: 25011488
J Occup Environ Med. 2015 Oct;57(10):1039-46
pubmed: 26461858
PLoS One. 2018 Jan 5;13(1):e0190787
pubmed: 29304164
Lancet Glob Health. 2019 Jul;7(7):e872-e882
pubmed: 31122905
J Health Soc Behav. 1995;Spec No:80-94
pubmed: 7560851
J Immigr Minor Health. 2019 Dec;21(6):1406-1415
pubmed: 30968281
Health Promot Int. 2015 Sep;30 Suppl 2:ii126-43
pubmed: 26420808
J Racial Ethn Health Disparities. 2018 Feb;5(1):96-103
pubmed: 28281177
BMJ Open. 2019 Mar 15;9(3):e026972
pubmed: 30878993
J Agromedicine. 2018;23(4):315-326
pubmed: 30230436
Am J Ind Med. 2005 Mar;47(3):237-45
pubmed: 15712260
Indian J Occup Environ Med. 2011 Jan;15(1):29-32
pubmed: 21808498
BMJ Open. 2020 Dec 2;10(12):e039800
pubmed: 33268413
Risk Manag Healthc Policy. 2016 Jan 19;9:1-12
pubmed: 26855602
Jpn J Nurs Sci. 2014 Apr;11(2):121-34
pubmed: 24698648