Structural and intermediary determinants in sexual health care access in migrant populations : a scoping review
Adrian Parra, Constanza Lucia (Universitat Autònoma de Barcelona)
Stuardo Ávila, Valeria 1983- (Universidad Andrés Bello)
Contreras Hernández, P. (Universidad de Tarapacá)
Quirland, Camila (Arturo López Pérez Foundation)
Bustos Ibarra, Cecilia (Universidad de Concepción)
Carrasco-Portiño, Mercedes (Universidad de Concepción)
Belmar, Julieta (Universidad de Chile)
Barrientos, Jaime (Universidad Alberto Hurtado)
Lisboa Donoso, C. (Universidad Autonoma de Chile)
Low Andrade, Kenny

Data:	2024
Resum:	Objectives: Addressing migrant population's sexual health needs is essential, given the high vulnerability of this population, especially during migratory trajectories and when accessing health care in destination countries. The aim of this scoping review is to identify and describe the structural and intermediary determinants and their dimensions, which negatively influence sexual healthcare access in migrant population in the world in the last 20 years. Study design: Scoping review. Methods: The search strategy was carried out in the databases PubMed/MEDLINE, Web of Science, EMBASE, and CINAHL. The inclusion criteria were primary studies published in English or Spanish from 2000 to 2022, describing determinants or barriers to access to sexual health for international migrants, refugees, and asylum seekers. The construction of the results was based on the social determinants of health framework. Results: A total of 44 studies were included. Thirteen categories that negatively affect access to sexual health in migrants were identified-structural determinants: language and communication barriers, religious and cultural values, VIH stigma and discrimination, irregular migration status, financial constraints, racism and discrimination, gender inequalities, and lack of knowledge and awareness about sexuality and sexual health; and intermediary determinants: financial health coverage, privacy and confidentiality, health system navigation; health system and facilities, and psychosocial factors. Conclusion: The most relevant dimensions identified as barriers to access to health services were "culture and societal values" and "health system". Identifying the determinants that affect migrants' access to sexual health is relevant for the formulation of public policies with sociocultural relevance and an intersectional and human rights approach.
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Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Health services accessibility ; Healthcare disparities ; Sexual health ; Social determinant of health ; Transients and migrants
Publicat a:	Public Health, Vol. 227 (February 2024) , p. 54-62, ISSN 1476-5616

DOI: 10.1016/j.puhe.2023.11.031

Postprint 23 p, 1.1 MB

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