Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review

BMC Public Health, Год журнала: 2024, Номер 24(1)

Опубликована: Апрель 5, 2024

Abstract Background Migrants face several barriers when accessing care and tend to rely on emergency services a greater extent than primary care. Comparing department (ED) utilization by migrants non-migrants can unveil inequalities affecting the migrant population pave way for public health strategies aimed at improving outcomes. This systematic review aims investigate differences in ED between non-migrant populations ultimately advance research migrants’ access inform policies addressing inequalities. Methods A literature search was conducted March 2023 Pubmed, Scopus, Web of Science databases. The included studies were limited those relying data collected from 2012 written English or Italian. Data extracted information visit, non-migrants, challenges faced prior to, during, after visit. findings this are reported according Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) 2020 guidelines. Results After full-text review, 23 articles met inclusion criteria. All but one adopted quantitative methodology. Some higher frequency visits among migrants, while others non-migrants. leave hospital against medical advice more frequently native present without consulting general practitioner (GP). They also less likely via ambulance. Admissions ambulatory care-sensitive conditions, namely conditions which adequate, timely, effective outpatient prevent hospitalization, still being significant population. Conclusions comparison non-migrants’ did not suggest clear pattern. There is no consensus whether EDs hospitalized lower extent. However, urgent lack referral GP as walk-ins frequently. discharged often compared Findings that hindered language barriers, poor insurance coverage, entitlement GP, knowledge local healthcare system.

Язык: Английский

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The Real Survivor: An Interpretative Phenomenological Analysis of the Experiences of Syrian Disabled Migrant Women Victims of War

Journal of Social Service Research, Год журнала: 2025, Номер unknown, С. 1 - 13

Опубликована: Янв. 5, 2025

Despite the growing body of migration studies focusing on vulnerable groups, experiences disabled women affected by wars remain underexplored. This study examines lives physically immigrant in Kilis, Türkiye, during Syrian Civil War, with an emphasis family life, marriage, language services, employment, communication, and community integration. Using a qualitative phenomenological approach, semi-structured interviews were conducted ten women, revealing four key themes through interpretative analysis. The findings indicate that: (1) self-stigmatization, religious cultural expectations, spatial segregation contribute to social isolation; (2) barriers, lack skills, employment challenges impede integration; (3) norms, along various forms violence, undermine well-being; (4) fear return, legal uncertainties, negative media narratives exacerbate insecurity. highlights intersectionality disability, migration, gender, illustrating how factors anti-migrant sentiments amplify gender inequality adversely impact these women's well-being.

Язык: Английский

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Street vending in times of crisis: exploring insecurity and spatial dynamics in Aizawl, Mizoram, India

Journal of Enterprising Communities People and Places in the Global Economy, Год журнала: 2025, Номер unknown

Опубликована: Янв. 29, 2025

Purpose This paper aims to explore the influence of spatial dynamics on street vendors and examines insecurities coping mechanisms they faced adopted during pandemic. It precarious nature vending a global economic shock, highlighting vulnerabilities resilience this informal sector. Design/methodology/approach study uses case approach, conducting semi-structured face-to-face interviews with 74 in two key markets: Bara Bazaar (natural market) Treasury Square (non-natural). The authors use Gioia method, renowned for its systematic rigour exploring challenges adaptations periods uncertainty crisis. Findings reveals that COVID-19 lockdowns profoundly impacted security tribal operating natural non-natural markets. sheds light mechanism shadow security, observed as form diverse by pandemic, such collective fund pooling, poultry farming adapting new business models – from changing goods sell transitioning between regular mobile or retail shops vending. Social implications used grounded theory framework sustainable livelihood strategies explores how can achieve sustainability through further proposes recommendations urban policies tailored across various dimensions. Originality/value highlights indigenous secure livelihoods, which act safety nets facilitate security. also determines location preferably change times research oversimplified notion social cannot be neatly categorised insecure. Instead, it underscores vendors’ dynamic sustain their livelihoods amidst disruptions.

Язык: Английский

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‘But Because I Don’t Know About It, That’s Why I Haven’t Done It’: Experiences of Access to Preventive Sexual and Reproductive Health Care for Refugee Women from Iraq and Syria Living in Melbourne, Australia—A Qualitative Study

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(2), С. 149 - 149

Опубликована: Янв. 23, 2025

Women from Syria and Iraq constitute two of the largest groups humanitarian visa entrants to Australia in past 10 years. Barriers enablers preventive sexual reproductive health (SRH) for these women are poorly understood. The aim this study was establish SRH care needs experiences refugee backgrounds living Australia. A qualitative using semi-structured interviews conducted with Melbourne, Caseworkers assisted recruitment volunteer interpreters interviews. Between 1 December 2021 17 May 2022, were English or Arabic a interpreter. Audio recordings dialogue transcribed verbatim. Reflexive thematic analysis used analyse report data. Eighteen interviewed. Six themes identified: (1) Awareness knowledge about SRH, (2) Perceptions need seeking, (3) Self-care lack motivation seek care, (4) Health information (5) care. Complex factors found influence access Enhancing educational initiatives, improving accessibility reliable information, addressing structural motivational barriers important fostering better outcomes.

Язык: Английский

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Determinants of Women Empowerment: Case of Refugee Women Living in Nairobi Kenya

Economies, Год журнала: 2025, Номер 13(2), С. 35 - 35

Опубликована: Фев. 1, 2025

This study investigates the determinants of women empowerment among refugee living in Nairobi, Kenya. First, constructs an index to examine drivers using data from Refugee and Host Household Survey (RHHS) 2021. A fractional logit regression model was employed study. The results obtained show that incidence refugees Nairobi six percent. In addition, finds evidence age; gender household head; education level woman; employment status; head play substantial roles enabling empowerment. Conversely, marital statuses (divorced/separated/widowed single/never married) religious affiliations (Muslim) hinder Efforts geared towards improving wage are likely empower women. emphasizes recognition role played by income through care work.

Язык: Английский

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The impact of COVID-19 on food security, employment, and welfare among Zimbabwean migrants in South Africa: a gendered perspective

Cogent Social Sciences, Год журнала: 2025, Номер 11(1)

Опубликована: Март 5, 2025

Язык: Английский

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Negative consequences of conflict-related sexual violence on survivors: a systematic review of qualitative evidence

International Journal for Equity in Health, Год журнала: 2023, Номер 22(1)

Опубликована: Окт. 27, 2023

Abstract Background Conflicts exacerbate dynamics of power and inequalities through violence normalization, which acts as a facilitator for conflict-related sexual violence. Literature addressing its negative outcomes on survivors is scant. The aim this systematic review was to analyze the qualitative evidence reported in scientific literature focusing consequences victims’ physical, psychological, social dimensions health gender-inclusive disaggregated form. Methods A search conducted January 13, 2023 Pubmed, Scopus, PsychArticles. strings combined two blocks terms related conflict. time filter applied, limiting studies published last ten years. Information regarding main characteristics design study, their experience, about collected. dimension victims were extracted according Biopsychosocial model health. followed Joanna Briggs Institute methodology reviews relied Preferred Reporting Items Systematic Meta-Analyses. Results After full text review, 23 articles met inclusion criteria, with 18 them reporting repercussions physical health, all highlighting adverse psychological outcomes, 21 disclosing unfavorable consequences. described multiple reproductive issues, most mentioned being pregnancy, manifestations symptoms attributable post-traumatic stress disorder, stigma. number barriers access care presented emerging findings. Conclusions This provided an analysis survivors, thus importance understanding these care. Conflict-related issue. Sexuality education needed at individual, community, provider level, challenging gender norms roles encompassing gender-based Gender-inclusive protocols services need be implemented address specific needs victims. Governments should advocate SRHRs translate policies into targeting CRSV.

Язык: Английский

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Immigrant Women from Iran and Afghanistan in Sweden: Experiences of Domestic Violence During the COVID Pandemic

Dignity A Journal of Analysis of Exploitation and Violence, Год журнала: 2024, Номер 9(1)

Опубликована: Фев. 1, 2024

This paper explores the firsthand experiences of immigrant women victims domestic violence amidst COVID-19 crisis. Sixteen Iranian and Afghan residing in Sweden were interviewed. Their responses analyzed using qualitative content analysis. An intersectional perspective was used to understand among women. The study found high levels psychological controlling behavior by women’s partners. harm compounded economic instability, temporality residency permits, limited access support services. analysis suggests that multiple factors midst pandemic increase vulnerability abused lead further marginalization.

Язык: Английский

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The impact of the COVID-19 pandemic on migrant women in Milan, Italy: A qualitative study involving key informants working in third sector organizations and public hospitals

International Journal of Disaster Risk Reduction, Год журнала: 2024, Номер 110, С. 104658 - 104658

Опубликована: Июль 5, 2024

Migrants and women were among the groups most adversely affected by COVID-19 pandemic global disaster. Through an intersectional lens that considers both migrant female identities, it can be inferred particularly vulnerable to pandemic. This study aims investigate impact of on living in Milan (North-West Italy), leveraging accounts a pool key informants (KIs). We performed in-depth retrospective qualitative using semi-structured interviews explore perspectives KIs working third sector organizations public hospitals. After conducting extensive mapping with experience migrants providing health, social, and/or administrative services during pandemic, 28 seven recruited. Interviews transcribed inductively analyzed. Overall, exacerbated pre-existing vulnerability factors affecting triggering several cascading effects. The shutdown further marginalized them hindered their regularization empowerment path. Migrant women's financial situation was significantly impacted, as instances they had informal gendered jobs. Caregivers sex workers sub-groups Episodes gender-based violence appeared rise, while requests for assistance declined. Accessing vaccination campaign posed challenges many women, who at times tended skeptical about it. Third organizations, despite being confronted challenges, proved resilient managed find alternative methods support often filling institutional gaps.

Язык: Английский

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“We were left to our own devices”: Midwives’ experiences of providing maternity care to Ukrainian women in Poland after the outbreak of the full-scale war in Ukraine

Women and Birth, Год журнала: 2024, Номер 37(4), С. 101629 - 101629

Опубликована: Июнь 19, 2024

After the outbreak of full-scale war in Ukraine, about 2 million people sought protection Poland. Providing high-quality care for migrants and refugees, especially times significant arrivals, can be particularly challenging.

Язык: Английский

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