Health screening and preventative health care in refugee women: A qualitative analysis

Babatunde-Sowole, Olutoyin O.; Power, Tamara; Davidson, Patricia M.; DiGiacomo, Michelle; Jackson, Debra

doi:10.1080/10376178.2020.1739543

Cited by 8 publications

(9 citation statements)

References 44 publications

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“…Likewise, people of African backgrounds had poor health literacy and knowledge of health and diseases [ 78 ]. In addition, studies found a lack of knowledge about cervical cancer and pap smear and had low food, and health literacy among CALD groups [ 62 , 79 , 80 ], and those living in regional areas experienced difficulties searching and understanding health information and seeking the right services at the right time [ 81 , 82 ].…”

Section: Resultsmentioning

confidence: 99%

“…Humanitarian entrants had poor health literacy that influenced their health care seeking, including poor knowledge of quality medicine [ 83 ]. They faced challenges in navigating health services due to a lack of necessary information [ 18 , 82 ]. Displaced migrants found low knowledge of STIs and HIV [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…CALD groups of refugee backgrounds faced language and communication problems among people of Chinese backgrounds with limited English proficiency that increased the risk of chronic heart diseases and had difficulties navigating health care systems/resources, especially older, and those with poor proficiency in English [ 76 , 77 ]. Misinformation and poor availability of multilingual health materials also influenced poor utilisation of health services and health screening in regional areas among CALD groups [ 81 , 82 ]. Communication difficulties further challenged self-recognition and care-seeking of mental health problems among members of separated families [ 52 ] .…”

Section: Resultsmentioning

confidence: 99%

“…Community engagement can play a vital role in sharing of information. Studies reported that community organisations played a pivotal for disseminating culturally meaningful information on immunisation [ 72 ], and engaged refugee women in health screening programs and services [ 82 ].…”

Section: Discussionmentioning

confidence: 99%

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Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

Khatri

Assefa

2022

BMC Public Health

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Background About half of first- or second-generation Australians are born overseas, and one-in-five speak English as their second language at home which often are referred to as Culturally and Linguistically Diverse (CALD) populations. These people have varied health needs and face several barriers in accessing health services. Nevertheless, there are limited studies that synthesised these challenges. This study aimed to explore issues and challenges in accessing health services among CALD populations in Australia. Methods We conducted a scoping review of the literature published from 1st January 1970 to 30th October 2021 in four databases: PubMed, Scopus, Embase, and the Web of Science. The search strategy was developed around CALD populations and the health services within the Australian context. We used Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for selection and Arksey and O’Malley framework for analysis of relevant articles. A narrative synthesis of data was conducted using inductive thematic analysis approach. Identified issues and challenges were described using an adapted socioecological model. Results A total of 64 studies were included in the final review. Several challenges at various levels were identified to influence access to health services utilisation. Individual and family level challenges were related to interacting social and health conditions, poor health literacy, multimorbidity, diminishing healthy migrants’ effect. Community and organisational level challenges were acculturation leading to unhealthy food behaviours and lifestyles, language and communication problems, inadequate interpretation services, and poor cultural competency of providers. Finally, challenges at systems and policy levels included multiple structural disadvantages and vulnerabilities, inadequate health systems and services to address the needs of CALD populations. Conclusions People from CALD backgrounds have multiple interacting social factors and diseases, low access to health services, and face challenges in the multilevel health and social systems. Health systems and services need to focus on treating multimorbidity through culturally appropriate health interventions that can effectively prevent and control diseases. Existing health services can be strengthened by ensuring multilingual health resources and onsite interpreters. Addressing structural challenges needs a holistic policy intervention such as improving social determinants of health (e.g., improving living and working conditions and reducing socioeconomic disparities) of CALD populations, which requires a high level political commitment.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

Khatri

Assefa

2022

BMC Public Health

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“…Understanding acculturation in context 42 includes acknowledging, among other things, changes in social networks, potential exposure to trauma (for refugees in particular), or discrimination and stigmatization that may occur through interactions with immigration enforcement and other members of the majority group's society more broadly 43 . These experiences shape health and wellbeing, including cognitive health, regardless of health insurance status or access to care 44,45 …”

Section: Results: a Globalized Macrosystemmentioning

confidence: 99%

The structural and social determinants of Alzheimer's disease related dementias

Adkins‐Jackson

George

Besser

et al. 2023

Alzheimer's & Dementia

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Introduction The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD. Methods In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes. Results Bronfenbrenner defined the “macrosystem” as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities. These root causes have been discussed little to date in relation to AD/ADRD, and thus, macrosystem influences, such as racism, classism, sexism, and homophobia, are the emphasis in this paper. Discussion Under Bronfenbrenner's macrosystem framework, we highlight key quantitative and qualitative studies linking S/SDOH with AD/ADRD, identify scientific gaps in the literature, and propose guidance for future research. Highlights Ecological systems theory links structural/social determinants to AD/ADRD. Structural/social determinants accrue and interact over the life course to impact AD/ADRD. Macrosystem is made up of societal norms, beliefs, values, and practices (e.g., laws). Most macro‐level determinants have been understudied in the AD/ADRD literature.

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Health literacy of forcibly displaced (migrant) women during the COVID-19 pandemic: a grounded theory study

Tempes,

Bittlingmayer,

Bitzer

et al. 2023

IJMHSC

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Purpose The unexpected and rapid outbreak of the COVID-19 pandemic increased the vulnerability of forcibly displaced (migrant) women, who were a social group already at risk of health inequities and poorer health outcomes. This study aims to examine the health literacy of forcibly displaced (migrant) women during the COVID-19 pandemic in Germany using a multidimensional health literacy model as a framework. Design/methodology/approach A grounded theory methodology was implemented including interviews with 33 forcibly displaced (migrant) women from July to September 2021. An experienced female researcher interviewed all forcibly displaced (migrant) women, and apart from one telephone interview, all interviews were conducted in person. Findings Following data analysis, the category, “Use of health information in the context of the COVID-19 pandemic of forcibly displaced (migrant) women”, was identified as a core category. The findings provide valuable insight into the health literacy of forcibly displaced (migrant) women during the COVID-19 pandemic. Societal and environmental determinants, personal determinants and situational determinants were identified as factors impacting health literacy. Furthermore, health literacy was distinguished as competence to make informed decisions in the health domains “health care” and “disease prevention”. Originality/value Although previous research often focuses on the deficits of forcibly displaced (migrants), this study highlights the resources forcibly displaced (migrant) women use to deal with health-related difficulties, especially during a crisis such as the COVID-19 pandemic. Importantly, such resources were available even if the study participants did not speak the language of the immigration country.

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Health screening and preventative health care in refugee women: A qualitative analysis

Cited by 8 publications

References 44 publications

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges

The structural and social determinants of Alzheimer's disease related dementias

Health literacy of forcibly displaced (migrant) women during the COVID-19 pandemic: a grounded theory study

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