Utilization of healthcare services among Chinese migrants in Kenya: a qualitative study

Qiu, Jia-Ling; Song, Duo; Nie, Juan; Su, Mengyi; Hao, Chun; Gu, Jing; Hao, Yuantao; Kiarie, James; Chung, Michael H.

doi:10.1186/s12913-019-4846-y

Cited by 4 publications

(16 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We speak Arabic." (Gericke et al, 2018) Excessive/slow bureaucratization (fear for deportation) (Brandenberger et al, 2019;Daftary, 2020;Ferrer-Wreder et al, 2020;Gericke et al, 2018;Houston et al, 2021;Kaufmann, 2018;Knaifel, 2021;Larson et al, 2017;Loganathan et al, 2019;Luque et al, 2018;Mangrio et al, 2019;Mullings et al, 2020;Murillo-Pedrozo et al, 2021;Nielsen et al, 2017;Orozco Vargas, 2018 and duties of citizens (Bhandari et al, 2021;Chu et al, 2015;Cicognani et al, 2018;Mangrio et al, 2019;Mullings et al, 2020;Orozco Vargas, 2018;Pérez-Urdiales et al, 2019;…”

Section: Uncertainty and Health Implicationsmentioning

confidence: 99%

Factors that affect the health of immigrants: Qualitative meta synthesis

Villar‐Bustos,

Quiroga Sánchez,

Andina‐Díaz

2024

Public Health Nursing

View full text Add to dashboard Cite

BackgroundMigration has challenged society. Most people who move do so for economic reasons, but others move for more tragic reasons. The proportion of female migrants was slightly higher than that of male migrants, partly due to the longer life expectancy of women and the higher demand for female migrants in care‐related Jobs. The process may affect migrants' health, particularly in countries where healthcare is associated with high economic costs or insurance availability. A global systematic review of qualitative studies with meta‐synthesis was conducted. The results can be used to support health policy and clinical practice.ObjectiveTo describe how migrants perceive and experience the process of migrating and how it affects their health.Search strategyDatabases consulted were Medline, PsychInfo, Cuiden, Cinahl, WOS, Scopus, Social Science Database, and Epistemonikos. Thirty‐four articles were selected for final meta‐synthesis.Inclusion criteriaAll qualitative primary studies were included that describe the experiences or perceptions of migrants and refugees over 18 years that talk about their migration process and the impact on their health; written in English or Spanish between 2016 and 2021. Articles referring to second generations and those dealing with pathologies that pre‐date the migration process were excluded.Data extraction and synthesisThe COREQ and JBI templates were used as quality criteria. Studies mostly used a phenomenological methodology and in‐depth interviews, both individual and group, were used for data collection and narrative synthesis.Main resultsUncertainty emerges as a main category. Three other interrelated themes have a direct impact on migrants' health: Language, Social Networks and Work. There are several conditions in each of these that have a positive or negative impact on health. The gender condition appears in both work and social networks, positively and negatively.Discussion and conclusionsHealth would be improved by having a stable job, which would facilitate access to health resources. Social networks and language are facilitators of access to a better job, but not the only condition. From a gender perspective, social networks can become a source of health problems, especially for women. The process of migration places women in a position of vulnerability due to the difficulties of reconciling family and work life. Job insecurity, workload, loss of family life or social isolation increase hopelessness and anxiety, leading to health problems.Public or patient contribution:As an academic review study, no patient contribution was required, and this study serves as a theoretical framework for more in‐depth research that will work with migrant populations. As a public contribution, this work provides evidence of the need to improve access to health for some populations, in line with the Sustainable Development Goals (SDGs) set for 2030.

show abstract

Section: Uncertainty and Health Implicationsmentioning

confidence: 99%

Factors that affect the health of immigrants: Qualitative meta synthesis

Villar‐Bustos,

Quiroga Sánchez,

Andina‐Díaz

2024

Public Health Nursing

View full text Add to dashboard Cite

show abstract

“…However, minimal research on IMs found financial constraints (12), and major financial sources (38) are irrelevant because they do not directly determine the purchasing capacity for healthcare services. Second, since participation in any medical insurance program could effectively reduce the medical burden, medical insurance (13,95,129) is another important aspect of financial resources associated with migrants' HSU and whether insurance is associated with immigrants' (77,82,88,(130)(131)(132) and IMs' (11,12,50,57,72,78,92,100,127,128,133) HSU. Immigrants' HSU is associated with paying the medical insurance premium regularly (114), which was associated with the availability of medical insurance.…”

Section: Enabling Resourcesmentioning

confidence: 99%

“…Acculturation is mentioned as a protective factor in the overwhelming majority of studies on immigrants' HSU (138). These studies explain acculturation by language competence (40,41,43,44,46,60,62,64,65,69,76,77,79,97,114,120,124,139,140) or communication barriers (3,117,121), discrimination or xenophobia (3,42,43,60,65,71,120), cultural differences (62,75,76,79,89,117,121,124), and self-identified (89). All factors induce poor affective comfort during the HSU process.…”

Section: Immigrant-specific Factorsmentioning

confidence: 99%

“…Self-reported health assessments were found to be associated with the medical return of immigrants (181, 184) with few negative results (180). Perceived severity of disease was also associated with immigrants' medical return (77). Some disease types, such as major non-work-related injuries and chronic diseases (74), neoplasms, and diseases of the circulatory system (189), were associated with immigrants' medical return (74) and populations' medical travel (189).…”

Section: Characteristics Of the Population At Riskmentioning

confidence: 99%

See 1 more Smart Citation

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

View full text Add to dashboard Cite

Universal health coverage is vital to the World Health Organization’s (WHO’s) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population’s HSB have been published; however, most theoretical frameworks on migrants’ HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants’ HSB and Anderson’s behavior model, the author proposes a new conceptual framework of migrants’ HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.

show abstract

“…International studies indicate that Chinese immigrants seek health services on a smaller scale than other immigrant communities [7,9]. The use of TCM [18][19][20][21], self-medication [22], the search for healthcare in China [10,23], the language barrier and the time spent [24] could be factors that explain the behaviour of these immigrants [25].…”

Section: Introductionmentioning

confidence: 99%

Equity in the Access of Chinese Immigrants to Healthcare Services in Portugal

Aparício

Duarte

Castro

et al. 2023

IJERPH

View full text Add to dashboard Cite

International studies indicate that Chinese immigrants face barriers when trying to access healthcare in the host country. The aim of this study was to identify the barriers that Chinese immigrants face when accessing the Portuguese National Health Service. An observational, cross-sectional and quantitative study was carried out via a bilingual Portuguese/Mandarin self-completed paper questionnaire was applied. The study population consisted of individuals with Chinese nationality who were residing in mainland Portugal for at least one year and aged 18 years or over. A total of 304 individuals answered the questionnaire. The results show that 284 (93.4%) of the participants had already sought healthcare in Portugal. The participants identified language difficulties and health professionals’ lack of knowledge of Chinese cultural habits as the most significant barriers to accessing healthcare in Portugal. Of a total of 165 participants who sought healthcare in China, confidence in treatment outcomes and health professionals’ knowledge of Chinese cultural habits were the reasons given by 151 (91.5%) individuals. This study reveals the existence of linguistic and cultural barriers that can condition the access of the Chinese immigrant population to healthcare systems. Immigrants’ access to healthcare can be promoted via policies that contribute to proficiency in the Portuguese language and medical literacy among the Chinese immigrant population. It can also be promoted by raising the awareness of health professionals to Chinese cultural habits.

show abstract

Utilization of healthcare services among Chinese migrants in Kenya: a qualitative study

Cited by 4 publications

References 23 publications

Factors that affect the health of immigrants: Qualitative meta synthesis

Factors that affect the health of immigrants: Qualitative meta synthesis

Health service behaviors of migrants: A conceptual framework

Equity in the Access of Chinese Immigrants to Healthcare Services in Portugal

Contact Info

Product

Resources

About