The social and structural determinants of sexual and reproductive health and rights in migrants and refugees: a systematic review of reviews.

Egli-Gany, Dianne; Aftab, Wafa; Hawkes, Sarah; Abu-Raddad, Laith; Buse, Kent; Rabbani, Fauziah; Low, Nicola; Onarheim, Kristine (2021). The social and structural determinants of sexual and reproductive health and rights in migrants and refugees: a systematic review of reviews. Eastern Mediterranean health journal, 27(12), pp. 1203-1213. WHO 10.26719/emhj.20.101

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Background

The sexual and reproductive health and rights (SRHR) of migrants and refugees present important public health challenges. Social and structural determinants affect both the general health and SRHR of migrants, but the drivers of SRHR among migrant and refugee populations remain understudied.

Aims

To identify upstream social and structural determinants of SRHR health of migrants and refugees reported in systematic reviews.

Methods

We conducted a systematic review of reviews. We studied 3 aspects of SRHR: sexually transmitted infections, sexual violence and unintended pregnancy in migrants and refugees. We used an inductive approach to synthesize emerging themes, summarized them in a narrative format and made an adapted version of Dahlgren and Whitehead's social determinants of health (SDH) model.

Results

We included 12 systematic reviews, of which 10 were related to sexually transmitted infections, 4 to sexual violence and 2 to unintended pregnancy. We identified 6 themes that operate at 4 different levels in an adapted version of the Dahlgren and Whitehead SDH model: economic crisis and hostile discourse on migration; limited legal entitlements, rights and administrative barriers; inadequate resources and financial constraints; poor living and working conditions; cultural and linguistic barriers; and stigma and discrimination based on migration status, gender, sex and ethnicity.

Conclusion

This review provides evidence of how upstream social and structural determinants undermine the SRHR of refugees and migrants. Unless these are addressed in policy-making and planning, the health of migrants and refugees is at risk.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Egli, Dianne and Low, Nicola

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1020-3397

Publisher:

WHO

Funders:

[207] Wellcome Trust

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

18 Feb 2022 12:02

Last Modified:

23 Mar 2022 10:45

Publisher DOI:

10.26719/emhj.20.101

PubMed ID:

35137389

Uncontrolled Keywords:

migrants refugees sexual and reproductive health social and structural determinants of health

BORIS DOI:

10.48350/165667

URI:

https://boris.unibe.ch/id/eprint/165667

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