Barriers and facilitators to seeking and accessing mental health support in primary care and the community among female migrants in Europe: a “feminisms” systematic review

International Journal for Equity in Health

Systematic Review

Marija Pantelic¹  Patrick Nyikavaranda¹  Alice Tunks¹  Carrie D Llewellyn¹  Priyamvada Paudyal²  Christina J Jones³ 

[1] Department of Primary Care & Public Health, Brighton & Sussex Medical School, University of Sussex, Watson Building, Room 104, BN1 9PH, Falmer, Brighton, East Sussex, UK;Institute for Global Health and Wellbeing School of Medicine, Keele University, ST5 5GB, Keele, Staffordshire, UK;School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, GU2 7XH, Guildford, Surrey, UK;

关键词: Female migrants;    Refugees;    Asylum seekers;    Mental Health;    Access;    Primary care;   

DOI  :  10.1186/s12939-023-01990-8

 received in 2023-04-23, accepted in 2023-08-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundRecent years have seen record levels of migration to Europe. Female migrants are at heightened risk of developing mental health disorders, yet they face barriers to accessing mental health services in their host countries. This systematic review aims to summarise the barriers and facilitators to accessing mental health support for female migrants in Europe.MethodsThe review follows PRISMA guidelines, and the protocol was pre-published on PROSPERO. Six electronic databases were searched: CINAHL, Global Health Database, Medline, PsycARTICLES, PsycINFO and Web of Science. Thematic analysis was undertaken on the identified studies. A feminist quality appraisal tool was applied.ResultsEight qualitative, six quantitative and five mixed methods studies were identified. Barriers included a lack of information, stigma, religious and cultural practices and beliefs, and a lack of consideration of gender-specific needs within the health system. Gender-sensitive services, supportive general practitioners and religious leaders facilitated access.ConclusionsThe design of mental health research, services, policies, and commissioning of support for migrants must consider female migrant needs. Mental health support services must be culturally aware and gender sensitive.RegistrationThe review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO, registration number CRD42021235571.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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