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Use of health services among international migrant children - a systematic review

Markkula, N; Cabieses, B; Lehti, V; Uphoff, E; Astorga, S; Stutzin, F; (2018) Use of health services among international migrant children - a systematic review. Globalization and Health , 14 , Article 52. 10.1186/s12992-018-0370-9. Green open access

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Abstract

Background Migrant children have specific health needs, and may face difficulties in accessing health care, but not enough is known about their health service use. This study aims to describe patterns of use of health services of international migrant children and differences to respective native populations. Methods Electronic databases PubMed and Web of Science, references of identified publications, and websites of relevant international agencies were searched. We included observational studies published between 2006 and 2016 that reported use of formal health services by migrant children (0–18 years), including first and second generation migrants. Data on study characteristics, study theme, main outcome and study quality were extracted. Results One hundred seven full texts were included in the review. Of the studies that reported comparable outcomes, half (50%) indicated less use of healthcare by migrants compared with non-migrants; 25% reported no difference, 18% reported greater use, and 7% did not report this outcome. There was variation by theme, so that the proportion of conclusions “less use” was most common in the categories “general access to care”, “primary care” and “oral health”, whereas in the use of emergency rooms or hospitalisations, the most common conclusion was “greater use”. Conclusions Migrant children appear to use different types of healthcare services less than native populations, with the exception of emergency and hospital services.

Type: Article
Title: Use of health services among international migrant children - a systematic review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12992-018-0370-9
Publisher version: https://doi.org/10.1186/s12992-018-0370-9
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Science & Technology, Life Sciences & Biomedicine, Public, Environmental & Occupational Health, Transients and migrants, Immigrants, Children, Health service use, Access, UNACCOMPANIED REFUGEE MINORS, INCOME COUNTRIES LMICS, MENTAL-HEALTH, IMMUNIZATION COVERAGE, HOSPITAL ADMISSION, CARE UTILIZATION, EUROPEAN-UNION, IMMIGRANT, ACCESS, ADOLESCENTS
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Arts and Humanities
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Arts and Humanities > SELCS
URI: https://discovery.ucl.ac.uk/id/eprint/10062157
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