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. 2023 Sep 26;22(1):196.
doi: 10.1186/s12939-023-01990-8.

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

Patrick Nyikavaranda  1 , Marija Pantelic  2 , Christina J Jones  3 , Priyamvada Paudyal  4 , Alice Tunks  2 , Carrie D Llewellyn  2
Affiliations

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

Patrick Nyikavaranda et al. Int J Equity Health. .

Abstract

Background: Recent 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.

Methods: The 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.

Results: Eight 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.

Conclusions: The 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.

Registration: The review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO, registration number CRD42021235571.

Keywords: Access; Asylum seekers; Female migrants; Mental Health; Primary care; Refugees.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Prisma Chart From: Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71. For more information, visit: http://www.prisma-statement.org/
See this image and copyright information in PMC

References

    1. United Nations Population Division. Population Data. 2020 [cited 2021 Jul 14]. International Migrant Stock. Available from: https://www.un.org/development/desa/pd/content/international-migrant-stock.
    1. UNICEF. UNICEF Appeal. 2021 [cited 2021 Jul 14]. Refugee and Migrant Response in Europe Appeal. Available from: https://www.unicef.org/appeals/refugee-migrant-response-europe.
    1. European Parliament. Europe’s Migration Crisis [Internet]. 2020 [cited 2021 Mar 17]. Available from: https://www.europarl.europa.eu/news/en/headlines/society/20170629STO7863....
    1. ILO Labour Migration Branch, ILO Department of Statistics. ILO Global Estimates on International Migrant Workers [Internet]. Geneva; 2017 [cited 2022 Jun 4]. Available from: https://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/d....
    1. The International Labour Office, Walk Free Foundation, International Organization for Migration. Global Estimates of Modern Slavery: forced labour and forced marriage [Internet]. Geneva; 2017 [cited 2022 May 30]. Available from: https://www.ilo.org/global/publications/books/WCMS_575479/lang--en/index....

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