Evidence map›Paper›PMID 25416057›Full record

ArticleBMJ open2014

Mental health problems of undocumented migrants (UMs) in The Netherlands: a qualitative exploration of help-seeking behaviour and experiences with primary care.

Erik Teunissen, Jamilah Sherally, Maria van den Muijsenbergh, Chris Dowrick, Evelyn van Weel-Baumgarten, Chris van Weel

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Erik TeunissenDepartment of Primary and Community Care (Radboudumc), Radboud University Medical Center, Nijmegen, The Netherlands.
Jamilah SherallyDepartment of Primary and Community Care (Radboudumc), Radboud University Medical Center, Nijmegen, The Netherlands.
Maria van den MuijsenberghDepartment of Primary and Community Care (Radboudumc), Radboud University Medical Center, Nijmegen, The Netherlands Centre of Expertise on Health Disparities, Pharos Utrecht, Utrecht, The Netherlands.
Chris DowrickDepartment of Psychological Sciences, B121 Waterhouse Buildings University of Liverpool, Liverpool, UK.
Evelyn van Weel-BaumgartenDepartment of Primary and Community Care (Radboudumc), Radboud University Medical Center, Nijmegen, The Netherlands.
Chris van WeelDepartment of Primary and Community Care (Radboudumc), Radboud University Medical Center, Nijmegen, The Netherlands Australian Primary Health Care Research Institute, Australian National University, Canberra, Australia.
Radboud University Nijmegen · NLAustralian National University · AURadboud University Medical Center · NLUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore health-seeking behaviour and experiences of undocumented migrants (UMs) in general practice in relation to mental health problems.

designQualitative study using semistructured interviews and thematic analysis.

participants15 UMs in The Netherlands, varying in age, gender, country of origin and education; inclusion until theoretical saturation was reached.

setting4 cities in The Netherlands.

resultsUMs consider mental health problems to be directly related to their precarious living conditions. For support, they refer to friends and religion first, the general practitioner (GP) is their last resort. Barriers for seeking help include taboo on mental health problems, lack of knowledge of and trust in GPs competencies regarding mental health and general barriers in accessing healthcare as an UM (lack of knowledge of the right to access healthcare, fear of prosecution, financial constraints and practical difficulties). Once access has been gained, satisfaction with care is high. This is primarily due to the attitude of the GPs and the effectiveness of the treatment. Reasons for dissatisfaction with GP care are an experienced lack of time, lack of personal attention and absence of physical examination. Expectations of the GP vary, medication for mental health problems is not necessarily seen as a good practice.

conclusionsUMs often see their precarious living conditions as an important determinant of their mental health; they do not easily seek help for mental health problems and various barriers hamper access to healthcare for them. Rather than for medication, UMs are looking for encouragement and support from their GP. We recommend that barriers experienced in seeking professional care are tackled at an institutional level as well as at the level of GP.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedFemaleGeneral PracticeHealth Services AccessibilityHumansMaleMental DisordersMiddle AgedNetherlandsPatient Acceptance of Health CarePrimary Health CareQualitative ResearchTransients and MigrantsYoung AdultMENTAL HEALTHPRIMARY CAREQUALITATIVE RESEARCH

Identifiers

PMID25416057
PMCPMC4244440
OpenAlexW2120803662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.