ArticleBMC health services research2017
Migrant's access to preventive health services in five EU countries.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic literature review of reported challenges in health care delivery to migrants and refugees in high-income countries - the 3C model.BMC public health · 2019Pooled it
- Testing for hepatitis B virus alone does not increase vaccine coverage in non-immunized persons.World journal of gastroenterology · 2017Trial
- Disparities in the potentially avoidable use of emergency services by citizenship: a two-year cross-sectional study in Italy.BMC public health · 2026Article
- Sex disparities in tuberculosis outcomes: evidence from a multicenter Italian cohort (Italian South TB Network (ISTB-Net).Infection · 2026Article
- Primary Prevention and Health Promotion Among Refugee Women in Greek Accommodation Facilities.Healthcare (Basel, Switzerland) · 2026Article
- Reciprocal innovation to improve access to primary healthcare in Belgium: adaptation and development of a community health worker intervention.BMC health services research · 2026Article
- Inequality, Trust and Fear: Migrant Healthcare During the COVID-19 Pandemic and Beyond.Sociology of health & illness · 2025Article
- Migrant and ethnic inequalities in cervical cancer screening: exploring the role of cultural health capital using data from the Belgian Health Interview Survey.BMC public health · 2025Article
- Performance (Sensitivity and Specificity) of a New Point-of-Care Immunochromatography to Screen for Imported Chronic Schistosomiasis Among Long-Term Sub-Saharan Migrants.Open forum infectious diseases · 2025Article
- Healthcare providers' psychological investment in clinical recommendations: Investigating the role of implicit racial attitudes.Social science & medicine (1982) · 2024Article
- Migration background and use of preventive healthcare services: Findings of the German Ageing Survey.BMC public health · 2024Article
- Male genitourinary schistosomiasis-related symptoms among long-term Western African migrants in Spain: a prospective population-based screening study.Infectious diseases of poverty · 2024Article
- Plant use and perceptions in the context of sexual health among people of Congolese descent in Belgium.Journal of ethnobiology and ethnomedicine · 2024Article
- Outcomes and associated factors of cervical human papillomavirus infection among 608 women in Shenzhen, China, 2018-2023.Frontiers in public health · 2024Article
- Health literacy strengths and needs among migrant communities from Portuguese-speaking African countries in Portugal: a cross-sectional study.Frontiers in public health · 2024Article
- Exploring refugees' health care access in times of COVID-19: a quantitative study in the Lisbon region, Portugal.Frontiers in public health · 2024Article
- Schistosomiasis screening in non-endemic countries from a cost perspective: Knowledge gaps and research priorities. The case of African long-term residents in a Metropolitan Area, Spain.PLoS neglected tropical diseases · 2023Article
- Sexually Transmitted Infections Prevalence and Cascade of Care among Undocumented Sex Workers: A Twenty-Year-Long Experience.Life (Basel, Switzerland) · 2023Article
- 'I Didn't Know Where to Go': A Mixed-Methods Approach to Explore Migrants' Perspectives of Access and Use of Health Services during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Fragmentation of Healthcare Services as a Possible Determinant of the Low Completion for the Tuberculosis Cascade of Prevention among Asylum Seekers: Results from a Prospective Study with Historical Comparison.Pathogens (Basel, Switzerland) · 2022Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPreventive health services (PHSs) form part of primary healthcare with the aim of screening to prevent disease. Migrants show significant differences in lifestyle, health beliefs and risk factors compared with the native populations. This can have a significant impact on migrants' access to health systems and participation in prevention programmes. Even in countries with widely accessible healthcare systems, migrants' access to PHSs may be difficult. The aim of the study was to compare access to preventive health services between migrants and native populations in five European Union (EU) countries.
methodsInformation from Health Interview Surveys of Belgium, Italy, Malta, Portugal and Spain were used to analyse access to mammography, Pap smear tests, colorectal cancer screening and flu vaccination among migrants. The comparative risk of not accessing PHSs was calculated using a mixed-effects multilevel model, adjusting for potential confounding factors (sex, education and the presence of disability). Migrant status was defined according to citizenship, with a distinction made between EU and non-EU countries.
resultsMigrants, in particular those from non-EU countries, were found to have poorer access to PHSs. The overall risk of not reporting a screening test or a flu vaccination ranged from a minimum of 1.8 times (colorectal cancer screening), to a high of 4.4 times (flu vaccination) for migrants. The comparison among the five EU countries included in the study showed similarities, with particularly limited access recorded in Italy and in Belgium for non-EU migrants.
conclusionsThe findings of this study are in accordance with evidence from the scientific literature. Poor organization of health services, in Italy, and lack of targeted health policies in Belgium may explain these findings. PHSs should be responsive to patient diversity, probably more so than other health services. There is a need for diversity-oriented, migrant-sensitive prevention. Policies oriented to removing impediments to migrants' access to preventive interventions are crucial, to encourage more positive action for those facing the risk of intersectional discrimination.
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