Evidence map›Paper›PMID 34145051›Full record

SynthesisCMAJ open

Understanding the health and housing experiences of refugees and other migrant populations experiencing homelessness or vulnerable housing: a systematic review using GRADE-CERQual.

Harneel Kaur, Ammar Saad, Olivia Magwood, Qasem Alkhateeb, Christine Mathew, Gina Khalaf, Kevin Pottie

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
10.4field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Tackling Inequalities in Access to Medicines for People Experiencing Homelessness: A Meta-Ethnography and Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
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  14. Observational
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  20. Determinants of Implementation of a Clinical Practice Guideline for Homeless Health.International journal of environmental research and public health · 2020
    Article
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

7 authors at 1 institution in 1 country.

Harneel KaurBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont.
Ammar SaadBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont.
Olivia MagwoodBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont.
Qasem AlkhateebBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont.
Christine MathewBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont.
Gina KhalafBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont.
Kevin PottieBruyère Research Institute (Kaur), University of Ottawa, Ottawa, Ont.; Family Medicine Residency Program (Kaur), Department of Family Medicine, McMaster University, Hamilton, Ont.; C.T. Lamont Primary Health Care Research Centre (Saad, Magwood), Bruyère Research Institute, Ottawa, Ont.; Department of Medicine (Alkhateeb), Schulich School of Medicine, Toronto, Ont.; Interdisciplinary School of Health Sciences (Magwood), University of Ottawa; Bruyère Research Institute (Mathew), Ottawa, Ont.; Centre de médecine familiale de Wakefield (Khalaf), Wakefied, Que.; Centre integré de santé et de services sociaux de l'Outaouais de Hull (Khalaf), Gatineau, Que.; Departments of Family Medicine and Epidemiology, and Community Medicine (Pottie), University of Ottawa; Institut du Savoir Montfort, Ottawa, Ont. kpottie@uottawa.ca.
University of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA growing number of migrants experience precarious housing situations worldwide, but little is known about their health and housing experiences. The objective of this study was to understand the enablers and barriers of accessing fundamental health and social services for migrants in precarious housing situations.

methodsWe conducted a systematic review of qualitative studies. We searched the databases of MEDLINE, PsycINFO, CINAHL, Scopus, Web of Science, Social Sciences, Canadian Business & Current Affairs and Sociological Abstracts for articles published between Jan. 1, 2007, and Feb. 9, 2020. We selected studies and extracted data in duplicate, and used a framework synthesis approach, the Bierman model for migration, to guide our analysis of the experiences of migrant populations experiencing homelessness or vulnerable housing in high-income countries. We critically appraised the quality of included studies using the Critical Appraisal Skills Programme checklist and assessed confidence in key findings using the Grading of Recommendations Assessment, Development and Evaluation Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) approach.

resultsWe identified 1039 articles, and 18 met our inclusion criteria. The studies focused on migrants from Asia and Africa who resettled in Canada, Australia, the United States, the United Kingdom and other European countries. Poor access to housing services was related to unsafe housing, facing a family separation, insufficient income assistance, immigration status, limited employment opportunities and lack of language skills. Enablers to accessing appropriate housing services included finding an advocate and adopting survival and coping strategies.

interpretationMigrants experiencing homelessness and vulnerable housing often struggle to access health and social services; migrants may have limited proficiency with the local language, limited access to safe housing and income support, and ongoing family insecurities. Public health leaders could develop outreach programs that address access and discrimination barriers. PROSPERO REGISTRATION: CRD42018071568.

Indexed as

Ill-Housed PersonsHealth Services AccessibilityHousingHumansNeeds AssessmentRefugeesSocial Welfare

Identifiers

PMID34145051
PMCPMC8248559
OpenAlexW3166464452

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.