Evidence map›Paper›PMID 34404416›Full record

ArticleBMC health services research2021

Barriers to accessing health care among undocumented migrants in Sweden - a principal component analysis.

Hatem Mona, Lena M C Andersson, Anders Hjern, Henry Ascher

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 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

4 authors at 2 institutions in 1 country.

Hatem MonaSchool of Public Health and Community Medicine, The Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Gothenburg, Sweden.
Lena M C AnderssonDepartment of Social Work, University of Gothenburg, Sprängkullsgatan 23, PO Box 720, SE- 405 30, Gothenburg, Sweden. Lena.Andersson@socwork.gu.se.
Anders HjernClinical Epidemiology, Department of Medicine, Karolinska Institute, Stockholm, Sweden.
Henry AscherSchool of Public Health and Community Medicine, The Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SECentre for Health Equity Studies · SE

Funding

Västra Götalandsregionen .: VGFOUREG-383601Vetenskapsrådet 521-2012-2927
6 · The paper itself

Abstract

backgroundUndocumented migrants face many hardships in their everyday life such as poor living conditions, discrimination, and lack of access to healthcare. Previous studies have demonstrated considerable health care needs for psychiatric disorders as well as physical diseases. The aim of this paper was to find out the main barriers that undocumented migrants experience in accessing the Swedish healthcare system and to explore their relation with socioeconomic factors.

methodsA cross-sectional study with adult undocumented migrants was performed in the three largest cities of Sweden in 2014-2016. Sampling was done via informal networks. A socioeconomic questionnaire was constructed including 22 barriers to health care. Trained field workers conducted the interviews. A principal component analysis was conducted of all barriers to reveal central components. Then, Pearson's chi-squared test was used to explore the characteristics of undocumented migrants experiencing barriers to care.

resultsTwo main components/barriers were extracted: "Fear of being taken by police/authorities", which was related to fear of disclosure by or in relation to seeking health care, and "Structural and psychosocial factors" which was related to practical obstacles or shame of being ill. Lower age (74.1 % vs 56.0 %), lower level of education (75.0 % vs. 45.1 %), and having no children (70.3 % vs. 48.1 %) were significantly related to a higher likelihood of experiencing a barrier.

conclusionFear of deportation and practical and psychosocial factors constitute hinderance of access to healthcare for undocumented migrants in Sweden. This highlights the importance of clear instructions, both to undocumented migrants and health professionals about the right to health care according to the international law on human rights as well as the law of confidentiality.

Indexed as

Transients and MigrantsAdultCross-Sectional StudiesHealth Services AccessibilityHumansPrincipal Component AnalysisSwedenAccess to healthcareSwedenUndocumented migrants

Identifiers

PMID34404416
PMCPMC8369752
OpenAlexW3195140519

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.