SynthesisEastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit2021
The social and structural determinants of sexual and reproductive health and rights in migrants and refugees: a systematic review of reviews.
Synthesis in Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Epidemiology ofBMJ global health · 2026Pooled it
- The sexual and reproductive healthcare challenges when dealing with female migrants and refugees in low and middle-income countries (a qualitative evidence synthesis).BMC public health · 2024Pooled it
- The social and structural determinants of sexual and reproductive health and rights in migrants and refugees: a systematic review of reviews.Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit · 2021Pooled it
- Attitudes, perceived knowledge, and experiences regarding condom use, STIs, transactional sex, and healthcare utilization among young male forced migrants in Stockholm, Sweden: a qualitative study.Global health action · 2026Article
- "Do not leave me behind and do not put me in your box": family-planning access and care needs among women with migration histories in Berlin, Germany-a mixed-methods study.Reproductive health · 2026Article
- Article
- Menstrual Health Under Constraint: A Meta-Synthesis of Refugee Women's Experiences.Healthcare (Basel, Switzerland) · 2026Review
- Reproductive health care experiences and rights of displaced Afghan women, and intersecting factors influencing outcomes: a scoping review.Reproductive health · 2026Article
- The Participation of Muslim Migrant Women in Gynaecological Cancer Screening Programs Within Non-Muslim Communities: A Scoping Review.Journal of immigrant and minority health · 2026Review
- Navigating barriers and building solutions: a mixed-methods study on sexual and reproductive healthcare for migrant women in Milan.Primary health care research & development · 2026Article
- A mixed-methods evaluation of outreach service provision by the "Strengthening Migrant Access to Reproductive Health in Thailand" Initiative, 2020-2024.Frontiers in global women's health · 2026Article
- Factores sociodemográficos-sanitarios sobre la decisión de interrupción del embarazo, Chile: un análisis de clases latentes.Global health promotion · 2025Article
- Impact of Displacement on Refugee Women's Sexual and Reproductive Health: A Participatory Study Using Photovoice.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Contraceptive access in displacement settings: a quantitative study of Syrians displaced to Türkiye.Sexual and reproductive health matters · 2025Article
- A scoping review of person-centred maternity care service in humanitarian and fragile settings.BMJ global health · 2025Article
- Reproductive health risks of internally displaced persons (IDPs) in humanitarian settings of Ethiopia: a systematic review and meta-analysis.Conflict and health · 2025Review
- Redefining intimacy: a qualitative study on sexual function experiences and perspectives among migrant and refugee women in South Australia.International journal for equity in health · 2025Article
- Barriers to healthcare for racialised populations in Europe: a scoping review of reviews.International journal for equity in health · 2025Article
- Arabic speaking women's experience of postpartum contraceptive counselling in Sweden.Reproductive health · 2025Article
- Perspectives of migrant men who have sex with men and professionals on personal, social and structural barriers and facilitators to sexual healthcare access and outreach strategies: A qualitative study.Journal of migration and health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThe sexual and reproductive health and rights (SRHR) of migrants and refugees present important public health challenges. Social and structural determinants affect both the general health and SRHR of migrants, but the drivers of SRHR among migrant and refugee populations remain understudied.
aimsTo identify upstream social and structural determinants of SRHR health of migrants and refugees reported in systematic reviews.
methodsWe conducted a systematic review of reviews. We studied 3 aspects of SRHR: sexually transmitted infections, sexual violence and unintended pregnancy in migrants and refugees. We used an inductive approach to synthesize emerging themes, summarized them in a narrative format and made an adapted version of Dahlgren and Whitehead's social determinants of health (SDH) model.
resultsWe included 12 systematic reviews, of which 10 were related to sexually transmitted infections, 4 to sexual violence and 2 to unintended pregnancy. We identified 6 themes that operate at 4 different levels in an adapted version of the Dahlgren and Whitehead SDH model: economic crisis and hostile discourse on migration; limited legal entitlements, rights and administrative barriers; inadequate resources and financial constraints; poor living and working conditions; cultural and linguistic barriers; and stigma and discrimination based on migration status, gender, sex and ethnicity.
conclusionThis review provides evidence of how upstream social and structural determinants undermine the SRHR of refugees and migrants. Unless these are addressed in policy-making and planning, the health of migrants and refugees is at risk.
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Registered trials
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.