ArticleHealth expectations : an international journal of public participation in health care and health policy2025
Migrant Farmworkers' Acceptability of Health Services in Spain: Barriers and Facilitators Identified by Professionals.
Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Nurses' challenges and successes in caring for Syrian refugees: A qualitative phenomenological study.Medicine · 2026Article
- Lived experiences of heat stress among migrant agricultural workers in Spain: a qualitative study.International journal for equity in health · 2026Article
- Acceptability of tongue swabs for tuberculosis screening in migrant settings in northern Italy: A qualitative study.PLOS global public health · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundSeasonal migrant farmworkers (SMF) make up a significant part of Spain's agricultural labour force. Due to precarious labour conditions, housing insecurity and factors related to migration, SMF are at risk of specific health issues and occupational accidents. In addition, migrants in Spain face barriers when accessing healthcare services. This study explores factors that influence the acceptability of healthcare services among SMF in Spain from the point of view of professionals working with this population.
methodsSemi-structured interviews were conducted among 92 professionals working with SMF in four regions of Spain, including NGO workers, healthcare workers, employees of worker unions, public social services and governmental institutions. A thematic content analysis was performed using Atlas.ti.
resultsProfessionals identified several barriers and facilitators that influence the acceptability of healthcare services among SMF. The main identified barriers were language, different perceptions of health and healthcare between SMF and Spanish professionals, a limited understanding of the Spanish healthcare system, and precarious working and living conditions. The main identified facilitators were professionals taking time to explain healthcare procedures and rights to SMF and support and information from friends, family and other community members. DISCUSSION AND
conclusionTo overcome barriers, the use of translational services and cultural mediators should be increased. In addition, educational interventions are needed for migrants to better understand the Spanish healthcare system and for healthcare workers to provide culturally appropriate care to migrant patients. Finally, it needs to be considered that inequalities in health and healthcare between SMF and the Spanish native-born population reach beyond healthcare institutions. They are rooted in structural factors, which include their living and working conditions, social exclusion, and discrimination. PATIENT OR PUBLIC CONTRIBUTION: As this study, which is part of a bigger project, aimed to focus on healthcare access mainly from the healthcare system perspective, patients and service users were not involved in this part. Another sub-study within the project will focus on the experience of SMF. Caregivers were included as study participants and despite not having been directly included in the study design, the open-ended questions used in this study allowed them to bring up the topics they considered important in the context of this study.
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