Evidence map›Paper›PMID 39952788›Full record

SynthesisJournal of clinical nursing2025

Sexual and Gender Minority Migrants' Experiences of Health Service Access and Utilisation: A Qualitative Meta-Synthesis.

Maria Gottvall, Osszián Péter-Szabó, Rummage Isaac, Christoffer Aav, Erik Norgren, Tommy Carlsson

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

6 authors.

Maria GottvallThe Department of Women's and Children's Health, CIRCLE - Complex Intervention Research in Health and Care, Uppsala University, Uppsala, Sweden.
Osszián Péter-SzabóThe Department of Health Sciences, The Swedish Red Cross University, Huddinge, Sweden.
Rummage IsaacThe Department of Health Sciences, The Swedish Red Cross University, Huddinge, Sweden.
Christoffer AavThe Department of Health Sciences, The Swedish Red Cross University, Huddinge, Sweden.
Erik NorgrenThe Department of Health Sciences, The Swedish Red Cross University, Huddinge, Sweden.
Tommy CarlssonThe Department of Women's and Children's Health, CIRCLE - Complex Intervention Research in Health and Care, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-4141-8692

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd
6 · The paper itself

Abstract

aimsTo describe and synthesise qualitative studies exploring sexual and gender minority migrants' experiences of health service access and utilisation.

designSystematic meta-synthesis of qualitative studies. DATA SOURCES: Systematic searches in four databases and citation screening were conducted in 2023 and 2024. English-language empirical qualitative studies published in scientific journals within 10 years were included. Of 1109 screened, 21 reports were included.

methodsIncluded reports were appraised using CASP and JBI checklists. Extracted results were analysed with inductive content analysis in a collaborative process.

resultsAll reports had acceptable quality, including 365 participants from 72 countries. A range of external and internal barriers to accessing health services were reported, including financial constraints and fears. Although migrants expressed an appreciation of health services, they also experienced non-affirming behaviours and discrimination related to their intersecting identities. Several essential components in health services necessary to cater to the needs of migrants were addressed, including the personality and manner of health professionals as well as adherence to confidentiality.

conclusionBarriers to health services, intersectional discrimination and non-affirming behaviours when interacting with health services are pressing issues that need further attention. IMPLICATION FOR THE PROFESSION AND/OR PATIENT CARE: Ensuring safety through affirming support is key to achieving high-quality and accessible health services for sexual and gender minority migrants. Nurses and other health professionals need to carefully consider intersectional layers related to sensitivity and safety when supporting sexual and gender minority migrants. Open, friendly, validating, respectful and encouraging communication is essential in clinical settings. IMPACT: This review addressed experiences of health services amongst a marginalised population. The findings highlight the importance of affirming care and are relevant for health professionals, stakeholders and decision-makers. REPORTING

methodENTREQ. PATIENT OR PUBLIC CONTRIBUTION: Two persons with lived experience were involved in the meta-synthesis.

Indexed as

Health Services AccessibilityPatient Acceptance of Health CareSexual and Gender MinoritiesTransients and MigrantsAdultFemaleHumansMaleQualitative Researchasylum seekersforced migrantshealth communicationLGBTQ+nurse–patient relationssexual and gender minorities

Identifiers

PMID39952788
PMCPMC12409289

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.