Evidence map›Paper›PMID 42745104›Full record

ReviewJournal of immigrant and minority health2026

Healthcare Access and Utilization Among Sexual and Gender Minority Migrants to Europe: A Systematic Review.

Seda Karakaya Çataldaş, Tuğba Şahin Tokatlıoğlu, Cemile Hurrem Ayhan

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of immigrant and minority health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Seda Karakaya ÇataldaşKoç University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1724-6360
Tuğba Şahin TokatlıoğluIstanbul Aydın University, Istanbul, Turkey. tsahintokatlioglu@aydin.edu.tr.ORCID http://orcid.org/0000-0003-2569-9906
Cemile Hurrem AyhanVan Yüzüncü Yıl University, Van, Turkey. hurremayhan@hotmail.com.ORCID http://orcid.org/0000-0002-6326-2177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this systematic review was to examine healthcare access and utilization among sexual and gender minority (SGM) migrants in Europe. We conducted a Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided search in PubMed, Web of Science, Scopus, CINAHL, and Ovid MEDLINE from database inception through October 2025. Inclusion criteria were the following: (1) peer-reviewed journal article published in English; (2) conducted in European countries; (3) focused on sexual and gender minority (SGM) migrants; and (4) examined healthcare access, healthcare utilization, or care experiences, with health outcomes considered as a secondary criterion only when reported alongside one of these primary measures. Studies that failed to meet all criteria were excluded. The methodological quality of included articles was assessed using the Joanna Briggs Institute appraisal tools, and findings were synthesized narratively. Sixteen studies were included in the final synthesis (10 quantitative, 6 qualitative). Most were cross-sectional and focused on HIV and sexual health services, particularly among migrant men who have sex with men. Barriers to healthcare access varied by domain: qualitative studies of general healthcare access (4 of 16 studies) reported legal insecurity, discrimination, language barriers, and limited culturally responsive, migrant-sensitive, and linguistically accessible services, whereas quantitative studies of HIV and sexual health services identified more specific, study-varying barriers such as low perceived risk and uneven testing or PrEP uptake. Evidence on mental health, general healthcare, and gender-affirming care was limited, with transgender people, and lesbian and bisexual women, underrepresented and no identified study specifically addressing healthcare access or utilization among intersex migrants. Most studies were conducted in a small number of regions, limiting generalizability across Europe. SGM migrants in Europe face substantial and multifaceted barriers to accessing healthcare, with existing research concentrating on a narrow range of services and populations. Broader research is needed to understand diverse healthcare needs better and to support equitable and accessible healthcare systems for SGM migrants.

Indexed as

EuropeHealthcare accessHealthcare utilizationMigrantssexual and gender minority people

Identifiers

What OpenQuestion holds

Textmetadata
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.