Health accessibility
DOI:
https://doi.org/10.17411/jacces.v14i1.465Abstract
Health and migration are vital parts of the development cycle. Health should be understood not only as a state of physical and psychological well-being, but also of social well-being. Social determinants play a major role in health and, therefore, also in physical and cognitive accessibility. The aim of this study is to link both realities (migration and health), in order to study the variables of quality of life and physical, psychological and social health in the migrant population. There are three main objectives: 1) To understand the perceptions of quality of life and physical, psychological and social health of the migrant population; 2) To identify and describe pathologies and disabilities among migrants; and 3) To determine if there is accessibility to the health system (treatments and control). A quantitative methodology comprising descriptive and correlational analysis was employed. The main tool was a descriptive questionnaire, supported by three scales (The Quality of Life and Health Scale [WHOQOL-BREF]; Depression, Anxiety and Stress Scale [DASS-21]; and Multidimensional Scale of Perceived Social Support [EMAS]) previously validated and proposed by international organizations, such as the World Health Organization. The main results were that levels of quality of life, psychological health and social support are moderate in the migrant population. In addition, 47.3% of the migrant population has a health pathology, with only 29% having access to health resources. The main conclusion is that the presence of pathologies and the lack of disease control among the migrant population is a sign of the need to review the actions implemented by government institutions, such as the Common European Asylum System. In addition, there is a need to make health resources accessible to the entire population regardless of social class.References
Abu-Warda, N. (2007). The International Migration. Revista de ciencias de las reliiones, 21, 33-50. https://dialnet.unirioja.es/servlet/articulo?codigo=2572845.
Acartuk, C., Cetinkaya, M, Senay, I., Gulenm B., Aker, T, & Hinton, D. (2018). Prevalence and Predictors of Posttraumatic Stress and Depression Symptoms Among Syrian Refugees in a Refugee Camp. Journal of Nervous and Mental Disese, 206(1), 40-45. https://doi.org/10.1097/NMD.0000000000000693.
ACNUR. (2022). Informe Tendencias Globales: Desplazamiento Forzado en 2021. ACNUR. https://www.acnur.org/media/tendencias-globales-de-acnur-2021.
Almeida, J., Molnar, B. E., Kawachi, I & Subramanian, S. V. (2009). Ethnicity and nativity status as determinants os perceived social support: testing te concept of familism. Soc Sci Med, 68(10), 1852-1858. https://doi.org/10.1016/j.socscimed.2009.02.029.
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment,, 10(2), 176-181. https://doi.org/10.1037/1040-3590.10.2.176.
Arango, J. (2003). Inmigración y diversidad Humana. Revista de Occidente. 286, 5-21. https://ortegaygasset.edu/wp-content/uploads/2018/07/268Joaquin_Arango.pdf.
Association, A. P. (2017). Ethical Principles of Psychologists and Code of Conduct. APA. https://www.apa.org/ethics/code/ethics-code-2017.pdf.
Bălţătescu, S. (2007). Central and Eastern Europeans Migrants’ Subjective Quality of Life. A Comparative Study. Journal of Identity and Migration Studies, 1(2), 67-81. http://www.e-migration.ro/jims/Vol1_no2_2007/JIMS_vol1_no2_2007_BALTATESCU.pdf.
Bhugra, D. (2004). Migration and mental health. Acta psychiatrica scandinavica, 109(4), 243-258. https://doi.org/10.1046/j.0001-690X.2003.00246.x.
Bollini, P. &. Siem, H. (1995). No real progress towards equity: health of migrants and ethnic minorities on the eve of the year 2000. Soc Sci Med, 41(6), 819-28. https://doi.org/10.1016/0277-9536(94)00386-8.
Brunnet, A. E., Lobo, N. D., Silbeira, T., Kristensen, C. H., & Derivois, D. (2020). Migrations, trauma and mental health: A literature update on psychological assessment. Encephale-Revue de Psychiatrie Clinique Biologique et Therapeutique, 46(5), 364-371. https://doi.org/10.1016/j.encep.2020.03.009.
Buchcik, J., Borutta, J., Nickel, S., Knesebeck, O., & Westenhofer, J. (2021). Health-related quality of life among migrants and natives in Hamburg, Germany: An observational study. Journal of Migration and Health, 3(100045), 1-7. https://doi.org/10.1016/j.jmh.2021.100045.
Burgos, M. & Parvic, T. (2011). Health care for migrants: an ethical challenge. Revista Brasileira de Enfermagem, 64(3), 587-591. https://doi.org/10.1590/S0034-71672011000300025.
Cabises, B., Tunstall, H., Picjett, K. & Gideon, J. (2012). Understanding differences in access and use of healthcare between international immigrants to Chile and the Chilean-born: A repeated cross-sectional population-based study in Chile. Journal for Equity in Health, 11(1), 68. https://doi.org/10.1186/1475-9276-11-68.
Carballo, M., Cottler, S. & Smith, C. (2008). Migrant men's occupational health. Elsevier Ireland, 5(22), 113-115. https://doi.org/10.1016/j.jomh.2008.02.006.
Castañeda, H. H. (2015). Immigration as a Social Determinant of Health. Annual Review of Public Health, 36, 375-392. https://doi.org/10.1146/annurev-publhealth-032013-182419.
Claghorn, K. H. (1913). FAIRCHILD, HENRY P. Immigartion. New York: The Macmillan Company. The Annals of the American Academy of Political and Social Science, 50(1), 273–273. https://www.jstor.org/stable/41860149.
Comelles, J. M. & Bernal, M. (2007). El hecho migratorio y la vulnerabilidad del sistema sanitario en España. Humanitas Humanidades Médica, 13, 1-25. ISSN: 1886-1601. https://fundacionletamendi.com/revista_humanitas_pdf/TM13.pdf.
Comisión Española de Ayuda al Refugiado. (2021). Informe 2021: Las personas refugiadas en España y Europa. CEAR. https://www.cear.es/wp-content/uploads/2021/06/Informe-Anual-CEAR-2021.pdf.
Davies, A., Basten, A. & Frattini, C. (2009). Migration: a social determinant of the health of migrants. International Organization for Migration (IOM). https://migrant-integration.ec.europa.eu/sites/default/files/2009-10/docl_9914_392596992.pdf.
Díaz, E. H. (2008). Las personas migrantes con discapacidad en España. . Ministerio de Trabajo e Inmigración Gobierno de España y CERMI. https://consaludmental.org/publicaciones/Personasinmigrantesdiscapacidad.pdf .
Díaz, R. M., De la Fuente, Y. M. y Muñoz, R. (2019). Migraciones y diversidad funcional. La realidad invisible de las mujeres. Collectivus, Revista de Ciencias Sociales, 6(1), 61-82. https://doi.org/10.15648/Coll.1.2019.5.
Fajardo, M. P. (2008). Estudios actuales sobre aculturación y salud mental en inmigrantes: revisión y perspectivas. . Revista Iberoamericana de Psicología, 1(1), 39-50. https://reviberopsicologia.ibero.edu.co/article/view/rip.1104/114.
Fundación ONCE e Illunion. (2023, febrero 7). Fundación ONCE. Retrieved from El Grupo Social ONCE abre sus puertas a personas ciegas o con discapacidad de Ucrania : https://www.once.es/noticias/el-grupo-social-once-abre-sus-puertas-a-personas-ciegas-o-con-discapacidad-de-ucrania.
García, A. (2017). Revisión crítica de las principales teorías que tratan de explicar la migración. Revista Internacional de Estudios Migratorios, 7(4), 198-228. https://doi.org/10.25115/riem.v7i4.1963.
Hankivsky, O. (2021). Women’s health, men’s health, and gender and health: Implications of intersectionality. Social Sciencie & Medicine, 74(11), 1712-1720. https://doi.org/10.1016/j.socscimed.2011.11.029.
Henríquez, D., Urzúa, A., and López-López, W. (2022). Social Support as a Mediator of the Relationship between Identity Fusion and Psychological Well-Being in South-South Migrant Populations. Journal id International Migration and Integration, 1, 1-23. https://doi.org/10.1007/s12134-022-00996-5.
Hernández-Vásquez, A., Vargas-Fernández, R., Rojas-Roque, C. y Bendezu-Quispe G. (2020). (2020). Factores asociados a la no utilización de servicios de salud en inmigrantes venezolanos en Perú. Revista Peruana de Medicina Experimental y Salud Pública, 36, 583-591. https://doi.org/10.17843/rpmesp.2019.360.4654.
Kolmogorov, A. &. (2013). One-Sample Kolmogorov-Smirnov Test (Russia). IBM Corporation. https://www.ibm.com/docs/en/spss-statistics/29.0.0?topic=tests-one-sample-kolmogorov-smirnov-test
Leininger, M. (2022). Teoría de la diversidad y de la universalidad de los cuidados culturales. En M. R. Alligood, Modelos y teorías en enfermería (10, p. 91). Barcelona: ELSEVIER. ISBN: 978-0-323-75702-7.
León-Pérez, G., Patterson, E. J. & Coelho, L. (2022). Legal status history, gender, and the health of Latino immigrants in the US. International Migration, 60, 3-22. https://doi.org/10.1111/imig.12925.
Llanes-Díaz, Borjóquez-Chapela, I. & Odgers-Ortiz, O. (2023). Oferta de servicios de salud sexual y reproductiva a personas migrantes centroamericanas en Tijuana. Revista Panamericana de Salud Pública, 47, 56. https://doi.org/10.26633/RPSP.2023.56.
Loizate, J. A. (2006). Estrés límite y salud mental: El síndrome del inmigrante con estrés crónico y múltiple (síndrome de Ulises). Migraciones. . Instituto Universitario de Estudios sobre Migraciones , 19. https://revistas.comillas.edu/index.php/revistamigraciones/article/view/3083.
Lotero-Echeverri, G. & Pérez-Rodríguez, A. (2019). Migrations in contemporary society: correlation with migration and development. Retos-Revista de Ciencias de la Administración y Economía, 9(17), 141-154. https://rabida.uhu.es/dspace/bitstream/handle/10272/16963/Migrations_in_contemporary_society.pdf?sequence=2.
Martín-Cano, M. C., Sampedro-Palacios, C. B., Ricoy-Cano, A. J. y De la Fuente-Robles, Y. M. (2020). Superdiversity and Disability: Social Changes for the Cohesion of Migrantions in Europe. International Journal of Enviromental Research and Public Health, 17(18), 6460. https://doi.org/10.3390/ijerph17186460.
Mellese, J. (2022, marzo 8). The war in Ukraine can have devastating long-term consequences on the mental health of children and young people. Retrieved from Mental Health Europe.: https://www.infocop.es/view_article.asp?id=20871.
Mendola, D. y Pera, A. (2021). Vulnerability of refugees: Some reflections on definitions and measurement practices. International Migration, 60(5), 108-121. https://doi.org/10.1111/imig.12942.
Morawa, A. H. (2003). Vulnerability as a concept of international human rights law. . Journal of International Relations and Development, 6(2), 139–155. https://ciaotest.cc.columbia.edu/olj/jird/jird_jun03_moa01.pdf.
Moreno, G. P., Engel, J. L. & Polo, S. A. (2007). Diagnóstico de depresión en inmigrantes subsaharianos. . Atención primaria, 39(11), 609-614. https://doi.org/10.1157/13112198.
Mulas, J. (2023, febrero 8). Retrieved from El Parlamento Europeo y el Grupo Social ONCE mejorarán la calidad de vida de 80 millones de europeos con discapacidad. Parlamentos Europeo Oficina en España: https://portal.once.es/empleado/publicaciones/asi-somos/asi-somos-1/asi-somos-292/internacional/el-parlamento-europeo-y-el-grupo-social-once-mejoraran-la-calidad-de-vida-de-80-millones-de-europeos-con-discapacidad.
Nagurney, A. &. (2021). International human migration networks under regulations. European Journal of Operational Research,, 291(3), 894-905. https://doi.org/10.1016/j.ejor.2020.04.008 .
Nations, U. (2015). The 17 goals. Department of Economic and Social Affairs. Sustainable Development. Retrieved from https://sdgs.un.org/goals.
Nie, N. H., Hull, H. & Bent, H. (1968). Statistical Package for the Social Sciencies (SPSS) [statistical software, version22 (2013)]. Retrieved from IBM (2013). https://acortar.link/CyFtcj
Organización Internacional para las Migraciones. (2022). Informe sobre las migraciones en el mundo 2022. OIM. https://worldmigrationreport.iom.int/wmr-2022-interactive/?lang=ES .
Organization., W. H. (2004). The World Health Organization quality of life (WHOQOL) - BREF, 2012 revision. World Health Organization. Retrieved from https://apps.who.int/iris/handle/10665/77773.
Ortíz-Ruíz, N., Díaz-Grajales, C., López-Paz, Y., Zamudio-Espinosa, D. C., y Espinosa-Mosquera, L. (2023). Necesidades en salud sexual y reproductiva en migrantes de origen venezolano en el municipio de Cali (Colombia). Revista Panamericana de Salud Pública, 47, 4. https://doi.org/10.26633/RPSP.2023.4.
Peña, L. y Ausín, T. (2015). El valor de la Movilidad Humana. Pasando fronteras: El valor de la Movilidad Humana. Madrid: Plaza y valdez. ISBN: 9788416032419.
Piñones-Rivera, C., Concha, N. L. & Gómez, S. L. (2021). Perspectivas teóricas sobre salud y migración: Determinantes sociales, transnacionalismo y vulnerabilidad estructural. Saúde e Sociedade, 30(1), 200310. https://doi.org/10.1590/S0104-12902021200310.
Razum, O., Karrasch, L. & Spalleck, J. (2016). Migration: A neglected dimension of inequalities in health? . Bundesgesundheitsblatt, 59(2), 259-265. https://doi.org/10.1007/s00103-015-2286-3.
Rodríguez, L. G. Trejo, F. B. & Hervias, R. G. (2022). Salud mental y migración política Latinoamericana. Experiencias individuales y estilos de afrontamiento. . NURE investigación: Revista Científica de enfermería(119), 5. https://www.nureinvestigacion.es/OJS/index.php/nure/article/view/2262/1015.
Rojas, C. (2022, abril 20). Migrantes y personas con discapacidad: visibles a la hora de sensibilizar, pero invisibles en los datos. Retrieved from Portal de Datos sobre migración: Una perspectiva global. https://www.migrationdataportal.org/es/blog/migrantes-y-personas-con-discapacidad-visibles-la-hora-de-sensibilizar-pero-invisibles-en-los.
Ruiz, F. J. García-Martín, M. B., Suárez-Falcón, J. C., Odriozola-González, P. (2017). The Hierarchical Factor Structure of the Spanish Version of Depression Anxiety and Stress Scale -21. International Journal of Psychology and Psychological Therapy, 17(1), 97-105. https://www.redalyc.org/pdf/560/56049624007.pdf.
Ruiz, M. T., Saiz, J., Montero, M. T. & Navarro, D. (2017). Adaptación de la Escala Multidimensional de Apoyo Social Percibido en población con trastorno mental grave. . Revista de la Asociación Española de Neuropsiquiatría, 37(132), 415-437. https://scielo.isciii.es/scielo.php?pid=S0211-57352017000200415&script=sci_abstract.
Salkind, N. J. (1999). Métodos de investigación (3ª ed.). Pearson Educación. ISBN: 9789701702345.
Salud, O. M. (2022, marzo 7). Discapacidad. Retrieved from OMS. https://www.who.int/es/news-room/fact-sheets/detail/disability-and-health.
Salud., O. M. (1959). Constitución de la Organización Mundial de la Salud, firmada en Nueva York el 22 de julio de 1946. Boletín Oficial del Estado, número 116, de 15 de mayo de 1973. Retrieved from https://www.boe.es/buscar/doc.php?id=BOE-A-1973-682.
Spanish Association for Standardization. (2007). UNE 170001-1:2007 Accessibility and usability of urban environments for all people. Part 1: General criteria for the built environmental for all people. https://www.une.org/encuentra-tu-norma/busca-tu-norma/norma?c=N0040254.
Sampedro, C. B., Cano, L., De la Fuente, Y. M. y Fuentes, V. M. (2021). Búsqueda y análisis de herramientas utilizadas por el tercer sector en población migrante: Un estudio exploratorio-descriptivo. En Molero, M.M. Barragán, A. B., Martos, A. y Simón, M.M. (Eds.). Intervención en Contextos Clínicos y de la Salud: Un enfoque práctico desde la investigación (1ª ed). Dykinson. https://www.dykinson.com/libros/intervencion-en-contextos-clinicos-y-de-la-salud-un-enfoque-practico-desde-la-investigacion/9788411220101/.
Sanz, N., y Valenzuela, J. M. (2016). Introducción. In Sanz, N y Valenzuela, J.M. Migración y Cultura (1ª ed.) (pp. 1-207). UNESCO. https://unesdoc.unesco.org/ark:/48223/pf0000247760.
Tió, J. (2022). Cuando eso no es vida: cómo afecta la pandemia en la evolución social y la salud mental de los adolescentes en edad escolar. Temas de psicoanálisis, 23, 1-10. https://www.temasdepsicoanalisis.org/2022/01/15/cuando-eso-no-es-vida-como-afecta-la-pandemia-en-la-evolucion-social-y-la-salud-mental-de-los-adolescentes-en-edad-escolar/.
Torres, M. Q. (2008). Calidad de vida de adultos mayores pobres de viviendas básicas: Estudio comparativo mediante uso de WHOQoL-BREF. Revista médica de Chile, 136(3), 325-333. DOI:http://dx.doi.org/10.4067/S0034-98872008000300007.
Truscan, I. (2012). Considerations of vulnerability: from principles to action in the case law of the European court of human rights. Retford Journal, 142 (3), 64–83. https://www.academia.edu/5908596/Considerations_of_Vulnerability_from_Principles_to_Action_in_the_Case_Law_of_the_European_Court_of_Human_Rights.
United Nations. (2015). The 17 goals. Department of Economic and Social Affairs. Sustainable Development. Obtenido de https://sdgs.un.org/goals.
Urzúa, M. A., Boudon, S., y Caqueo-Uriza, A. (2017). Salud mental y estrategias de aculturación en inmigrantes colombianos y peruanos en el norte de Chile. Acta Colombiana de Psicología, 20(1), 80-89. https://doi.org/10.14718/ACP.2017.20.1.5.
Villar, E. (2007). Los Determinantes Sociales de Salud y la lucha por la equidad en Salud: desafíos para el Estado y la sociedad civil. Saúde e Sociedade, 16, 7-13. https://doi.org/10.1590/S0104-12902007000300002.
Wickramage, K., Vearey, J., Zwi, A., Robinson, C. and Knipper, M. (2018). Migration and health: a global public health research priority. BMC public health, 18(1), 1-9. https://doi.org/10.1186/s12889-018-5932-5.
World Health Organization. (2004). The World Health Organization quality of life (WHOQOL) - BREF, 2012 revision. World Health Organization. Obtenido de https://apps.who.int/iris/handle/10665/77773.
Zimet, G. D., Dahlem, N., Zimet, S. and Farley, G. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2.
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