The impact of stigma and discrimination-based narratives in the health of migrants in Latin America and the Caribbean: a scoping review

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES Lancet Regional Health-Americas Pub Date : 2024-12-01 Epub Date: 2024-01-05 DOI:10.1016/j.lana.2023.100660
Baltica Cabieses , Karoline Belo , Alejandra Carreño Calderón , Isabel Rada , Karol Rojas , Candelaria Araoz , Michael Knipper
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Abstract

Stigma and discrimination-based narratives have been associated with adverse health outcomes. Migrants and refugees face multiple barriers to accessing healthcare, influenced by stigma and discrimination-based narratives against them. We conducted a scoping review of scientific and grey literature (n = 61) to discuss available evidence in Latin America and the Caribbean (LAC) concerning communication and narrative speeches related to international migration and its implications for population health, particularly when associated with stigma and discrimination against migrants and refugees. We found that a better understanding how communication and narratives might affect migrants’ experience while transiting or residing in a different country is valuable for public health and health systems performance aims. Our review depicts the multilevel and dynamic effects of stigma and discrimination-based narratives against migrants in Latin America, highlighting the urgent need for transformative and constructive social and healthcare narratives around migration to promote population health in the region.
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基于耻辱和歧视的叙述对拉丁美洲和加勒比地区移民健康的影响:范围界定审查
污名化和基于歧视的叙述与不良的健康结果有关。移民和难民在获得医疗保健方面面临多重障碍,受到对他们的污名化和歧视叙述的影响。我们对科学文献和灰色文献(n = 61)进行了范围审查,以讨论拉丁美洲和加勒比(LAC)有关国际移徙及其对人口健康的影响的传播和叙事演讲的现有证据,特别是与对移民和难民的耻辱和歧视有关的证据。我们发现,更好地理解沟通和叙述如何影响移民在不同国家过境或居住时的经历,对公共卫生和卫生系统绩效目标很有价值。我们的综述描述了拉丁美洲针对移民的耻辱和歧视叙事的多层次和动态影响,强调了迫切需要围绕移民进行变革性和建设性的社会和医疗叙事,以促进该地区的人口健康。
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期刊介绍: The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.
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