英国非洲移民利用心理健康服务的障碍:系统回顾

Archibong Bassey, Rachael Zaka
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引用次数: 0

摘要

与在英国出生的同龄人相比,英国的非洲移民在获得心理健康服务(MHS)方面面临着独特的挑战,这也是导致他们身心健康状况恶化的原因之一。本研究旨在揭示使用心理健康服务的障碍,并提出循证建议,以满足居住在英国的非洲移民的心理健康需求:对截至 2022 年 9 月发表的 Medline、PsycINFO、Web of Science、CIHNAL、Scopus 和 Embase 六个数据库进行了系统性文献检索。为了评估纳入研究的方法学质量,研究人员使用了 "批判性评估技能计划 "定性检查表和2018版 "混合方法评估工具"。在研究筛选过程中,共产生了八项在英国进行的研究,涵盖了被认定为非洲/加勒比海非裔、索马里难民以及黑人/英国后裔的少数民族。研究结果凸显了主要障碍之间复杂的相互作用,如污名化、居住不稳定、文化影响、歧视和可及性问题等,这些障碍继续阻碍着非洲人获得和利用移动保健服务。根据安德森的医疗服务利用模式,这些障碍被分为倾向性因素、有利因素和需求因素(主题),反映了影响这一人群的一系列挑战。这项系统性综述揭示了非洲移民在英国利用移动医疗服务时面临的无数障碍,强调了采取针对性干预措施的迫切需要。研究结果提倡制定文化敏感、可负担、可获得的医疗保健服务和政策,以解决已发现的个人、社会文化和结构性障碍。强烈建议各主要利益相关者开展合作,为所有人推进公平、包容的移动保健服务。
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Barriers to mental health service utilization among African immigrants in the United Kingdom: A systematic review
African immigrants in the United Kingdom (UK) face unique challenges in accessing mental health services (MHSs), in contrast to their peers born in the UK, contributing to their worsening mental and physical health outcomes. This study aims to uncover barriers to MHS utilization and proffer evidence‐based recommendations toward addressing the mental health needs of African immigrants residing in the UK.A systematic literature search was conducted across six databases: Medline, PsycINFO, Web of Science, CIHNAL, Scopus, and Embase published up to September 2022. To assess methodological quality of the included studies, the Critical Appraisal Skills Program qualitative checklist and the Mixed Methods Appraisal Tool Version 2018 were used. Consecutively, a deductive thematic analysis was employed to group related barriers within overarching themes.The study selection process yielded eight studies conducted in the UK, encompassing African populations identifying as African/Afro‐Caribbean origin, Somali refugees, and ethnic minorities of Black/British descent. The findings highlight the complex interplay of key barriers such as stigma, residential instability, cultural influences, discrimination, and accessibility issues, among others, that continue to hinder African populations from accessing and utilizing MHSs. These barriers were categorized into predisposing,enabling and need factors (themes), aligning with Anderson's model of health service utilization, reflecting a comprehensive range of challenges affecting this population.This systematic review illuminates the myriad barriers faced by African immigrants in utilizing MHSs in the UK, underlining the urgent need for targeted interventions. The findings advocate for the development of culturally sensitive, affordable, and accessible MHSs and policies that address the personal, sociocultural, and structural barriers identified. Collaboration across key stakeholders is highly recommended for advancing equitable and inclusive MHSs for all.
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