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Barriers and facilitators to seeking and accessing mental health support in primary care and the community among female migrants in Europe: a “feminisms” systematic review

Nyikavaranda, Patrick; Pantelic, Marija; Jones, Christina J; Paudyal, Priyamvada; Tunks, Alice; Llewellyn, Carrie D

Authors

Patrick Nyikavaranda

Marija Pantelic

Christina J Jones

Alice Tunks

Carrie D Llewellyn



Abstract

Background
Recent years have seen record levels of migration to Europe. Female migrants are at heightened risk of developing mental health disorders, yet they face barriers to accessing mental health services in their host countries. This systematic review aims to summarise the barriers and facilitators to accessing mental health support for female migrants in Europe.

Methods
The review follows PRISMA guidelines, and the protocol was pre-published on PROSPERO. Six electronic databases were searched: CINAHL, Global Health Database, Medline, PsycARTICLES, PsycINFO and Web of Science. Thematic analysis was undertaken on the identified studies. A feminist quality appraisal tool was applied.

Results
Eight qualitative, six quantitative and five mixed methods studies were identified. Barriers included a lack of information, stigma, religious and cultural practices and beliefs, and a lack of consideration of gender-specific needs within the health system. Gender-sensitive services, supportive general practitioners and religious leaders facilitated access.

Conclusions
The design of mental health research, services, policies, and commissioning of support for migrants must consider female migrant needs. Mental health support services must be culturally aware and gender sensitive.

Journal Article Type Article
Acceptance Date Aug 14, 2023
Online Publication Date Sep 26, 2023
Deposit Date Oct 2, 2023
Publicly Available Date Oct 2, 2023
Journal International Journal for Equity in Health
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 22
Issue 1
Article Number 196
DOI https://doi.org/10.1186/s12939-023-01990-8
Keywords Mental Health, Asylum seekers, Refugees, Access, Female migrants, Primary care

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https://creativecommons.org/licenses/by/4.0/

Copyright Statement
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.







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