Book review: K. B. Newbold and K. Wilson (Eds.), A Research Agenda for Migration and Health

K. B. Newbold and K. Wilson (Eds.), A Research Agenda for Migration and Health (Edward Elgar Publishing, 2019), 176 pp. $80, ISBN: 9781786438355

Climate change, migration, and health(care) in primary care training

No abstract available.

The Country Assessment Tool - process of development and use

The objective of the Country Assessment (CA) is to give an overview of the migration and health field in the partners' countries. Having an overview of the complex migration and health field enables partners to identify entry points for implementing actions to reduce inequities in migrant's health. The Country Assessment (CA) was based on findings from the projects first deliverable “Policy Framework for Action” (PFA). The PFA mapped key international policy documents between 2007 and 2018. We reviewed and extracted a coherent synthesis we called the ‘Road Map'. The synthesis identified six main areas that is covered in the CA tool: 1) Data and research 2) Governance and leadership 3) Intersectoral action 4) Health Service Responsiveness 5) Migrants access to health services 6) vulnerable groups. The Country Assessment template was piloted by two partner countries, Norway and Italy. The template was revised until all partners were satisfied with the range of questions. Partners then filled in readily available information and examples of available data and policy in their country.

The Economics of Health and Migration

Migration and health are intimately connected. It is known that migrants tend to be healthier than non-migrants. However, the mechanisms for this association are elusive. On the one hand, the costs of migration are lower for healthier people, thereby making it easier for the healthy to migrate. Empirical evidence from a variety of contexts shows that the pre-migration health of migrants is better than it is for non-migrants, indicating that there is positive health-based selection in migration. On the other hand, locations can be viewed as a bundle of traits including but not limited to environmental conditions, healthcare quality, and violence. Each of these can impact health. Evidence shows that moving from locations with high mortality to low mortality can reduce mortality risks. Consistent with this, migration can increase mortality risk if it leads to greater exposure to risk factors for disease. The health benefits enjoyed by migrants can also be found in their children. However, these advantages erode with successive generations.

Reproductive health vs overall well-being: systematic review of studies on women migration and health care utilization

Purpose Sustainable development goals (SDGs) recognize the importance and interrelation between health and migration. Women migration and health is well researched, yet less attention is paid to their healthcare utilization, especially with regard to overall health and well-being. This paper aims to highlight the gap in the existing literature on health care utilization by women migrants. Design/methodology/approach A systematic review was carried out following the PRISMA guideline. For the review, the literature was taken from three electronic databases, which were Springer Link, Taylor and Francis and PubMed. From a total of 1,575 studies, seven studies cleared the eligibility screening. Findings Of seven studies, five were found to focus on the sexual and reproductive health of the women migrants than their general health and well-being, and less attention is paid to health promotion and illness prevention beyond reproductive and sexual health. While, studies on general health have focused on the influence of health status on health care utilization and the influence of health insurance in health care utilization. The review has revealed the disparities faced by migrant women in different countries while seeking health care. Originality/value Studies on women migration and health care utilization have largely focused on the reproductive and sexual health needs of women, and this overemphasis often undermines their accessibility and affordability to overall health and well-being. Therefore, the present study has moved away from the concept of sexual and reproductive health tot that of overall health and well-being of women migrants.

Return migration and health outcomes in North Macedonia

Purpose The purpose of this paper is twofold, namely, to investigate if living and working abroad influences the (subjective) health of return migrants and to understand if there are any spillovers of return-migrant members onto health conditions of the family members left behind. Design/methodology/approach To that end, this paper uses the DoTM (Development on the Move) Migration Survey 2009, as well a propensity score matching to address selectivity on observables and IV (instrumental variables) for the selectivity on unobservables. Findings Results suggest that when equalized on observables, return migrants have better health than non-migrants. However, the reverse causality channel (less healthy individuals are more inclined to return) works to attenuate the true effect of return migration on health. Results further suggest a positive spillover effect of return migration on the health of the family members left behind, being mainly driven by the work of remittances sent while abroad, and not by the returned wealth or by the health knowledge transfer. Originality/value This paper offers at least two novelty lines to contribute to the current sparse of knowledge. First, it is among the scarce papers, and probably the only quantitative one, to investigate the nexus between return migration and health outcomes. Second, it heavily dwells on the role of selectivity (both on observables and unobservables) in determining the true (causal) effect of return migration on health.

Social and ethnic disparities in stillbirth and infant death in Denmark, 2005–2016

Ethnic disparity in stillbirth and infant death has been demonstrated in Europe. As the relation between migration and health change over time, this population based register study investigated the recent figures and explored if potential differences could be explained by the well-known educational and income inequalities in stillbirth and infant death using a novel approach. Stillbirth and infant mortality varied considerably according to country of origin, with only immigrants from China, Norway, and Poland having an overall lower risk than Danish women. Women of Pakistani, Turkish, and Somali origin had a particularly high risk of both outcomes. Women from recent high conflict areas displayed a pattern with increased stillbirth risk. An observed excess risks across generations was found, which is disturbing and rule out factors related to language barriers or newness. Differences in educational level and household income explained only part of the observed inequalities. Strengthening of the maternity care system to better understand and meet the needs of immigrant women seems needed to mitigate the disparities.

Author Correction: High-depth African genomes inform human migration and health

A Correction to this paper has been published: https://doi.org/10.1038/s41586-021-03286-9.