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Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review.

Roura M, Domingo A, Leyva-Moral JM, Pool R - BMC Public Health (2015)

Bottom Line: We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence.Our results are also constrained by the availability and varying quality of studies reviewed.Burgeoning research has produced some consistent findings but there are huge gaps in knowledge.

View Article: PubMed Central - PubMed

Affiliation: ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB) Hospital Clínic, Universitat de Barcelona, Rosselló 132, 4th floor, 08036, Barcelona, Spain. maria.roura@cresib.cat.

ABSTRACT

Background: Policy makers and health practitioners are in need of guidance to respond to the growing geographic mobility of Hispano-American migrants in Europe. Drawing from contributions from epidemiology, social sciences, demography, psychology, psychiatry and economy, this scoping review provides an up-to-date and comprehensive synthesis of studies addressing the health status and determinants of this population. We describe major research gaps and suggest specific avenues of further inquiry.

Methods: We identified systematically papers that addressed the concepts "health" and "Hispano Americans" indexed in five data bases from Jan 1990 to May 2014 with no language restrictions. We screened the 4,464 citations retrieved against exclusion criteria and classified 193 selected references in 12 thematic folders with the aid of the reference management software ENDNOTE X6. After reviewing the full text of all papers we extracted relevant data systematically into a table template to facilitate the synthesising process.

Results: Most studies focused on a particular disease, leaving unexplored the interlinkages between different health conditions and how these relate to legislative, health services, environmental, occupational, and other health determinants. We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence. Few studies adopted a trans-national perspective and many consisted of cross-sectional descriptions that considered "Hispano-Americans" as a homogeneous category, limiting our analysis. Our results are also constrained by the availability and varying quality of studies reviewed.

Conclusions: Burgeoning research has produced some consistent findings but there are huge gaps in knowledge. To prevent unhelpful generalisations we need a more holistic and nuanced understanding of how mobility, ethnicity, income, gender, legislative status, employment status, working conditions, neighbourhood characteristics and social status intersect with demographic variables and policy contexts to influence the health of the diverse Hispano-American populations present in Europe.

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Related in: MedlinePlus

PRISMA flow chart of citations.
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Fig1: PRISMA flow chart of citations.

Mentions: The OVID search yielded 4,216 citations (Additional file 3) and we identified 248 additional references through LILACS. We excluded duplicated studies, conference proceedings, studies not conducted in Europe, and those that did not present specific findings related to HAs in their abstract. We also excluded studies focused on Tripanosoma Cruzi/Chagas disease, which is highly prevalent in some HA populations [5], because at least 9 previous systematic reviews have already examined this topic [6-14]. Taking into account the conceptual difficulties related to grouping HA migrants as an analytical category and the conundrums of defining who is a “migrant” [15] we pragmatically considered “HA migrants in Europe” as persons born in any Spanish-speaking country situated in Central-South America/Caribbean, who are currently residing or have ever resided in any European country. The complete citation screening process was conducted by the first author (MR). A second researcher (JML) screened independently 5% of the references retrieved and a 99% agreement resulted from this exercise. The process for selecting studies is described in Figure 1.Figure 1


Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review.

Roura M, Domingo A, Leyva-Moral JM, Pool R - BMC Public Health (2015)

PRISMA flow chart of citations.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4430018&req=5

Fig1: PRISMA flow chart of citations.
Mentions: The OVID search yielded 4,216 citations (Additional file 3) and we identified 248 additional references through LILACS. We excluded duplicated studies, conference proceedings, studies not conducted in Europe, and those that did not present specific findings related to HAs in their abstract. We also excluded studies focused on Tripanosoma Cruzi/Chagas disease, which is highly prevalent in some HA populations [5], because at least 9 previous systematic reviews have already examined this topic [6-14]. Taking into account the conceptual difficulties related to grouping HA migrants as an analytical category and the conundrums of defining who is a “migrant” [15] we pragmatically considered “HA migrants in Europe” as persons born in any Spanish-speaking country situated in Central-South America/Caribbean, who are currently residing or have ever resided in any European country. The complete citation screening process was conducted by the first author (MR). A second researcher (JML) screened independently 5% of the references retrieved and a 99% agreement resulted from this exercise. The process for selecting studies is described in Figure 1.Figure 1

Bottom Line: We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence.Our results are also constrained by the availability and varying quality of studies reviewed.Burgeoning research has produced some consistent findings but there are huge gaps in knowledge.

View Article: PubMed Central - PubMed

Affiliation: ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB) Hospital Clínic, Universitat de Barcelona, Rosselló 132, 4th floor, 08036, Barcelona, Spain. maria.roura@cresib.cat.

ABSTRACT

Background: Policy makers and health practitioners are in need of guidance to respond to the growing geographic mobility of Hispano-American migrants in Europe. Drawing from contributions from epidemiology, social sciences, demography, psychology, psychiatry and economy, this scoping review provides an up-to-date and comprehensive synthesis of studies addressing the health status and determinants of this population. We describe major research gaps and suggest specific avenues of further inquiry.

Methods: We identified systematically papers that addressed the concepts "health" and "Hispano Americans" indexed in five data bases from Jan 1990 to May 2014 with no language restrictions. We screened the 4,464 citations retrieved against exclusion criteria and classified 193 selected references in 12 thematic folders with the aid of the reference management software ENDNOTE X6. After reviewing the full text of all papers we extracted relevant data systematically into a table template to facilitate the synthesising process.

Results: Most studies focused on a particular disease, leaving unexplored the interlinkages between different health conditions and how these relate to legislative, health services, environmental, occupational, and other health determinants. We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence. Few studies adopted a trans-national perspective and many consisted of cross-sectional descriptions that considered "Hispano-Americans" as a homogeneous category, limiting our analysis. Our results are also constrained by the availability and varying quality of studies reviewed.

Conclusions: Burgeoning research has produced some consistent findings but there are huge gaps in knowledge. To prevent unhelpful generalisations we need a more holistic and nuanced understanding of how mobility, ethnicity, income, gender, legislative status, employment status, working conditions, neighbourhood characteristics and social status intersect with demographic variables and policy contexts to influence the health of the diverse Hispano-American populations present in Europe.

Show MeSH
Related in: MedlinePlus