Department of Anthropology, University of South Florida, Tampa, Florida 33620; email:
Annu Rev Public Health. 2015 Mar 18;36:375-92. doi: 10.1146/annurev-publhealth-032013-182419. Epub 2014 Dec 10.
Although immigration and immigrant populations have become increasingly important foci in public health research and practice, a social determinants of health approach has seldom been applied in this area. Global patterns of morbidity and mortality follow inequities rooted in societal, political, and economic conditions produced and reproduced by social structures, policies, and institutions. The lack of dialogue between these two profoundly related phenomena-social determinants of health and immigration-has resulted in missed opportunities for public health research, practice, and policy work. In this article, we discuss primary frameworks used in recent public health literature on the health of immigrant populations, note gaps in this literature, and argue for a broader examination of immigration as both socially determined and a social determinant of health. We discuss priorities for future research and policy to understand more fully and respond appropriately to the health of the populations affected by this global phenomenon.
尽管移民和移民人口已成为公共卫生研究和实践中越来越重要的焦点,但健康的社会决定因素方法在这一领域很少得到应用。发病率和死亡率的全球模式遵循社会结构、政策和机构产生和再现的社会、政治和经济条件造成的不平等现象。这两个密切相关的现象——健康的社会决定因素和移民——之间缺乏对话,导致错失了公共卫生研究、实践和政策工作的机会。在本文中,我们讨论了最近关于移民人口健康的公共卫生文献中使用的主要框架,指出了这一文献中的差距,并主张更广泛地研究移民既是社会决定的,也是健康的社会决定因素。我们讨论了未来研究和政策的优先事项,以更全面地了解和适当地应对受这一全球现象影响的人群的健康。