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针对高收入国家中来自文化和语言背景多样化的移民的住房和心理健康问题的公共卫生干预措施:范围综述。

Public Health Interventions to Address Housing and Mental Health amongst Migrants from Culturally and Linguistically Diverse Backgrounds Living in High-Income Countries: A Scoping Review.

机构信息

Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Perth, WA 6845, Australia.

School of Population Health, Curtin University, Perth, WA 6845, Australia.

出版信息

Int J Environ Res Public Health. 2022 Dec 16;19(24):16946. doi: 10.3390/ijerph192416946.

Abstract

Migrants from culturally and linguistically diverse (CaLD) backgrounds experience factors that may increase health inequities related to a range of determinants of health including housing and mental health. However, the intersection between mental health and housing for migrants is poorly understood. A scoping review searched four academic databases for concepts related to cultural and linguistic diversity, housing conditions, and public health interventions to address homelessness. A total of 49 articles were included and seven key themes identified: housing provision; mental health intersections and interventions; complexity and needs beyond housing; substance use; service provider and policy issues; the role of cultural and linguistic diversity; and consumer experience. The intersection of ethnicity with other social determinants of health and housing was highlighted though there were limited interventions tailored for migrants. Studies generally pointed to the positive impacts of Housing First. Other sub-themes emerged: social connection and community; shame, stigma, and discrimination; health and support requirements; and employment, financial assistance, and income. Consumer choice was identified as vital, along with the need for systemic anti-racism work and interventions. To support secure housing for migrants and mitigate mental health impacts, closer attention is required towards migration factors along with broader, tailored services complementing housing provision.

摘要

文化和语言多样化(CaLD)背景的移民经历了一些可能会增加与健康决定因素相关的健康不平等的因素,包括住房和心理健康。然而,移民的心理健康和住房之间的交集却知之甚少。一项范围界定审查在四个学术数据库中搜索了与文化和语言多样性、住房条件和公共卫生干预措施以解决无家可归问题相关的概念。共纳入了 49 篇文章,并确定了七个关键主题:住房供应;心理健康的交集和干预;超越住房的复杂性和需求;物质使用;服务提供者和政策问题;文化和语言多样性的作用;以及消费者体验。尽管针对移民的干预措施有限,但种族与其他健康和住房社会决定因素的交集被强调了。研究普遍指出优先考虑“无家可归者先住”的积极影响。其他子主题也出现了:社会联系和社区;羞耻、耻辱和歧视;健康和支持需求;以及就业、财务援助和收入。人们认为消费者的选择至关重要,还需要开展系统的反种族主义工作和干预措施。为了支持移民获得安全住房并减轻心理健康的影响,需要更加关注移民因素,以及提供更广泛的、针对移民的服务来补充住房供应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ba/9778908/b3706c9f6539/ijerph-19-16946-g001.jpg

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