Nursing Department, Universidad Autonoma de Madrid, Madrid, Spain
Instituto de Investigación Sanitaria Puerta de Hierro Segovia de Arana (IDIPHISA), Madrid, Spain.
J Epidemiol Community Health. 2024 Mar 8;78(4):263-268. doi: 10.1136/jech-2023-220670.
This essay offers an analysis of research on return migration and health by adopting the social determinants of health (SDH) framework proposed by the WHO. Specifically, we argue that the SDH are implicated in the decision to migrate, stay or return, which in itself also contributes to social health inequities. Most theoretical frameworks developed to study migration have predominantly considered primary migration movements. The lack of a fluid consideration of the migration phenomenon has a direct impact on our understanding of the relationship between migration and health. In this essay, we, first, address the challenges of defining and studying return and its implications for health research. Second, we propose to use the WHO's SDH framework to understand how social factors shape migrants' health, influence the decision to return and can contribute to health inequalities. The conceptual approach developed in this paper can help design future studies on the health of return migrants, fostering interdisciplinary collaborations to investigate how social factors are embodied, giving rise to health inequities in society that are intricately linked to the migration experience.
这篇文章采用世界卫生组织(WHO)提出的健康社会决定因素(SDH)框架,对归国移民与健康的研究进行了分析。具体而言,我们认为 SDH 与移民、留下或返回的决定有关,而这一决定本身也导致了社会健康的不平等。大多数用于研究移民的理论框架主要考虑了初次移民流动。对移民现象缺乏灵活的考虑,直接影响了我们对移民与健康之间关系的理解。在本文中,我们首先讨论了定义和研究归国及其对健康研究的影响所面临的挑战。其次,我们建议使用世卫组织的 SDH 框架来了解社会因素如何塑造移民的健康状况,影响他们归国的决定,并可能导致健康不平等。本文提出的概念方法可以帮助设计未来关于归国移民健康的研究,促进跨学科合作,研究社会因素是如何体现的,以及它们如何导致与移民经历密切相关的社会中健康的不平等。