Cabieses Baltica, Belo Karoline, Calderón Alejandra Carreño, Rada Isabel, Rojas Karol, Araoz Candelaria, Knipper Michael
Centro de Salud Global Intercultural (CESGI), ICIM Facultad de Medicina Clínica Alemana, Facultad de Psicología, Universidad del Desarrollo, Avenida Plaza 680 Edificio O ICIM UDD, Las Condes, Santiago, Chile.
Department of Health Sciences, University of York, England; Seebohm Rowntree Building University of York, Heslington, York, YO10 5DD, UK.
Lancet Reg Health Am. 2024 Jan 5;40:100660. doi: 10.1016/j.lana.2023.100660. eCollection 2024 Dec.
Stigma and discrimination-based narratives have been associated with adverse health outcomes. Migrants and refugees face multiple barriers to accessing healthcare, influenced by stigma and discrimination-based narratives against them. We conducted a scoping review of scientific and grey literature (n = 61) to discuss available evidence in Latin America and the Caribbean (LAC) concerning communication and narrative speeches related to international migration and its implications for population health, particularly when associated with stigma and discrimination against migrants and refugees. We found that a better understanding how communication and narratives might affect migrants' experience while transiting or residing in a different country is valuable for public health and health systems performance aims. Our review depicts the multilevel and dynamic effects of stigma and discrimination-based narratives against migrants in Latin America, highlighting the urgent need for transformative and constructive social and healthcare narratives around migration to promote population health in the region.
基于污名和歧视的叙述与不良健康结果相关联。移民和难民在获得医疗保健方面面临多重障碍，这受到针对他们的基于污名和歧视的叙述的影响。我们对科学文献和灰色文献（n = 61）进行了范围审查，以讨论拉丁美洲和加勒比地区（LAC）关于与国际移民及其对人口健康影响相关的沟通和叙述性演讲的现有证据，特别是当涉及对移民和难民的污名和歧视时。我们发现，更好地理解沟通和叙述如何影响移民在过境或居住在不同国家时的经历，对于公共卫生和卫生系统绩效目标具有重要价值。我们的审查描绘了拉丁美洲针对移民的基于污名和歧视的叙述的多层次和动态影响，强调迫切需要围绕移民形成变革性和建设性的社会及医疗叙述，以促进该地区的人口健康。
