Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.

<h4>Objectives</h4>The review aimed to synthesise recent evidence on health service use and health outcomes among international migrant workers, compared with non-migrant workers.<h4>Methods</h4>A search was carried out in MEDLINE, PubMed, Embase, and CINAHL for studies publi...

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Autores principales:	Frank Pega, Srinivasan Govindaraj, Nguyen Toan Tran
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f4c518cd310745c19f717c9324339161
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spelling	oai:doaj.org-article:f4c518cd310745c19f717c93243391612021-12-02T20:10:51ZHealth service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.1932-620310.1371/journal.pone.0252651https://doaj.org/article/f4c518cd310745c19f717c93243391612021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252651https://doaj.org/toc/1932-6203<h4>Objectives</h4>The review aimed to synthesise recent evidence on health service use and health outcomes among international migrant workers, compared with non-migrant workers.<h4>Methods</h4>A search was carried out in MEDLINE, PubMed, Embase, and CINAHL for studies published between Jan 1, 2010, and Feb 29, 2020. Included outcomes were: occupational health service use, fatal occupational injury, HIV, and depression. Two authors independently screened records, extracted data, assessed risk of bias and judged quality of evidence. We meta-analysed estimates and conducted subgroup analyses by sex, geographical origin, geographical destination, and regularity of migration.<h4>Results</h4>Twenty-one studies were included comprising >17 million participants in 16 countries. Most studies investigated regular migrant workers in high-income destination countries. Compared with non-migrant workers, migrant workers were less likely to use health services (relative risk 0·55, 95% confidence interval 0·41 to 0·73, 4 studies, 3,804,131 participants, I2 100%, low quality of evidence). They more commonly had occupational injuries (1·27, 95% confidence interval 1·11 to 1·45, 7 studies, 17,100,626 participants, I2 96%, low quality of evidence). Relative risks differed by geographical origin and/or destination. There is uncertainty (very low quality of evidence) about occupational health service use (0 studies), fatal occupational injuries (5 studies, N = 14,210,820), HIV (3 studies, N = 13,775), and depression (2 studies, N = 7,512).<h4>Conclusions</h4>Migrant workers may be less likely than non-migrant workers to use health services and more likely to have occupational injuries. More research is required on migrant workers from and in low- and middle-income countries, across migration stages, migrating irregularly, and in the informal economy.Frank PegaSrinivasan GovindarajNguyen Toan TranPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252651 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Frank Pega Srinivasan Govindaraj Nguyen Toan Tran Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.
description	<h4>Objectives</h4>The review aimed to synthesise recent evidence on health service use and health outcomes among international migrant workers, compared with non-migrant workers.<h4>Methods</h4>A search was carried out in MEDLINE, PubMed, Embase, and CINAHL for studies published between Jan 1, 2010, and Feb 29, 2020. Included outcomes were: occupational health service use, fatal occupational injury, HIV, and depression. Two authors independently screened records, extracted data, assessed risk of bias and judged quality of evidence. We meta-analysed estimates and conducted subgroup analyses by sex, geographical origin, geographical destination, and regularity of migration.<h4>Results</h4>Twenty-one studies were included comprising >17 million participants in 16 countries. Most studies investigated regular migrant workers in high-income destination countries. Compared with non-migrant workers, migrant workers were less likely to use health services (relative risk 0·55, 95% confidence interval 0·41 to 0·73, 4 studies, 3,804,131 participants, I2 100%, low quality of evidence). They more commonly had occupational injuries (1·27, 95% confidence interval 1·11 to 1·45, 7 studies, 17,100,626 participants, I2 96%, low quality of evidence). Relative risks differed by geographical origin and/or destination. There is uncertainty (very low quality of evidence) about occupational health service use (0 studies), fatal occupational injuries (5 studies, N = 14,210,820), HIV (3 studies, N = 13,775), and depression (2 studies, N = 7,512).<h4>Conclusions</h4>Migrant workers may be less likely than non-migrant workers to use health services and more likely to have occupational injuries. More research is required on migrant workers from and in low- and middle-income countries, across migration stages, migrating irregularly, and in the informal economy.
format	article
author	Frank Pega Srinivasan Govindaraj Nguyen Toan Tran
author_facet	Frank Pega Srinivasan Govindaraj Nguyen Toan Tran
author_sort	Frank Pega
title	Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.
title_short	Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.
title_full	Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.
title_fullStr	Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.
title_full_unstemmed	Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.
title_sort	health service use and health outcomes among international migrant workers compared with non-migrant workers: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f4c518cd310745c19f717c9324339161
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Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis.

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