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Reversing the stigma towards international migrants: The role of public health professionals

Year 2021, Early Pub Special Issue: 4, 7 - 12, 30.05.2021
https://doi.org/10.5472/marumj.854327

Abstract

Objective: Stigma is one of the most significant challenges that international migrants face in their host societies. Stigma can exist at
individual, interpersonal, and structural levels, and studies show that stigma towards migrants occur everywhere around the world
with varying degrees. This study aimed to review existing literature on health effects of stigma towards international migrants and
the role public health professionals can play to reduce stigma and its negative health outcomes for both economic and forced migrant
populations.
Materials and Methods: This narrative review was prepared by searching existing scientific literature in English and Turkish, in
addition to available international reports and guidelines on best practices aiming to reduce stigma towards international migrants
and its detrimental effects on migrant health.
Results: Stigma and discrimination remain significant public health challenges across diverse cultural environments and have
detrimental effects on mental, social and physical health. International migrants usually face double burden in accessing health care
due to language, economic, legal, structural, and other barriers, which are excacerbated by stigma and discrimination in health care
settings.
Conclusion: Reversing the stigma towards international migrants requires multifaceted, multisectoral and long-term efforts, which
should have social, cultural, educational, legal and institutional dimensions. Public health professionals have a strong potential to lead
such joint initiatives at the local, national and global level. Targeted interventions for key professional groups are essential, however,
wider educational interventions that start in pre-school years and aim to build more inclusive societies in a more sustainable way
seem more crucial.

References

  • UNHCR Global Appeal 2018-2019. Accessed from https:// www.unhcr.org/en-us/publications/fundraising/5a0c05027/ unhcr-global-appeal-2018-2019-full-report.html on 10 September 2019.
  • Karadag O, Altintas KH. Refugees and health. TAF Prev Med Bull 2010; 9(1): 55-62.
  • Link BG, Phelan JC. Conceptualizing stigma. Annual Review of Sociology. 2001;27:363-85. doi:10.1146/annurev. soc.27.1.363.
  • Türkiye’de Çocuğa Karşı Ayırımcılık Raporu. Gündem Çocuk Derneği Çocuk Hakları İzleme Raporları – 04. Ankara: Gündem Çocuk Derneği, 2014.
  • Hatzenbuehler ML. Structural stigma: Research evidence and implications for psychological science. Am Psychol 2016;71[8]:742-51. doi:10.1037/amp0000068
  • Hatzenbuehler ML, Bellatorre A, Lee Y, Finch BK, Muennig P, Fiscella K. Structural stigma and all-cause mortality in sexual minority populations. Soc Sci Med 2014; 103:33-41.
  • Quinn DM, Chaudoir SR. Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and Health. J Pers Soc Psychol 2009;97:634-51. doi:10.1037/a0015815.
  • Youth Friendly Health Services in Humanitarian Settings: Training Manual for Service Providers. Eds: Karadag Caman O. Ankara: UNFPA, Y-PEER Turkey, 2017.
  • Mason T, Carlisle C, Watkins C, Whitehead E (Eds). Stigma and social exclusion in healthcare. London: Routledge, 2001.
  • Eccleston, Collette P. The psychological and physical health effects of stigma: the role of self-threats. Soc Personal Psychol Compass 2008; 2:1345-61.
  • Cabieses B, Bird P. Glossary of access to health care and related concepts for low – and middle-income countries (LMICs): a critical review of international literature. Int J Health Serv 2014;44:845-61.
  • Karadag Caman O. Mental health as a priority for public health, and a non-priority for policy makers and refugee populations. M8 Alliance Expert Meeting Migrant and Refugee Health, Sapienza University of Rome, June 2019.
  • Li J, Rose N. Urban social exclusion and mental health of China’s rural-urban migrants – A review and call for research. Health Place 2017;48:20-30. doi: 10.1016/j.healthplace.2017.08.009. Epub 2017 Sep 23.
  • Levison JH, Bogart LM, Khan IF, et al. . “Where It Falls Apart”: Barriers to retention in HIV care in latino immigrants and migrants. AIDS Patient Care STDS. 2017 ;31:394-405. doi: 10.1089/apc.2017.0084.
  • Chen X, Stanton B, Kaljee LM, et al. Social stigma, social capital reconstruction and rural migrants in urban China: A population health perspective. Hum Organ 2011;70:22-32.
  • Reijneveld SA. Ethnic differences in health and use of health care: the questions to be answered. Int J Public Health 2010; 55:353-5.
  • Sousa E, Agudelo-Suárez A, Benavides FG, et al. Int J Public Health 2010; 55: 443. https://doi.org/10.1007/ s00038.010.0141-8
  • Razum O, Spallek J. Addressing health-related interventions to immigrants: migrant-specific or diversity-sensitive? Int J Public Health 2014; 59:893-5. [ Karadag Caman O, Uner S. Future physicians` empathic tendency and approach for some community groups. 16th National Public Health Congress, 27-31 October 2013, Antalya/Turkey.
  • Karabey S, Özgülnar N, Deryol Nacar D, Bayramlar O.F. Tıp eğitiminde bir pencere: halk sağlığı, savunmasız gruplar, toplum ve hekim seçmeli staj programı. 19. Ulusal Halk Sağlığı Kongresi, 15-19 Mart 2017, Antalya. Kongre Kitabı, 2017:397-398.
  • Karadag Caman O, Başar K, Mihciokur S. Training of healthcare professionals to reduce stigma and discrimination towards minorities in Turkey. Eur J Public Health 2018, 28 (suppl. 4):269. 11th European Public Health Conference, 28 Nov-1 Dec 2018, Ljubljana/Slovenia. doi: 10.1093/eurpub/ cky213.791
  • Penn DL, Couture SM. Strategies for reducing stigma toward persons with mental illness. World Psychiatry 2002;1:20-1.
  • Reducing Stigma and Discrimination Related to HIV and AIDS: Training for Health Care Workers (Participant’s Handbook). New York: EngenderHealth, 2004.
  • Side by Side Project, Bir IZ Association. Accessed from http//:http://www.yanyana.biz/ on 6 July 2019.
  • Makowski AC, von dem Knesebeck O. Depression stigma and migration – results of a survey from Germany. BMC Psychiatry. 2017 Nov 29;17:381. doi: 10.1186/s12888.017.1549-y.
  • Larkin M. Vulnerable groups in health and social care. London: Sage Publications, 2009.
  • Asi YM, Williams C. The role of digital health in making progress toward Sustainable Development Goal (SDG) 3 in conflictaffected populations. Int J Med Inform 2018; 114: 114-20.
Year 2021, Early Pub Special Issue: 4, 7 - 12, 30.05.2021
https://doi.org/10.5472/marumj.854327

Abstract

References

  • UNHCR Global Appeal 2018-2019. Accessed from https:// www.unhcr.org/en-us/publications/fundraising/5a0c05027/ unhcr-global-appeal-2018-2019-full-report.html on 10 September 2019.
  • Karadag O, Altintas KH. Refugees and health. TAF Prev Med Bull 2010; 9(1): 55-62.
  • Link BG, Phelan JC. Conceptualizing stigma. Annual Review of Sociology. 2001;27:363-85. doi:10.1146/annurev. soc.27.1.363.
  • Türkiye’de Çocuğa Karşı Ayırımcılık Raporu. Gündem Çocuk Derneği Çocuk Hakları İzleme Raporları – 04. Ankara: Gündem Çocuk Derneği, 2014.
  • Hatzenbuehler ML. Structural stigma: Research evidence and implications for psychological science. Am Psychol 2016;71[8]:742-51. doi:10.1037/amp0000068
  • Hatzenbuehler ML, Bellatorre A, Lee Y, Finch BK, Muennig P, Fiscella K. Structural stigma and all-cause mortality in sexual minority populations. Soc Sci Med 2014; 103:33-41.
  • Quinn DM, Chaudoir SR. Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and Health. J Pers Soc Psychol 2009;97:634-51. doi:10.1037/a0015815.
  • Youth Friendly Health Services in Humanitarian Settings: Training Manual for Service Providers. Eds: Karadag Caman O. Ankara: UNFPA, Y-PEER Turkey, 2017.
  • Mason T, Carlisle C, Watkins C, Whitehead E (Eds). Stigma and social exclusion in healthcare. London: Routledge, 2001.
  • Eccleston, Collette P. The psychological and physical health effects of stigma: the role of self-threats. Soc Personal Psychol Compass 2008; 2:1345-61.
  • Cabieses B, Bird P. Glossary of access to health care and related concepts for low – and middle-income countries (LMICs): a critical review of international literature. Int J Health Serv 2014;44:845-61.
  • Karadag Caman O. Mental health as a priority for public health, and a non-priority for policy makers and refugee populations. M8 Alliance Expert Meeting Migrant and Refugee Health, Sapienza University of Rome, June 2019.
  • Li J, Rose N. Urban social exclusion and mental health of China’s rural-urban migrants – A review and call for research. Health Place 2017;48:20-30. doi: 10.1016/j.healthplace.2017.08.009. Epub 2017 Sep 23.
  • Levison JH, Bogart LM, Khan IF, et al. . “Where It Falls Apart”: Barriers to retention in HIV care in latino immigrants and migrants. AIDS Patient Care STDS. 2017 ;31:394-405. doi: 10.1089/apc.2017.0084.
  • Chen X, Stanton B, Kaljee LM, et al. Social stigma, social capital reconstruction and rural migrants in urban China: A population health perspective. Hum Organ 2011;70:22-32.
  • Reijneveld SA. Ethnic differences in health and use of health care: the questions to be answered. Int J Public Health 2010; 55:353-5.
  • Sousa E, Agudelo-Suárez A, Benavides FG, et al. Int J Public Health 2010; 55: 443. https://doi.org/10.1007/ s00038.010.0141-8
  • Razum O, Spallek J. Addressing health-related interventions to immigrants: migrant-specific or diversity-sensitive? Int J Public Health 2014; 59:893-5. [ Karadag Caman O, Uner S. Future physicians` empathic tendency and approach for some community groups. 16th National Public Health Congress, 27-31 October 2013, Antalya/Turkey.
  • Karabey S, Özgülnar N, Deryol Nacar D, Bayramlar O.F. Tıp eğitiminde bir pencere: halk sağlığı, savunmasız gruplar, toplum ve hekim seçmeli staj programı. 19. Ulusal Halk Sağlığı Kongresi, 15-19 Mart 2017, Antalya. Kongre Kitabı, 2017:397-398.
  • Karadag Caman O, Başar K, Mihciokur S. Training of healthcare professionals to reduce stigma and discrimination towards minorities in Turkey. Eur J Public Health 2018, 28 (suppl. 4):269. 11th European Public Health Conference, 28 Nov-1 Dec 2018, Ljubljana/Slovenia. doi: 10.1093/eurpub/ cky213.791
  • Penn DL, Couture SM. Strategies for reducing stigma toward persons with mental illness. World Psychiatry 2002;1:20-1.
  • Reducing Stigma and Discrimination Related to HIV and AIDS: Training for Health Care Workers (Participant’s Handbook). New York: EngenderHealth, 2004.
  • Side by Side Project, Bir IZ Association. Accessed from http//:http://www.yanyana.biz/ on 6 July 2019.
  • Makowski AC, von dem Knesebeck O. Depression stigma and migration – results of a survey from Germany. BMC Psychiatry. 2017 Nov 29;17:381. doi: 10.1186/s12888.017.1549-y.
  • Larkin M. Vulnerable groups in health and social care. London: Sage Publications, 2009.
  • Asi YM, Williams C. The role of digital health in making progress toward Sustainable Development Goal (SDG) 3 in conflictaffected populations. Int J Med Inform 2018; 114: 114-20.
There are 26 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Review Article
Authors

Ozge Karadag Caman This is me

Selma Karabey This is me

Publication Date May 30, 2021
Published in Issue Year 2021 Early Pub Special Issue: 4

Cite

APA Karadag Caman, O., & Karabey, S. (n.d.). Reversing the stigma towards international migrants: The role of public health professionals. Marmara Medical Journal, 34(2), 7-12. https://doi.org/10.5472/marumj.854327
AMA Karadag Caman O, Karabey S. Reversing the stigma towards international migrants: The role of public health professionals. Marmara Med J. 34(2):7-12. doi:10.5472/marumj.854327
Chicago Karadag Caman, Ozge, and Selma Karabey. “Reversing the Stigma towards International Migrants: The Role of Public Health Professionals”. Marmara Medical Journal 34, no. 2 n.d.: 7-12. https://doi.org/10.5472/marumj.854327.
EndNote Karadag Caman O, Karabey S Reversing the stigma towards international migrants: The role of public health professionals. Marmara Medical Journal 34 2 7–12.
IEEE O. Karadag Caman and S. Karabey, “Reversing the stigma towards international migrants: The role of public health professionals”, Marmara Med J, vol. 34, no. 2, pp. 7–12, doi: 10.5472/marumj.854327.
ISNAD Karadag Caman, Ozge - Karabey, Selma. “Reversing the Stigma towards International Migrants: The Role of Public Health Professionals”. Marmara Medical Journal 34/2 (n.d.), 7-12. https://doi.org/10.5472/marumj.854327.
JAMA Karadag Caman O, Karabey S. Reversing the stigma towards international migrants: The role of public health professionals. Marmara Med J.;34:7–12.
MLA Karadag Caman, Ozge and Selma Karabey. “Reversing the Stigma towards International Migrants: The Role of Public Health Professionals”. Marmara Medical Journal, vol. 34, no. 2, pp. 7-12, doi:10.5472/marumj.854327.
Vancouver Karadag Caman O, Karabey S. Reversing the stigma towards international migrants: The role of public health professionals. Marmara Med J. 34(2):7-12.