Abstract

Migration is a growing phenomenon around the world, including within the African continent. Many migrants, especially African children, face challenges related to health and social inclusion and can face increased health risks. A systematic scoping review of available literature on the health of African migrant children across the globe was conducted to offer insight into these health risks. The review was conducted over a 15-month period from January 2019 to April 2020, yielding 6602 articles once duplicates were removed. This search included electronic databases, reference lists of articles reviewed, and searches of libraries of relevant organisations. A total of 187 studies met the inclusion criteria, of which 159 were quantitative, 22 were qualitative, and 6 used mixed methods. The findings reveal decreased health in this population in areas of nutrition, infectious diseases, mental health, birth outcomes, sexual and reproductive health, physical and developmental health, parasitic infections, oral health, respiratory health, preventative health, endocrine disorders, health care services, and haematological conditions. The findings offer insights into factors influencing the health of African immigrant and refugee children. Further studies, especially qualitative studies, are needed to determine barriers to service access after migration and to investigate other underexplored and overlooked health concerns of African migrant children, including pneumonia and child maltreatment.

Highlights

  • MethodsA scoping review is appropriate for identifying existing research activity on a particular topic and key research gaps [23,24]

  • Global migration is a growing phenomenon heavily influenced by global economic, social, political, and technological transformations, and climate change [1]

  • While several systematic reviews have been published on the health of immigrant and refugee children, we found none that focus on the health of African immigrant children; previous reviews often combined African immigrant children with other immigrants and lacked an in-depth analysis of their particular vulnerabilities

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Summary

Methods

A scoping review is appropriate for identifying existing research activity on a particular topic and key research gaps [23,24]. We conducted a systematic scoping review over a 15-month period from January 2019 to April 2020. This review followed the five-stage approach to scoping reviews as outlined by Arksey and O’Malley [25]: developing the research question; identifying the relevant studies; selecting the articles; data charting and data extraction; and collating, summarizing, and reporting the results. The review has been reported following the Preferred Reporting Items for Systematic Reviews and. Stage 1 aimed to refine questions on the body of evidence related to African immigrant and refugee children. Our research questions were as follows: What is the scope, range, and nature of evidence on the health of African migrant children?

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