Abstract
Identifying the opportunities and barriers of promoting and fulfilling the sexual health rights of migrants remains a challenge that requires systematic assessment. Such an assessment would include estimating the influence of acculturation processes on sexual and reproductive health, and mapping intersectional inequities that influence migrants’ sexual and reproductive health in comparison with the native population. The aim of this research was to locate, select, and critically assess/summarize scientific evidence regarding the social, cultural, and structural factors influencing migrants’ sexual and reproductive health outcomes in comparison with native population. An umbrella review of systematic reviews and/or meta-analyses, following preferred reporting items for systematic reviews and meta-analysis (PRISMA) standards was undertaken. Medline, Scopus, Web of Science, and the Cochrane Database of Systematic Reviews were searched from their start date until June 2019. The quality of the included articles was determined using the assessment of multiple systematic reviews tool (AMSTAR 2). From the 36 selected studies, only 12 compared migrant with native populations. Overall, the findings indicated that migrants tend to underuse maternal health services and have an increased risk of poor sexual and reproductive health outcomes. Specific intersectional inequities were identified and discussed.
Highlights
IntroductionThere is an unprecedented number of migrants in the world that move inside and across borders of countries for reasons that include work, resettlement, and asylum
umbrella systematic literature review (USLR) can be of importance for the understanding of the needs for intervention to address the multicultural landscape of societies
The USLR was registered with PROSPERO, the international prospective register for systematic reviews, under the following title: “Intersections of immigration and sexual and reproductive health: an umbrella systematic literature review protocol”
Summary
There is an unprecedented number of migrants in the world that move inside and across borders of countries for reasons that include work, resettlement, and asylum. In 2019, the permanent migration flow accounted for 5.3 million people, similar to the one recorded in 2018 and 2017 (Vearey et al 2020). This is a long-standing global phenomenon, the COVID-19 pandemic imposed an unprecedented consequence on migration flows in the world, with the largest drop ever recorded in issuances of new visas and permits compared to the 2019 (46% and 72% drop in the first half and second quarter of 2020, respectively)
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