虽然跨国社会联系和交流是移民研究的核心问题,健康研究人员经常忽视它们的重要性。在跨国网络内进行持续和循环的信息交流,也被定义为社会汇款,促进创新的传播,有可能推动当代社会和文化变革。对健康的影响,幸福,寻求护理很重要,但是研究不足,需要考虑的尺寸。我们进行了系统的叙述性证据综合,以描述该领域的知识现状,并确定卫生研究人员的差距和未来方向。在2017年4月至2019年5月之间,Medline进行了一系列迭代搜索,Embase,PsycINFO和PubMed,再加上反向和正向引文搜索,确定了1173篇潜在论文。筛选结果包括36篇论文,18个关注移民人口,18个关注落后的人。三大健康主题是寻求健康策略,性健康和生殖健康问题,和医疗保健支持。And,虽然并不总是明确地确定,心理健康和福祉进一步突出,交叉主题。关于移民人口的文章都是在全球北方发表的,18篇中有13篇使用了定性方法。确定了五个主要主题:持续社会关系的治疗效果,破坏了社会关系,医疗保健的混合,促进与医疗保健提供者的联系,以及鼓励或破坏跨国社会交流的因素。与落后的人有关的论文主要集中在全球南方,并采用了定性和定量方法。确定了四个主要主题:跨国转让与健康有关的建议,规范,移徙者与健康行为/结果之间的联系;健康知识的跨国集体转让;交流中的权力和阻力。调查结果表明,跨国社会交流既可以支持也可以损害移民和留守者的健康。这项审查证实,必须增加该领域研究的数量和质量,以便通过更好地了解这些对移民和留守者健康的重要影响,从而为卫生政策和实践提供信息。
While transnational social ties and exchanges are a core concern within migration studies, health researchers have often overlooked their importance. Continuous and circular exchanges of information within transnational networks, also defined as social remittances, facilitate the diffusion of innovations, potentially driving contemporary social and cultural change. Influences on health, wellbeing, and care-seeking are important, but under-researched, dimensions for consideration. We undertook a systematic narrative evidence synthesis to describe the current state of knowledge in this area and to identify gaps and future directions for health researchers to take. Between April 2017 and May 2019, an iterative series of searches in Medline, Embase, PsycINFO and PubMed, plus backward and forward citation searches identified 1173 potential papers. Screening resulted in 36 included papers, eighteen focused on migrant populations and eighteen on those who remain behind. The top three health topics were health-seeking strategies, sexual and reproductive health issues, and healthcare support. And, while not always explicitly identified, mental health and wellbeing was a further prominent, cross-cutting theme. Articles on migrant populations were all conducted in the global North and 13 out of 18 used qualitative methods. Five main themes were identified: therapeutic effect of the continuing social relationships, disrupted social relationships, hybridisation of healthcare, facilitation of connections to healthcare providers, and factors encouraging or undermining transnational social exchanges. Papers concerned with those who remain behind were mainly focused on the global South and used a mix of qualitative and quantitative approaches. Four main themes were identified: transnational transfer of health-related advice, norms, and support; associations between migrant linkages and health behaviours/outcomes; transnational collective transfer of health knowledge; and power and resistance in exchanges. Findings suggest that transnational social exchanges can both support and undermine the health of migrants and those who remain behind. This
review confirms that the volume and quality of research in this area must be increased so that health policy and practice can be informed by a better understanding of these important influences on the health of both migrants and those who remain behind.