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International migration and health: it is time to go beyond conventional theoretical frameworks
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Karolinska Institute, Sweden; Eastern University Bangladesh, Bangladesh.ORCID iD: 0000-0002-9078-419X
Number of Authors: 12020 (English)In: BMJ Global Health, E-ISSN 2059-7908, Vol. 5, no 2, article id e001938Article in journal (Refereed) Published
Abstract [en]

The large-scale international migration in the 21st century has emerged as a major threat to the global health equity movement. Not only has the volume of migration substantially increased but also the patterns of migration have become more complex. This paper began by focusing on the drivers of international migration and how health inequalities are linked to migration. Situating migration within the broader structural contexts, the paper calls for using the unharnessed potential of the intersectionality framework to advance immigrant health research. Despite coming from poorer socioeconomic backgrounds and facing disparities in the host society, the immigrants are often paradoxically shown to be healthier than the native population, although this health advantage diminishes over time. Studies on immigrant health, however, are traditionally informed by the acculturation framework which holds the assimilation of unhealthy lifestyles primarily responsible for immigrant health deterioration, diverting the attention away from the structural factors. Although the alternative structural framework came up with the promise to explore the structural factors, it is criticised for an overwhelming focus on access to healthcare and inadequate attention to institutional and societal contexts. However, the heterogeneity of the immigrant population across multiple dimensions of vulnerability demands a novel approach that can bring to the fore both premigratory and postmigratory contextual factors and adequately capture the picture of immigrant health. The paper concludes by questioning the acculturation perspective and pushing the structural paradigm to embrace the intersectionality framework which has the potential to address a wide range of vulnerabilities that intersect to produce health inequalities among the immigrants.

Place, publisher, year, edition, pages
2020. Vol. 5, no 2, article id e001938
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:su:diva-182922DOI: 10.1136/bmjgh-2019-001938ISI: 000527707600006PubMedID: 32180999OAI: oai:DiVA.org:su-182922DiVA, id: diva2:1447300
Available from: 2020-06-25 Created: 2020-06-25 Last updated: 2025-02-20Bibliographically approved

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Hossin, Muhammad Zakir

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