The Impact of Stigma and Discrimination-based Narratives in the Health of Migrants in Latin America and the Caribbean: a Scoping Review

Overview

Journal Lancet Reg Health Am

Date 2025 Jan 7

PMID 39763497

Authors

Baltica Cabieses

Karoline Belo

Alejandra Carreno Calderon

Isabel Rada

Karol Rojas

Candelaria Araoz

Michael Knipper

Affiliations

Soon will be listed here.

Abstract

Stigma and discrimination-based narratives have been associated with adverse health outcomes. Migrants and refugees face multiple barriers to accessing healthcare, influenced by stigma and discrimination-based narratives against them. We conducted a scoping review of scientific and grey literature (n = 61) to discuss available evidence in Latin America and the Caribbean (LAC) concerning communication and narrative speeches related to international migration and its implications for population health, particularly when associated with stigma and discrimination against migrants and refugees. We found that a better understanding how communication and narratives might affect migrants' experience while transiting or residing in a different country is valuable for public health and health systems performance aims. Our review depicts the multilevel and dynamic effects of stigma and discrimination-based narratives against migrants in Latin America, highlighting the urgent need for transformative and constructive social and healthcare narratives around migration to promote population health in the region.

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References

Mazzalai E, Giannini D, Tosti M, DAngelo F, Declich S, Jaljaa A . Risk of Covid-19 Severe Outcomes and Mortality in Migrants and Ethnic Minorities Compared to the General Population in the European WHO Region: a Systematic Review. J Int Migr Integr. 2023; :1-31. PMC: 9833641. DOI: 10.1007/s12134-023-01007-x. View

Viruell-Fuentes E, Miranda P, Abdulrahim S . More than culture: structural racism, intersectionality theory, and immigrant health. Soc Sci Med. 2012; 75(12):2099-106. DOI: 10.1016/j.socscimed.2011.12.037. View

Firat M, Ataca B . Toward whom does intergroup contact reduce prejudice? Exploring national majorities' prejudice toward ethnic and migrant minorities. J Soc Psychol. 2022; 163(4):537-553. DOI: 10.1080/00224545.2021.2023085. View

Daar D, Alvarez-Estrada M, Alpert A . The Latino Physician Shortage: How the Affordable Care Act Increases the Value of Latino Spanish-Speaking Physicians and What Efforts Can Increase Their Supply. J Racial Ethn Health Disparities. 2017; 5(1):170-178. DOI: 10.1007/s40615-017-0354-0. View

Knipper M . [Beyond the indigenous: health and interculturality at the global level]. Rev Peru Med Exp Salud Publica. 2010; 27(1):94-101. DOI: 10.1590/s1726-46342010000100014. View

Cantero P, Richardson J, Baezconde-Garbanati L, Marks G . The association between acculturation and health practices among middle-aged and elderly Latinas. Ethn Dis. 1999; 9(2):166-80. View

Florack A, Piontkowski U, Rohmann A, Balzer T, Perzig S . Perceived intergroup threat and attitudes of host community members toward immigrant acculturation. J Soc Psychol. 2003; 143(5):633-48. DOI: 10.1080/00224540309598468. View

Urzua A, Leiva-Gutierrez J, Caqueo-Urizar A, Vera-Villarroel P . Rooting mediates the effect of stress by acculturation on the psychological well-being of immigrants living in Chile. PLoS One. 2019; 14(8):e0219485. PMC: 6692025. DOI: 10.1371/journal.pone.0219485. View

Peterson C, Poudel-Tandukar K, Sanger K, Jacelon C . Improving Mental Health in Refugee Populations: A Review of Intervention Studies Conducted in the United States. Issues Ment Health Nurs. 2020; 41(4):271-282. DOI: 10.1080/01612840.2019.1669748. View

10.

Mak J, Roberts B, Zimmerman C . Coping with Migration-Related Stressors: A Systematic Review of the Literature. J Immigr Minor Health. 2020; 23(2):389-404. DOI: 10.1007/s10903-020-00996-6. View

11.

Bansal N, Karlsen S, Sashidharan S, Cohen R, Chew-Graham C, Malpass A . Understanding ethnic inequalities in mental healthcare in the UK: A meta-ethnography. PLoS Med. 2022; 19(12):e1004139. PMC: 9746991. DOI: 10.1371/journal.pmed.1004139. View

12.

Lopez-Maya E, Olmstead R, Irwin M . Mindfulness meditation and improvement in depressive symptoms among Spanish- and English speaking adults: A randomized, controlled, comparative efficacy trial. PLoS One. 2019; 14(7):e0219425. PMC: 6611613. DOI: 10.1371/journal.pone.0219425. View

13.

Cabieses B, Galvez P, Ajraz N . [International migration and health: the contribution of migration social theories to public health decisions]. Rev Peru Med Exp Salud Publica. 2018; 35(2):285-291. DOI: 10.17843/rpmesp.2018.352.3102. View

14.

Tricco A, Lillie E, Zarin W, OBrien K, Colquhoun H, Kastner M . A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol. 2016; 16:15. PMC: 4746911. DOI: 10.1186/s12874-016-0116-4. View

15.

Blukacz A, Calderon A, Obach A, Cabieses B, Peroncini J, Oliva A . Perceptions of Health Needs among Venezuelan Women Crossing the Border in Northern Chile during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022; 19(22). PMC: 9690325. DOI: 10.3390/ijerph192215175. View

16.

Lee C, Colby S, Magill M, Almeida J, Tavares T, Rohsenow D . A randomized controlled trial of culturally adapted motivational interviewing for Hispanic heavy drinkers: Theory of adaptation and study protocol. Contemp Clin Trials. 2016; 50:193-200. PMC: 5063031. DOI: 10.1016/j.cct.2016.08.013. View

17.

Urzua A, Caqueo-Urizar A, Henriquez D, Williams D . Discrimination and Health: The Mediating Effect of Acculturative Stress. Int J Environ Res Public Health. 2021; 18(10). PMC: 8156443. DOI: 10.3390/ijerph18105312. View

18.

Pandi-Perumal S, Abumuamar A, Spence D, Chattu V, Moscovitch A, BaHammam A . Racial/Ethnic and Social Inequities in Sleep Medicine: The Tip of the Iceberg?. J Natl Med Assoc. 2017; 109(4):279-286. DOI: 10.1016/j.jnma.2017.04.005. View

19.

Navodia N, Wahoush O, Tang T, Yost J, Ibrahim S, Sherifali D . Culturally Tailored Self-Management Interventions for South Asians With Type 2 Diabetes: A Systematic Review. Can J Diabetes. 2019; 43(6):445-452. DOI: 10.1016/j.jcjd.2019.04.010. View

20.

Juarez-Ramirez C, Marquez-Serrano M, Salgado de Snyder N, Pelcastre-Villafuerte B, Ruelas-Gonzalez M, Reyes-Morales H . [Health inequality among vulnerable groups in Mexico: older adults, indigenous people, and migrants]. Rev Panam Salud Publica. 2014; 35(4):284-90. View