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Skilled migration: a structural determinant of health


Vandenberg, M and Fan, S and Cooling, N and Harris, KM and Chin, J, Skilled migration: a structural determinant of health, International Journal of Migration, Health and Social Care, 15, (4) pp. 262-271. ISSN 1747-9894 (2019) [Refereed Article]

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Copyright Statement

Copyright 2019 Emerald Publishing Limited

DOI: doi:10.1108/IJMHSC-08-2018-0053


Purpose Attention on world migration has mostly focused on economic and inter-personal impacts, leaving a large gap in our understanding of how migration can affect migrantsí health. The purpose of this paper is to illustrate how the interdependent experiences of skilled migrants, as they undertake the latter part of their journey of skilled migration and resettle into their adopted homeland, can be conceptualised as a structural determinant of health.

Design/methodology/approach In this qualitative study, semi-structured interviews collected data on skilled migrantsí experiences, including health impacts, related to their migration to Tasmania, Australia. A social determinants of health (SDOH) framework and Bourdieuís theory of practice were applied to interpret the findings.

Findings In total, 16 skilled migrants, from several nations and occupations, provided wide-ranging accounts of social inclusion and exclusion, and frequently reported experiencing psychological stress. There were also some reports of improved mental health. The migration process shapes lifeís chances and choices. Many migrants reported access to important social, economic and cultural resources, however, good health was also impeded by equally significant systemic barriers.

Research limitations/implications The sample is small and confined to a geographically isolated location, and did not include all types of skilled migrants.

Practical implications Countries resettling skilled migrants should modify systems to promote rather than inhibit wellbeing, e.g. government and industry partnerships to facilitate employability and enhance access to supportive information about the migration process.

Originality/value This is the first known study to link Bourdieuís theory to SDOH relevant to skilled migrants. This approach helped reveal the prominence of structural factors beyond the control of migrants but potentially modifiable by the host country. This study illustrates the importance of examining both positive and negative health outcomes associated with migration, and how these factors relate to theory and policy.

Item Details

Item Type:Refereed Article
Keywords:skilled migrants, Tasmania, health
Research Division:Human Society
Research Group:Demography
Research Field:Migration
Objective Division:Law, Politics and Community Services
Objective Group:Community services
Objective Field:Multicultural services
UTAS Author:Vandenberg, M (Ms Miriam Vandenberg)
UTAS Author:Fan, S (Dr Frances Fan)
UTAS Author:Cooling, N (Dr Nick Cooling)
UTAS Author:Chin, J (Professor James Chin)
ID Code:135472
Year Published:2019
Deposited By:Office of the School of Social Sciences
Deposited On:2019-10-23
Last Modified:2020-01-29
Downloads:9 View Download Statistics

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