2017—2022年移民与健康领域的国际研究热点与趋势

International research hotspots and trend on immigrant health from 2017 to 2022

  • 摘要:
    背景  移民群体的健康是实现2030年可持续发展议程提出全民健康覆盖的目标的关键焦点,该群体在重大突发公共卫生事件冲击下,其原有的健康相关矛盾可能面临加剧而带来更多负面的健康影响。
    目的  基于文献计量学,了解移民与健康研究的热点与方向,探索突发公共卫生事件发生前后移民健康研究热点的转变,为研究移民群体健康以及今后应对突发公共卫生事件提供借鉴。
    方法  以科学引文索引(Web of Science)核心合集数据库为数据库,检索2017年1月1日—2022年12月31日期间发表的“Article”类型文献。采用Microsoft Excel 2019对纳入文献的年度发文量进行统计描述,采用VOSviewer 1.6.19和CiteSpace 6.1.R6软件相结合的方式绘制作者、研究机构、国家/地区的合作图谱以了解其合作交流情况,绘制关键词共现图、关键词聚类图和关键词突现图以探索突发公共卫生事件前后,移民与健康研究的热点及趋势。
    结果  共有5997篇在2017—2022年发表的有关移民健康研究的文献被纳入分析,文献发表数量整体上呈上升趋势,且形成了一批高产的核心作者群。来自美国、加拿大和北欧的研究机构不仅在各自国家/区域内合作紧密,而且国家/地区间的合作关系也十分频繁,形成了以美国为核心的国际合作网。关键词共现图谱显示,2017—2022年期间,移民健康的研究热点主要围绕着妇女、儿童和难民等研究对象和心理健康、文化适应、保健等研究内容。对关键词进行聚类分析与提炼发现,该领域的研究主题分为妇幼保健、文化适应与心理健康、卫生服务、健康公平性和慢性疾病这五大类。关键词突现结果显示,在突发公共卫生事件的影响下,研究热点从种族、风险行为、两性转变为新冠、健康公平、社交孤立和受害。
    结论  研究团队、研究机构和国家/地区间的合作与交流促进了移民健康研究的发展。突发公共卫生事件加剧了移民现有的脆弱性,与移民健康公平性、社交孤立相关的主题受到关注,成为研究前沿,提示突发公共卫生事件冲击下,需要相应的公共卫生政策缓解移民群体的卫生资源分配不均的问题并给予社会支持,保障该群体的身体和心理健康。

     

    Abstract:
    Background  Immigrant health is an key node in achieving the goal of universal health coverage proposed by 2030 Agenda for Sustainable Development. The shock of severe public health emergency may exacerbate the original health-related contradictions of this group and bring more negative health effects.
    Objective  To identify academic research hotspots and directions of immigrant health, and to examine trends in research hotspots before and after the public health emergency, so as to provide references to study immigrant health and response to public health emergency in the future.
    Methods  Articles (document type) included in Web of Science core collection from 2017-01-01 to 2022-12-31 were retrieved. Microsoft Excel 2019 was used for descriptive analysis of included papers. VOSviewer 1.6.19 and CiteSpace 6.1.R6 were combined to draw cooperation maps of authors, institutions, and countries/areas to understand their cooperation and communication, and to draw keywords co-occurrence map, keywords clusters map, and keywords burst map to examine the hotspots and trends of immigrant health research before and after public health emergency.
    Results  A total of 5997 papers pertaining to immigrant health from 2017 to 2022 were included, and the number of publications every year were overall on the rise generating a group of productive core authors. Institutions from the United States, Canada, and Northern Europe not only tightly cooperated within their countries/areas, but also cooperated frequently among countries/areas, forming an international cooperation network with the United States as its core. The keywords co-occurrence map showed that from 2017 to 2022, the research hotspots of immigrant health mainly focused on target groups of women, children, and refugees, and the study topics of mental health, acculturation, and care. The results of cluster analysis and further extraction found that the research topics in this field were divided into five categories: maternal and child health care, acculturation and mental health, health services, health equity, and chronic disease. The keywords burst map revealed that the research hotspots shifted from ethnic group, risk behavior, and sexes to COVID-19, health equity, social isolation, and victimization under the impact of public health emergency.
    Conclusion  The cooperation and communication among study teams, institutions, and countries/areas have promoted the development of immigrant health study. Public health emergency has exacerbated the existing vulnerability of immigrants, and the topics related to health equity and social isolation of immigrants have raised attention becoming the research forefront. It is suggested that under the impact of public health emergency, corresponding public health policies are needed to mitigate health inequities and social support is also required for immigrants to ensure their physical and mental health.

     

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