# name
"Carrying Ibuprofen in the Bag": Priority Health Concerns of
                Latin American Migrants in Spain- A Participatory Qualitative
                Study

# metadata.dc.description.abstract[].value
BACKGROUND: An estimated 2.7 million Latin Americans reside in
                Europe, mostly in Spain. Part of a broader project aimed at
                developing a research agenda on the health status and
                determinants of this population, this qualitative study engaged
                Latin American migrants in the identification of research
                priorities. METHODS: We conducted 30 group discussions between
                November 2012-March 2013 with 84 participants purposively
                selected for maximum diversity in Madrid and Barcelona (Spain).
                We facilitated sequences of task-oriented visual activities to
                explore their views on priority health concerns. We
                tape-recorded and transcribed discussions and developed a coding
                frame based on socio-ecological frameworks, which we applied to
                all the data using NVIVO-10. A final round of eight group
                discussions allowed us to triangulate and enrich interpretations
                by including participants' insights. FINDINGS: The cumulative
                toll of daily stresses was the major health concern perceived by
                a population that conceptualised ill-health as a constellation
                of symptoms rather than as specific diseases. Work-related
                factors, legislative frameworks regulating citizenship
                entitlements and feeling ethnically discriminated were major
                sources of psycho-social strain. Except for sexually transmitted
                infections, participants rarely referred to communicable
                diseases as a concern. The perception that clinicians
                systematically prescribed painkillers discouraged health seeking
                and fostered self-medication. Participants felt that the
                medicalised, chemicalised, sexually liberal and accelerated
                culture of the host society damaged their own, and the local
                populations' health. CONCLUSION: Health systems bear a
                disproportionate responsibility in addressing health problems
                rooted in other sectors. Occupational and migration policies
                should be recognised explicitly as health policies. The mismatch
                between researchers' emphasis on communicable infections and the
                health concerns of Latin American migrants highlights the need
                for greater interaction between different forms of knowledge. In
                this process, the biomedical culture of reliance on
                pharmacological solutions should not remain unquestioned.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1371/journal.pone.0136315

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
"Carrying Ibuprofen in the Bag": Priority Health Concerns of
                Latin American Migrants in Spain- A Participatory Qualitative
                Study