Skip to main content
Top
Published in: International Journal for Equity in Health 1/2023

Open Access 01-12-2023 | COVID-19 | Systematic Review

Vulnerability of migrant women during disasters: a scoping review of the literature

Authors: Monica Trentin, Elena Rubini, Awsan Bahattab, Mariarosa Loddo, Francesco Della Corte, Luca Ragazzoni, Martina Valente

Published in: International Journal for Equity in Health | Issue 1/2023

Login to get access

Abstract

Background

Disasters have an unequal impact on the population because of differences in conditions of vulnerability, exposure, and capacity. Migrants and women are among the groups that are at greater risk for and disproportionately affected by disasters. However, despite the large body of evidence that analyzes their vulnerability separately, disaster research that targets migrant women is scant. The aim of this scoping review was to analyze the published scientific literature concerning the vulnerability of migrant women and the consequent negative impact they experience during disasters.

Methods

A literature search was conducted on December 15th, 2021 on Pubmed, Scopus, and Web of Science databases. No time filter was applied to the search. Information regarding the article’s main characteristics and design, migrant women and their migration experience, as well as about the type of disaster was collected. The factors responsible for the vulnerability of migrant women and the negative outcomes experienced during a disaster were extracted and inductively clustered in main themes reflecting several vulnerability pathways. The review followed the Joanna Briggs Institute methodology for scoping reviews and relied on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).

Results

After full text review, 14 articles met the inclusion criteria. All of them adopted a qualitative methodology and focused on COVID-19. The pandemic negatively affected migrant women, by triggering numerous drivers that increased their level of exposure and vulnerability. Overall, six vulnerability factors have been identified: legal status, poverty conditions, pre-existing health conditions, limited agency, gender inequality and language and cultural barriers. These resulted in nine impacts: worsening of mental health status, poor access to care, worsening of physical health conditions, fraud, exacerbation of poverty, gender-based violence, jeopardization of educational path, and unfulfillment of their religious needs.

Conclusions

This review provided an analysis of the vulnerability factors of migrant women and the pathways leading to negative outcomes during a disaster. Overall, the COVID-19 pandemic demonstrated that health equity is a goal that is still far to reach. The post-pandemic era should constitute the momentum for thoroughly addressing the social determinants of health that systematically marginalize the most vulnerable groups.
Appendix
Available only for authorised users
Literature
2.
go back to reference Kuran CHA, Morsut C, Kruke BI, Krüger M, Segnestam L, Orru K, Nævestad TO, Airola M, Keranen J, Gabel F, Hansson S, Torpan S. Vulnerability and vulnerable groups from an intersectionality perspective. Int J Disaster Risk Reduct. 2020;50:101826.CrossRef Kuran CHA, Morsut C, Kruke BI, Krüger M, Segnestam L, Orru K, Nævestad TO, Airola M, Keranen J, Gabel F, Hansson S, Torpan S. Vulnerability and vulnerable groups from an intersectionality perspective. Int J Disaster Risk Reduct. 2020;50:101826.CrossRef
4.
go back to reference Wisner B, Blaikie P, Cannon T, Davis I. At risk - natural hazards, people’s vulnerability and disasters. London: Routledge; 2014. Wisner B, Blaikie P, Cannon T, Davis I. At risk - natural hazards, people’s vulnerability and disasters. London: Routledge; 2014.
7.
go back to reference Du Y, Ding Y, Li Z, Cao G. The role of hazard vulnerability assessments in disaster preparedness and prevention in China. Mil Med Res. 2015;2(1):27.PubMedPubMedCentral Du Y, Ding Y, Li Z, Cao G. The role of hazard vulnerability assessments in disaster preparedness and prevention in China. Mil Med Res. 2015;2(1):27.PubMedPubMedCentral
8.
go back to reference Boin A, Hart PT. The crisis approach. In: Handbook of disaster research handbooks of sociology and social research. New York: Springer; 2006. p. 42–54. Boin A, Hart PT. The crisis approach. In: Handbook of disaster research handbooks of sociology and social research. New York: Springer; 2006. p. 42–54.
9.
go back to reference Kim SJ, Bostwick W. Social vulnerability and racial inequality in COVID-19 deaths in Chicago. Health Educ Behav. 2020;47(4):509–13.PubMedCrossRef Kim SJ, Bostwick W. Social vulnerability and racial inequality in COVID-19 deaths in Chicago. Health Educ Behav. 2020;47(4):509–13.PubMedCrossRef
12.
13.
go back to reference Alcántara-Ayala I, Burton I, Lavell A, Mansilla E, Maskrey A, Oliver-Smith A, et al. Editorial: Root causes and policy dilemmas of the COVID-19 pandemic global disaster. Int J Disaster Risk Reduct. 2021;52:101892.PubMedCrossRef Alcántara-Ayala I, Burton I, Lavell A, Mansilla E, Maskrey A, Oliver-Smith A, et al. Editorial: Root causes and policy dilemmas of the COVID-19 pandemic global disaster. Int J Disaster Risk Reduct. 2021;52:101892.PubMedCrossRef
14.
16.
go back to reference Birks L, Powell C, Hatfield J. Adapting the capacities and vulnerabilities approach: a gender analysis tool. Health Promot Int. 2016; 32(6):930–41. Birks L, Powell C, Hatfield J. Adapting the capacities and vulnerabilities approach: a gender analysis tool. Health Promot Int. 2016; 32(6):930–41.
18.
go back to reference Ginige K, Amaratunga D, Haigh R. Mainstreaming gender in disaster reduction: why and how? Amaratunga D, editor. Disaster Prev Manag Int J. 2009;18(1):23–34.CrossRef Ginige K, Amaratunga D, Haigh R. Mainstreaming gender in disaster reduction: why and how? Amaratunga D, editor. Disaster Prev Manag Int J. 2009;18(1):23–34.CrossRef
22.
go back to reference Parkinson D, Zara C. The hidden disaster: domestic violence in the aftermath of natural disaster. Aust J Emerg Manag. 2013;28(2):28–35. Parkinson D, Zara C. The hidden disaster: domestic violence in the aftermath of natural disaster. Aust J Emerg Manag. 2013;28(2):28–35.
23.
go back to reference Degani P, De Stefani P. Addressing migrant women’s intersecting vulnerabilities. Refugee protection, anti-trafficking and anti-violence referral patterns in Italy. Peace Hum Rights Gov. 2020;4(1):113–52. Degani P, De Stefani P. Addressing migrant women’s intersecting vulnerabilities. Refugee protection, anti-trafficking and anti-violence referral patterns in Italy. Peace Hum Rights Gov. 2020;4(1):113–52.
24.
go back to reference McCloskey L, Amutah-Onukagha N, Bernstein J, Handler A. Setting the agenda for reproductive and maternal health in the era of COVID-19: lessons from a cruel and radical teacher. Matern Child Health J. 2021;25(2):181–91.PubMedPubMedCentralCrossRef McCloskey L, Amutah-Onukagha N, Bernstein J, Handler A. Setting the agenda for reproductive and maternal health in the era of COVID-19: lessons from a cruel and radical teacher. Matern Child Health J. 2021;25(2):181–91.PubMedPubMedCentralCrossRef
25.
go back to reference Hayward SE, Deal A, Cheng C, Crawshaw A, Orcutt M, Vandrevala TF, et al. Clinical outcomes and risk factors for COVID-19 among migrant populations in high-income countries: a systematic review. J Migr Health. 2021;3:100041.PubMedPubMedCentralCrossRef Hayward SE, Deal A, Cheng C, Crawshaw A, Orcutt M, Vandrevala TF, et al. Clinical outcomes and risk factors for COVID-19 among migrant populations in high-income countries: a systematic review. J Migr Health. 2021;3:100041.PubMedPubMedCentralCrossRef
28.
go back to reference Connor J, Madhavan S, Mokashi M, Amanuel H, Johnson NR, Pace LE, et al. Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: a review. Soc Sci Med. 2020;266:113364.PubMedPubMedCentralCrossRef Connor J, Madhavan S, Mokashi M, Amanuel H, Johnson NR, Pace LE, et al. Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: a review. Soc Sci Med. 2020;266:113364.PubMedPubMedCentralCrossRef
29.
go back to reference Thurston AM, Stöckl H, Ranganathan M. Natural hazards, disasters and violence against women and girls: a global mixed-methods systematic review. BMJ Glob Health. 2021;6(4):e004377.PubMedPubMedCentralCrossRef Thurston AM, Stöckl H, Ranganathan M. Natural hazards, disasters and violence against women and girls: a global mixed-methods systematic review. BMJ Glob Health. 2021;6(4):e004377.PubMedPubMedCentralCrossRef
30.
go back to reference van Daalen KR, Kallesøe SS, Davey F, Dada S, Jung L, Singh L, et al. Extreme events and gender-based violence: a mixed-methods systematic review. Lancet Planet Health. 2022;6(6):e504–23.PubMedPubMedCentralCrossRef van Daalen KR, Kallesøe SS, Davey F, Dada S, Jung L, Singh L, et al. Extreme events and gender-based violence: a mixed-methods systematic review. Lancet Planet Health. 2022;6(6):e504–23.PubMedPubMedCentralCrossRef
31.
go back to reference Almeida M, Shrestha AD, Stojanac D, Miller LJ. The impact of the COVID-19 pandemic on women’s mental health. Arch Womens Ment Health. 2020;23(6):741–8.PubMedPubMedCentralCrossRef Almeida M, Shrestha AD, Stojanac D, Miller LJ. The impact of the COVID-19 pandemic on women’s mental health. Arch Womens Ment Health. 2020;23(6):741–8.PubMedPubMedCentralCrossRef
32.
go back to reference Nordhues HC, Bhagra A, Stroud NN, Vencill JA, Kuhle CL. COVID-19 gender disparities and mitigation recommendations: a narrative review. Mayo Clin Proc. 2021;96(7):1907–20.PubMedCrossRef Nordhues HC, Bhagra A, Stroud NN, Vencill JA, Kuhle CL. COVID-19 gender disparities and mitigation recommendations: a narrative review. Mayo Clin Proc. 2021;96(7):1907–20.PubMedCrossRef
33.
go back to reference Ahinkorah BO, Hagan JE, Ameyaw EK, Seidu AA, Schack T. COVID-19 pandemic worsening gender inequalities for women and girls in Sub-Saharan Africa. Front Glob Womens Health. 2021;2:686984.PubMedPubMedCentralCrossRef Ahinkorah BO, Hagan JE, Ameyaw EK, Seidu AA, Schack T. COVID-19 pandemic worsening gender inequalities for women and girls in Sub-Saharan Africa. Front Glob Womens Health. 2021;2:686984.PubMedPubMedCentralCrossRef
38.
go back to reference Molenaar J, Van Praag L. Migrants as ‘vulnerable groups’ in the COVID-19 pandemic: a critical discourse analysis of a taken-for-granted label in academic literature. SSM Qual Res Health. 2022;2:100076.PubMedPubMedCentralCrossRef Molenaar J, Van Praag L. Migrants as ‘vulnerable groups’ in the COVID-19 pandemic: a critical discourse analysis of a taken-for-granted label in academic literature. SSM Qual Res Health. 2022;2:100076.PubMedPubMedCentralCrossRef
39.
go back to reference Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141–6.PubMedCrossRef Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141–6.PubMedCrossRef
40.
go back to reference Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.PubMedCrossRef Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.PubMedCrossRef
42.
go back to reference Braun V, Clarke V. Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ, editors. APA handbook of research methods in psychology, Vol 2: research designs: quantitative, qualitative, neuropsychological, and biological. Washington: American Psychological Association; 2012. p. 57–71. Available from: http://content.apa.org/books/13620-004. Cited 2022 May 13.CrossRef Braun V, Clarke V. Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ, editors. APA handbook of research methods in psychology, Vol 2: research designs: quantitative, qualitative, neuropsychological, and biological. Washington: American Psychological Association; 2012. p. 57–71. Available from: http://​content.​apa.​org/​books/​13620-004. Cited 2022 May 13.CrossRef
43.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
45.
go back to reference Golesorkhi LZ, Fortson G, Harder K, Riedmann T. Centering community in COVID-19 responses: refugee women’s livelihoods in a global pandemic. Int J Sociol Soc Policy. 2022;42(3/4):289–97.CrossRef Golesorkhi LZ, Fortson G, Harder K, Riedmann T. Centering community in COVID-19 responses: refugee women’s livelihoods in a global pandemic. Int J Sociol Soc Policy. 2022;42(3/4):289–97.CrossRef
46.
go back to reference Phillimore J, Pertek S, Akyuz S, Darkal H, Hourani J, McKnight P, et al. “We are forgotten”: forced migration, sexual and gender-based violence, and coronavirus disease-2019. Violence Against Women. 2022;28(9):2204–30.PubMedCrossRef Phillimore J, Pertek S, Akyuz S, Darkal H, Hourani J, McKnight P, et al. “We are forgotten”: forced migration, sexual and gender-based violence, and coronavirus disease-2019. Violence Against Women. 2022;28(9):2204–30.PubMedCrossRef
47.
go back to reference Marabello S, Parisi ML. “I told you the invisible can kill you”: engaging anthropology as a response in the COVID-19 outbreak in Italy. Hum Organ. 2020;79(4):250–8.CrossRef Marabello S, Parisi ML. “I told you the invisible can kill you”: engaging anthropology as a response in the COVID-19 outbreak in Italy. Hum Organ. 2020;79(4):250–8.CrossRef
50.
go back to reference Karajerjian S. ‘Mama take us to a country where there is no war’: COVID-19 and mental health challenges for Syrian refugee women in Lebanon. Gend Dev. 2021;29(1):95–109.CrossRef Karajerjian S. ‘Mama take us to a country where there is no war’: COVID-19 and mental health challenges for Syrian refugee women in Lebanon. Gend Dev. 2021;29(1):95–109.CrossRef
51.
go back to reference Lightman N. Caring during the COVID-19 crisis: intersectional exclusion of immigrant women health care aides in Canadian long-term care. Health Soc Care Community. 2021;30(4): e1343–51. Lightman N. Caring during the COVID-19 crisis: intersectional exclusion of immigrant women health care aides in Canadian long-term care. Health Soc Care Community. 2021;30(4): e1343–51.
52.
go back to reference Lusambili AM, Martini M, Abdirahman F, Asante A, Ochieng S, Guni JN, et al. “We have a lot of home deliveries” A qualitative study on the impact of COVID-19 on access to and utilization of reproductive, maternal, newborn and child health care among refugee women in urban Eastleigh, Kenya. J Migr Health. 2020;1–2:100025.PubMedPubMedCentralCrossRef Lusambili AM, Martini M, Abdirahman F, Asante A, Ochieng S, Guni JN, et al. “We have a lot of home deliveries” A qualitative study on the impact of COVID-19 on access to and utilization of reproductive, maternal, newborn and child health care among refugee women in urban Eastleigh, Kenya. J Migr Health. 2020;1–2:100025.PubMedPubMedCentralCrossRef
53.
go back to reference Melov SJ, Galas N, Swain J, Alahakoon TI, Lee V, Cheung NW, et al. Exploring the COVID-19 pandemic experience of maternity clinicians in a high migrant population and low COVID-19 prevalence country: a qualitative study. Women Birth. 2022;35(5):493–502.PubMedCrossRef Melov SJ, Galas N, Swain J, Alahakoon TI, Lee V, Cheung NW, et al. Exploring the COVID-19 pandemic experience of maternity clinicians in a high migrant population and low COVID-19 prevalence country: a qualitative study. Women Birth. 2022;35(5):493–502.PubMedCrossRef
54.
go back to reference Mutambara VM, Crankshaw TL, Freedman J. Assessing the impacts of COVID-19 on women refugees in South Africa. J Refug Stud. 2022;35(1):704–21.CrossRef Mutambara VM, Crankshaw TL, Freedman J. Assessing the impacts of COVID-19 on women refugees in South Africa. J Refug Stud. 2022;35(1):704–21.CrossRef
55.
go back to reference Nardon L, Hari A, Zhang H, Hoselton LPS, Kuzhabekova A. Skilled immigrant women’s career trajectories during the COVID-19 pandemic in Canada. Equal Divers Incl Int J. 2022;41(1):112–28.CrossRef Nardon L, Hari A, Zhang H, Hoselton LPS, Kuzhabekova A. Skilled immigrant women’s career trajectories during the COVID-19 pandemic in Canada. Equal Divers Incl Int J. 2022;41(1):112–28.CrossRef
56.
go back to reference Sabri B, Hartley M, Saha J, Murray S, Glass N, Campbell JC. Effect of COVID-19 pandemic on women’s health and safety: a study of immigrant survivors of intimate partner violence. Health Care Women Int. 2020;41(11–12):1294–312.PubMedPubMedCentralCrossRef Sabri B, Hartley M, Saha J, Murray S, Glass N, Campbell JC. Effect of COVID-19 pandemic on women’s health and safety: a study of immigrant survivors of intimate partner violence. Health Care Women Int. 2020;41(11–12):1294–312.PubMedPubMedCentralCrossRef
57.
go back to reference Mingo AS. Miradas desplazadas: nadie somos nada, cualquiera nos podríamos ir fuera de zona. Displaced glances: we are nothing, anyone of us can lose control of our lives. Discurso Soc. 2021;15(1):192–214. Mingo AS. Miradas desplazadas: nadie somos nada, cualquiera nos podríamos ir fuera de zona. Displaced glances: we are nothing, anyone of us can lose control of our lives. Discurso Soc. 2021;15(1):192–214.
58.
go back to reference Simic O. Locked in and locked out: a migrant woman’s reflection on life in Australia during the COVID-19 pandemic. J Int Womens Stud. 2021;22(9):400–26. Simic O. Locked in and locked out: a migrant woman’s reflection on life in Australia during the COVID-19 pandemic. J Int Womens Stud. 2021;22(9):400–26.
59.
go back to reference Crenshawt K. Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. p. 31. Crenshawt K. Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. p. 31.
60.
go back to reference Tierney K. Disasters: a sociological approach. Cambridge: Polity; 2019. p. 224. Tierney K. Disasters: a sociological approach. Cambridge: Polity; 2019. p. 224.
61.
go back to reference Collins, P.H., Bilge, S. Intersectionality, New York: Wiley; 2020. Collins, P.H., Bilge, S. Intersectionality, New York: Wiley; 2020.
63.
go back to reference Gillespie A, Seff I, Caron C, Maglietti MM, Erskine D, Poulton C, et al. “The pandemic made us stop and think about who we are and what we want:” using intersectionality to understand migrant and refugee women’s experiences of gender-based violence during COVID-19. BMC Public Health. 2022;22(1):1469.PubMedPubMedCentralCrossRef Gillespie A, Seff I, Caron C, Maglietti MM, Erskine D, Poulton C, et al. “The pandemic made us stop and think about who we are and what we want:” using intersectionality to understand migrant and refugee women’s experiences of gender-based violence during COVID-19. BMC Public Health. 2022;22(1):1469.PubMedPubMedCentralCrossRef
65.
go back to reference Lee YS, Behn M, Rexrode KM. Women’s health in times of emergency: we must take action. J Womens Health. 2021;30(3):289–92.CrossRef Lee YS, Behn M, Rexrode KM. Women’s health in times of emergency: we must take action. J Womens Health. 2021;30(3):289–92.CrossRef
67.
go back to reference Duhart O. Social distancing as a privilege: assessing the impact of structural disparities on the COVID-19 crisis in the Black community. Ga State Univ Law Rev. 2021;37:35. Duhart O. Social distancing as a privilege: assessing the impact of structural disparities on the COVID-19 crisis in the Black community. Ga State Univ Law Rev. 2021;37:35.
68.
go back to reference Machado S, Goldenberg S. Sharpening our public health lens: advancing im/migrant health equity during COVID-19 and beyond. Int J Equity Health. 2021;20(1):57.PubMedPubMedCentralCrossRef Machado S, Goldenberg S. Sharpening our public health lens: advancing im/migrant health equity during COVID-19 and beyond. Int J Equity Health. 2021;20(1):57.PubMedPubMedCentralCrossRef
70.
go back to reference Katz AS, Hardy BJ, Firestone M, Lofters A, Morton-Ninomiya ME. Vagueness, power and public health: use of ‘vulnerable‘ in public health literature. Crit Public Health. 2020;30(5):601–11.CrossRef Katz AS, Hardy BJ, Firestone M, Lofters A, Morton-Ninomiya ME. Vagueness, power and public health: use of ‘vulnerable‘ in public health literature. Crit Public Health. 2020;30(5):601–11.CrossRef
78.
go back to reference Yadee J, Bangpan M, Thavorn K, Welch V, Tugwell P, Chaiyakunapruk N. Assessing evidence of interventions addressing inequity among migrant populations: a two-stage systematic review. Int J Equity Health. 2019;18(1):64.PubMedPubMedCentralCrossRef Yadee J, Bangpan M, Thavorn K, Welch V, Tugwell P, Chaiyakunapruk N. Assessing evidence of interventions addressing inequity among migrant populations: a two-stage systematic review. Int J Equity Health. 2019;18(1):64.PubMedPubMedCentralCrossRef
Metadata
Title
Vulnerability of migrant women during disasters: a scoping review of the literature
Authors
Monica Trentin
Elena Rubini
Awsan Bahattab
Mariarosa Loddo
Francesco Della Corte
Luca Ragazzoni
Martina Valente
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
COVID-19
Published in
International Journal for Equity in Health / Issue 1/2023
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-023-01951-1

Other articles of this Issue 1/2023

International Journal for Equity in Health 1/2023 Go to the issue