Cultural factors related to immigrants’ health: a scoping review

IntroductionThis scoping review investigates the cultural factors influencing the health of immigrants by applying Donabedian’s structure-process-outcome (SPO) model. While immigrant health has been extensively studied, cultural factors have not been systematically analyzed within a comprehensive he...

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Main Authors: Sujin Choi, Eunjeong Kang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1606772/full
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author Sujin Choi
Eunjeong Kang
author_facet Sujin Choi
Eunjeong Kang
author_sort Sujin Choi
collection DOAJ
description IntroductionThis scoping review investigates the cultural factors influencing the health of immigrants by applying Donabedian’s structure-process-outcome (SPO) model. While immigrant health has been extensively studied, cultural factors have not been systematically analyzed within a comprehensive healthcare quality framework.MethodsFollowing the Arksey and O’Malley’s scoping review framework, 42 studies were identified and analyzed using the SPO model to categorize cultural factors into structural, process, and outcome dimensions.ResultsStructural factors included social support, discrimination, ethnicity, language barriers, cultural competence, and parents’ culturalism. Process factors included acculturation to new cultures, while outcome factors encompassed acculturative stress and an ethnic identity crisis. Social support and cultural competence were crucial for mitigating health challenges, whereas discrimination and language barriers were significant obstacles.ConclusionThis study highlights the importance of an integrated approach to understanding immigrant health by addressing cultural factors within a structured health model. Our findings provide actionable insights for planning culturally sensitive policies and services to enhance immigrant health outcomes.
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spelling doaj-art-2c2b9e073e384081a650edef729297af2025-08-20T03:21:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.16067721606772Cultural factors related to immigrants’ health: a scoping reviewSujin Choi0Eunjeong Kang1Department of Nursing, College of Medicine, Soonchunhyang University, Asan-si, Republic of KoreaDepartment of Health Administration and Management, Soonchunhyang University, Asan-si, Republic of KoreaIntroductionThis scoping review investigates the cultural factors influencing the health of immigrants by applying Donabedian’s structure-process-outcome (SPO) model. While immigrant health has been extensively studied, cultural factors have not been systematically analyzed within a comprehensive healthcare quality framework.MethodsFollowing the Arksey and O’Malley’s scoping review framework, 42 studies were identified and analyzed using the SPO model to categorize cultural factors into structural, process, and outcome dimensions.ResultsStructural factors included social support, discrimination, ethnicity, language barriers, cultural competence, and parents’ culturalism. Process factors included acculturation to new cultures, while outcome factors encompassed acculturative stress and an ethnic identity crisis. Social support and cultural competence were crucial for mitigating health challenges, whereas discrimination and language barriers were significant obstacles.ConclusionThis study highlights the importance of an integrated approach to understanding immigrant health by addressing cultural factors within a structured health model. Our findings provide actionable insights for planning culturally sensitive policies and services to enhance immigrant health outcomes.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1606772/fullimmigrantshealth equitycultural factorsDonabedian modelpublic health
spellingShingle Sujin Choi
Eunjeong Kang
Cultural factors related to immigrants’ health: a scoping review
Frontiers in Public Health
immigrants
health equity
cultural factors
Donabedian model
public health
title Cultural factors related to immigrants’ health: a scoping review
title_full Cultural factors related to immigrants’ health: a scoping review
title_fullStr Cultural factors related to immigrants’ health: a scoping review
title_full_unstemmed Cultural factors related to immigrants’ health: a scoping review
title_short Cultural factors related to immigrants’ health: a scoping review
title_sort cultural factors related to immigrants health a scoping review
topic immigrants
health equity
cultural factors
Donabedian model
public health
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1606772/full
work_keys_str_mv AT sujinchoi culturalfactorsrelatedtoimmigrantshealthascopingreview
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