Skip to main content
. 2011 May 24;8(5):e1001035. doi: 10.1371/journal.pmed.1001035

Table 3. Pre-movement factors that influence health (modified from reference [71]).

Factor or Condition Individual and Population Outcome
Incidence and prevalence of infectious diseases, e.g., tuberculosis, hepatitis B Transmission of or acquisition of disease during journey or on arrival
Incidence and prevalence of non-infectious disease/illness, e.g., pregnancy, hypertension, diabetes Introduction of individual/population with different health characteristics/needs into the receiving health care system
Social factors (education/housing/poverty), e.g., behavioral effects on health including nutrition and diet; access to and use of care; management of existing illnesses; violence (interpersonal and/or domestic); risk-taking (tobacco/substance abuse) Baseline levels of health status that can increase the risk of illness/disease during travel, and affect access to health services on arrival
Environmental factors (geographic, weather, toxic, political), e.g., post-traumatic stress disorder, abuse and torture Background level of nutrients, toxins, violence, trauma (physical/psychosocial), and natural events (extreme temperatures, storms, fires, earthquakes)
Factors related to pre-departure migrant status, e.g., refugee, irregular migrant, migrant worker, immigrant Availability, accessibility, and affordability of existing health and social care services (limited access to insurance/care; capacity to provide services for trauma/torture; occupational health needs)
Cultural/experiential factors, e.g., differential in health services utilization and expectations Expectations and utilization of health services/concepts of disease and ill health. The institutional and non-institutional capacity to provide for and respond to needs for health promotion, prevention, and intervention in diverse populations.