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This paper aims to contribute to sex tourism literature by placing it into a contemporary context of globalisation, harm reduction and disease migration.

The paper takes a public health and social science approach to map sex tourism, drawing on sex worker and tourist situations alongside global forces including technology, human rights, law enforcement and health.

A new, holistic conceptual model is presented, containing interacting, multi level associations. Whilst the separate micro, contextual, meso and macro levels are versatile, decision makers and practitioners will be equipped to understand sex tourism in its entirety.

The paper’s originality is found in the proposed conceptual model.

全球化、减害和疾病迁移时代的性旅游：一种新的概念模型

该论文采用公共卫生和社会科学方法, 利用性工作者和旅游者的情况以及包括技术、人权、执法和健康在内的全球力量, 分析了性旅游的状况。

本文将性旅游文献置于全球化、减少危害和疾病迁移的当代背景下, 为性旅游文献做出了贡献。

本文提出了一个新的、整体的概念模型, 包含相互作用的多层次关联。虽然单独的微观、背景、中观和宏观层面是多变的, 但决策者和从业者将可以全面的了解性旅游。

该论文的独创性体现在提出的概念模型中。

El turismo sexual en la era de la globalización, la reducción de daños y la migración de enfermedades: un nuevo modelo conceptual

Este artículo contribuye a la literatura sobre el turismo sexual situándolo en el contexto contemporáneo de la globalización, la reducción de daños y la migración de enfermedades.

El documento adopta un enfoque de salud pública y ciencias sociales para delimitar el turismo sexual, basándose en las situaciones de los trabajadores del sexo y los turistas junto con las fuerzas globales, como la tecnología, los derechos humanos, la aplicación de la ley y la salud.

Se presenta un nuevo modelo conceptual holístico que contiene asociaciones interactivas de varios niveles. Mientras que los niveles micro, contextual, meso y macro separados son versátiles, los responsables de la toma de decisiones y los profesionales estarán equipados para entender el turismo sexual en su totalidad.

La originalidad del artículo se encuentra en el modelo conceptual propuesto.

Investigación

Undocumented Central American migrants in Mexico are legally eligible for free access to the public health system through the new Instituto para la Salud y el Bienestar (INSABI) health program, but many experience structural vulnerability and stigmatization that prevent them from accessing health-care facilities. The purpose of this study is to investigate the discrepancy between the migrants’ Human Right to health, proclaimed by the Mexican Government and supposedly guaranteed by law, and the reality of the migration process.

This study reviewed relevant literature on the health risk factors, social and structural vulnerability, stigmatization and structural violence experienced by undocumented migrants as obstacles to their Human Right to health. It also reviews the current legal framework in Mexico and internationally.

This review demonstrates the lack of implementation of the current legal framework in Mexico and identifies a set of complex obstacles to effective access to health for undocumented migrants. Although the migration process itself was not found to be directly associated with major health issues, the social conditions of the migratory journey expose the migrants to serious threats, especially sexually transmitted diseases and tuberculosis.

This paper makes 10 practical recommendations for interventions collectively involving the state, international and civil organizations and the migrant community. These are especially relevant since the implementation of the INSABI health program in 2020.

The paper lays the basis for influencing Mexican health system stakeholders to improve the health of migrants.

The sociological barriers to health access for undocumented populations in Mexico have not been fully explored. In addition, this paper provides a unique reflection on opportunities and challenges linked to the 2020 health system reform.

The purpose of this paper is to analyze the relationship between Latin American migrants and the Spanish healthcare system, from the users’ perspective, in order to examine the socio-cultural determinants for access and attention, as well as the possible difficulties faced when attending institutional facilities.

This work is based on qualitative ethnographic research with the Latin American community established in the region of Castile and León, Spain. Analysis was established through a thematic approach and illustrated with the testimonies of participants involved, to inspect personal meanings and interpretations, as well as specific practices regarding healthcare.

The encounter between foreigners and health services is frequently expressed with negative emotions, such as feelings of fear facing a system that is perceived as designed “for others.” For many Latin American immigrants in Spain, institutional healthcare is not considered their first choice for treating illness. This has been related to economic, bureaucratic, ideological and emotional factors.

Most of the existing literature about immigrant healthcare in Spain has focused on sanitary conditions or patterns of service use from an institutional perspective and a quantitative approach. This paper highlights the perceptions of users to enrich comprehension of the rapport between migrants and medical care.