外地家務工作者，亦即移居家務工作者（Migrant domestic workers），遍佈全球，是全球人口遷移現象下的其中一類群體，他們離開原居地，遷移入目的地工作，環境的變化影響著該群體的生活與健康狀況。澳門在聘用外地僱員法律制度下，目前有約三萬名外地家務工作者，面對社會文化和語言的差異，該群體的健康狀況值得關注。故此，本文旨在透過文獻回顧，應用Dahlgren及Whitehead的彩虹模型，探討影響澳門外地家務工作者健康的社會決定因素（Social determinants of health）。本文發現影響該群體健康的社會決定因素欠佳，包括生活及就業條件、語言及文化適應等，從而提出有利外地家務工作者健康的建議。

Foreign domestic workers, also known as migrant domestic workers, spread all over the world under the phenomenon of global population migration. They leave their origin countries and migrate to work at destination countries. Changes in the environment affect the living and health conditions of these people. Under the implementation of the law on the employment of foreign employees in Macao, there are now about 30,000 foreign domestic workers. Due to the differences in social culture and language, the health status of foreign domestic workers is of great concern. Therefore, this article aims to review literatures, to explore the social determinants of the health of foreign domestic workers in Macao through the rainbow model of Dahlgren and Whitehead. It was found that the social determinants of health of this population are unsatisfactory, including living and working conditions, language and cultural adaption. Thus, this article puts forward suggestions for the health of foreign domestic workers.