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Explorando experiencias de atención médica y desafíos de acceso: un estudio cualitativo de migrantes africanos en
Wanqing Zheng1, Sara Akram2, Ruqin He3
1Sun Yat-sen University, The School of Marxism, Guangzhou China.
African journal of reproductive health
|August 26, 2025
Resumen
Los migrantes africanos en Guangzhou enfrentan importantes barreras de atención médica, incluidos el idioma, la discriminación y los servicios culturalmente inapropiados. Las redes de apoyo ayudan a navegar por el sistema, pero se necesitan cambios de política para un acceso equitativo.
Área de la Ciencia:
- Salud pública
- Sociología
- Investigación en servicios de salud
Sus antecedentes:
- Los migrantes africanos en Guangzhou, China, encuentran desafíos únicos en el cuidado de la salud.
- Comprender estas barreras es crucial para mejorar la equidad en salud.
Objetivo del estudio:
- Analizar las experiencias de atención médica y las barreras de los migrantes africanos en Guangzhou.
- Aplicar el Marco de Acceso Ecológico Cultural (CEAF) para comprender las dinámicas de acceso.
Principales métodos:
- Realizó 35 entrevistas en profundidad con migrantes africanos en Guangzhou.
- Se utilizó el Marco de Acceso Ecológico Cultural (CEAF) para el análisis.
Principales resultados:
- Los migrantes se enfrentan a barreras multidimensionales: el idioma, la discriminación legal/financiera, la atención culturalmente inapropiada y la incompetencia del médico.
- Las interacciones con los proveedores, los servicios, la comunidad y la política afectan significativamente el acceso a la atención médica.
- Las redes de apoyo son vitales para hacer frente y navegar por el sistema de salud.
- Los problemas institucionales/estructurales como los flujos de trabajo desconocidos, la mala interpretación y las políticas de exclusión impiden el acceso.
Conclusiones:
- El Marco de Acceso Ecológico Cultural (CEAF) revela cómo las dinámicas de poder (culturales, estructurales) dan forma al acceso a la atención médica para los africanos en China.
- Se necesitan con urgencia políticas de salud inclusivas y receptivas para abordar las barreras que enfrentan los migrantes africanos en China.
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