性交易中的女性利用生殖保健:一种定性研究
Lior Birger1, Yael Benyamini2, Yael Goor3
1Bob Shapell School of Social Work, Tel-Aviv University, Tel-Aviv, Israel. liorbirger@gmail.com.
Israel journal of health policy research
|September 2, 2024
概括
对性交易中的女性来说,耻辱制造了对生殖健康保健的重大障碍. 建立信任和实施非判断性,创伤信息化的护理是改善健康结果的关键.
科学领域:
- 生殖健康 生殖健康
- 健康的社会决定因素
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 性交易中的女性面临着大量的生殖健康保健获取挑战.
- 专注于怀孕预防/终止,忽视了满期怀孕和分娩的需要.
- 本研究探讨了以色列这一群体生殖健康护理的障碍和促进因素.
研究的目的:
- 调查在以色列性交易中为妇女提供生殖保健的障碍和促进因素.
- 确定影响医疗保健获取和结果的系统和个人因素.
主要方法:
- 使用接地理论进行定性研究.
- 在以色列 (2021年6月至2022年7月) 与医疗保健提供者 (n=20),社会服务提供者 (n=15) 和性交易中的妇女 (n=13) 进行的半结构化采访.
- 对转录的采访进行主题分析.
主要成果:
- 确定了医疗保健系统的多层结构和与妇女有关的因素.
- 耻辱感成为一个重要的多维障碍,对患者与医疗服务提供者的关系和寻求帮助的行为产生了负面影响.
- 建立妇女和医疗保健提供者之间的信任对于更好的健康结果至关重要.
结论:
- 关于改善性交易中的妇女生殖保健服务的建议.
- 让有实践经验的女性参与服务规划和交付.
- 采用基于创伤的,不判断性的护理方法,并培训提供者,以减少耻辱和偏见.
- 提高边缘化妇女的医疗保健负担能力.
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