在高收入国家居住的有移民经验的妇女中获得和使用避孕药:一个范围审查
P Gozzi1, M Persson2,3, A Nielsen2,4
1Department of Global Public Health, Global and Sexual Health, Karolinska Institutet, Stockholm, Sweden. paolagozzi@outlook.com.
BMC public health
|September 20, 2024
概括
移民妇女在高收入国家面临避孕措施获取和使用障碍. 研究需要解决卫生系统层面的障碍,而不仅仅是个人因素,以改善生殖健康公平.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 移民妇女面临着严重的医疗保健接入挑战和不公平的性和生殖健康结果.
- 获得和使用避孕药是受这些健康不平等影响的关键领域.
- 了解这些问题对于改善高收入国家 (HIC) 的护理至关重要.
研究的目的:
- 综合关于在HIC中拥有移民经验的妇女获得和使用避孕药物的证据.
- 确定旨在改善避孕措施获取和使用的相关干预措施.
- 从患者和卫生系统的角度探索影响避孕措施获取和使用的因素.
主要方法:
- 对2000年1月至2023年6月期间发表的同行评审文章进行全面的范围审查.
- 在PubMed,Web of Science和CINAHL数据库中进行的搜索.
- 包括定量,定性和混合方法研究,重点关注生育年龄的移民妇女在HIC中使用避孕药.
主要成果:
- 包括68篇文章,其中大多数来自北美.
- 研究主要集中在个人层面的因素:避孕知识,文化/宗教影响,伴侣参与和保险覆盖.
- 确定的卫生系统层面的因素包括缺乏服务信息,文化不足,沟通障碍,副作用,可用性和成本.
结论:
- 关于组织层面的卫生系统对移民妇女避孕服务的障碍,存在重大知识差距.
- 未来的研究和政策应该优先考虑卫生系统因素和干预措施.
- 建议包括改善卫生系统信息,避孕教育,男性伴侣参与,文化能力培训和加强口译服务.
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