种族化移民妇女在产妇护理中的歧视:一个范围审查
Jasmine Therese Arcilla1,2,3, Alexandra Nanou1, Sarah Hamed4,5
1School of Health and Welfare, Dalarna University, Falun, 79 182, Sweden.
International journal for equity in health
|January 19, 2025
概括
种族化移民妇女在产妇护理中面临歧视,导致健康状况不佳. 需要更多的研究来解决这些不平等问题,并确保公平的全球孕产妇卫生保健.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 在医疗保健方面,种族和民族不平等仍然存在,特别影响在孕产妇护理期间的种族化移民妇女.
- 孕产妇医疗保健中的歧视与负面的健康寻求行为和不利的孕产妇健康结果有关.
- 现有的关于种族化移民妇女在产妇护理中遭受歧视的研究是有限的.
研究的目的:
- 对当前关于种族化移民妇女在孕产妇医疗保健中的歧视经历的研究进行范围审查.
- 识别现有关于母婴护理中的歧视相关文献中的知识差距.
- 为确保全球孕产妇医疗保健公平的战略提供信息.
主要方法:
- 2012年至2023年间发表的英语经验文献的综合范围审查.
- 在包括PubMed,CINAHL,MEDLINE,Web of Science和PsycInfo在内的主要数据库中进行系统搜索.
- 以审查的首选报告项目为指导的数据提取和综合以及审查范围扩展的元分析 (PRISMA-ScR) 检查清单.
主要成果:
- 分析了57篇文章,主要是来自欧洲和北美国家的定性研究.
- 调查结果揭示了各种形式的歧视,包括可访问性问题,缺少口译人员,延迟护理,不尊重,虐待和差异性待遇.
- 歧视导致种族化移民妇女的代理权减少,并被排除在决策之外.
结论:
- 现有的文献承认在孕产妇医疗保健中存在歧视,但往往没有特别关注种族化移民妇女.
- 关于通过种族化的镜头对歧视的概念化以及医疗保健人员的作用,存在重大知识差距.
- 需要进行更广泛的地理范围的研究,并应用一个跨部门的框架,以了解在产妇护理中的歧视.
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