"It's a life you're playing with": A qualitative study on experiences of NHS maternity services among undocumented migrant women in England.
"It's a life you're playing with": A qualitative study on experiences of NHS maternity services among undocumented migrant women in England.
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DOI：
10.1016/j.socscimed.2020.113610
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Hargreaves S
中科院分区：
文献类型：
--
作者：
Nellums LB;Powis J;Jones L;Miller A;Rustage K;Russell N;Friedland JS;Hargreaves S
与非移民妇女相比，无证移徙妇女在获得产科服务方面遇到了复杂的障碍，不太可能得到建议水平的产妇保健，产科结局也更差。有人担心，对享有保健服务的权利越来越多的限制会对获得服务的机会和产科结果产生不利影响，特别是在无证移徙妇女中。这项研究旨在调查在英国怀孕的非法移民妇女的经历，以及影响获得护理和健康结果的因素。2017年6月至12月，我们对出生在英国以外的移民女性(年龄为18岁)进行了深入的半结构化访谈，这些女性是通过英国世界医生组织招募的，她们在英国有过怀孕和无证身份(未经许可居住)的经历。应要求使用了口译服务。访谈被记录、转录，并使用主题分析进行分析。伦理批准：伦敦帝国理工学院研究伦理委员会(ICREC参考：17IC3924)。对20名参与者进行了半结构化访谈，其中10人在国家目标13周后进行了第一次产前预约，其中9人报告了并发症。定义女性怀孕经历的主题包括：受限制的中介、交叉压力源和持续的早产循环，由法律地位、社会孤立和经济地位定义。这项研究为英国女性在包括收费和数据共享在内的日益严格的健康政策背景下怀孕的经历提供了新的证据。报告提出了六项建议，以确保英国和其他移民接受国努力减少不平等，实现国家和全球妇幼保健和全民健康覆盖目标。无证移民妇女无权享受英国国民健康保险制度的免费产科服务。接受采访的妇女中有一半在获得NHS产科服务方面遇到了延误。关键主题包括受限代理、压力源和早产的循环。从调查结果中得出了六项关于政策和实践的即时建议。
Undocumented migrant women experience complex barriers to maternity services, are less likely to receive the recommended level of maternity care, and have poorer obstetric outcomes than non-migrant women. There are concerns increasing restrictions on entitlement to health services have a detrimental impact on access to services and obstetric outcomes, particularly among undocumented migrant women. The study aimed to investigate the experiences of undocumented migrant women who have been pregnant in England, and factors affecting access to care and health outcomes. We conducted in-depth semi-structured interviews June–December 2017 with a purposive sample of migrant women born outside the UK (aged>18) who had experiences of pregnancy and undocumented status (without permission to reside) in the UK, recruited through Doctors of the World (DOTW) UK. Interpreting services were used on request. Interviews were recorded, transcribed, and analysed using thematic analysis. Ethical approval: Imperial College London Research Ethics Committee (ICREC reference: 17IC3924). Semi-structured interviews were conducted with 20 participants, 10 of whom had their first antenatal appointment after the national target of 13 weeks, and nine of whom reported complications. Themes defining women's experiences of pregnancy included: restricted agency, intersecting stressors, and an ongoing cycle of precarity, defined by legal status, social isolation, and economic status. This study provides new evidence of women's experiences of pregnancy in the UK in the context of increasingly restrictive health policies including charging and data sharing. Six recommendations are made to ensure the UK and other migrant receiving countries work towards reducing inequalities and achieving national and global targets for maternal and child health and universal health coverage. Undocumented migrant women not entitled to free NHS England maternity services. Half of women interviewed experienced delays in accessing NHS maternity services. Key themes included restricted agency, stressors, and a cycle of precarity. Six immediate recommendations for policy and practice are drawn from the findings.
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影响因子：
5.4
作者：
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通讯作者：
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影响因子：
5.4
作者：
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通讯作者：
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影响因子：
1.4
作者：
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通讯作者：
van den Broek, Nynke
DOI：
10.1017/s1121189x0000186x
发表时间：
2005-01-01
期刊：
EPIDEMIOLOGIA E PSICHIATRIA SOCIALE
影响因子：
--
作者：
Beresford, P
通讯作者：
Beresford, P
DOI：
10.1108/ijhrh-01-2018-0006
发表时间：
2018-01-01
影响因子：
1.4
作者：
Borges, Danielle da Costa Leite;Guidi, Caterina Francesca
通讯作者：
Guidi, Caterina Francesca