Access to Health Care for Pregnant Arabic-Speaking Refugee Women and Mothers in Germany
Access to Health Care for Pregnant Arabic-Speaking Refugee Women and Mothers in Germany
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DOI：
10.1177/1049732319873620
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发表时间：
2020-02-01
影响因子：
3.2
通讯作者：
Fischer, Thomas
中科院分区：
文献类型：
--
作者：
Henry, Julia;Beruf, Christian;Fischer, Thomas
难民妇女在获得产前、产期和产后护理时经常遇到多重障碍。本研究的目的是调查移民前的经历、怀孕和分娩的概念、健康素养和语言技能如何影响获得卫生保健、卫生保健经历和分娩。在德累斯顿市，对来自伊拉克、叙利亚和巴勒斯坦的难民妇女共进行了12次半结构化访谈。以Levesque的访问模型为框架进行内容分析。结果表明，怀孕和分娩的概念和移民前的经历影响妇女的行为和怀孕和分娩的经历。它们助长了获得保健服务方面的障碍，并导致不利的健康结果。鉴于卫生知识有限、语言技能差、缺乏信息和缺少翻译人员，原籍国的女性亲属仍然是重要的信息来源。需要改善难民妇女获得服务的机会。
Refugee women often encounter multiple barriers when accessing ante-, peri-, and postnatal care. The aim of this study was to investigate how premigration experiences, conceptions about pregnancy and childbirth, health literacy, and language skills influence access to health care, experiences of health care, and childbirth. A total of 12 semi-structured interviews with refugee women from Iraq, Syria, and Palestine were conducted in the city of Dresden. Content analysis was applied using Levesque's access model as a framework. Results indicate that conceptions of pregnancy and childbirth and premigration experiences influence women's behaviors and experiences of pregnancy and childbirth. They contribute to barriers in accessing health care and lead to negative health outcomes. In view of limited health literacy, poor language skills, lack of information, and missing translators, female relatives in countries of origin remain an important source of information. Improved access to services for refugee women is needed.