Factors affecting the use of prenatal care by non-western women in industrialized western countries: a systematic review.
Factors affecting the use of prenatal care by non-western women in industrialized western countries: a systematic review.
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DOI：
10.1186/1471-2393-13-81
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发表时间：
2013-03-27
影响因子：
3.1
通讯作者：
Devillé WL
中科院分区：
文献类型：
--
作者：
Boerleider AW;Wiegers TA;Manniën J;Francke AL;Devillé WL
尽管产前保健有可能解决许多妊娠并发症和同时出现的健康问题，但西方工业化国家的非西方妇女往往比多数人口的妇女更不充分地利用产前保健。本研究旨在对西方工业化国家中影响非西方妇女使用产前保健(包括医疗保健和产前护理)的因素进行系统的回顾。检索1995年至2012年7月期间的11个数据库(PubMed、Embase、QicINFO、Cochrane、社会学摘要、科学网、国际妇女研究、MIDIRS、CINAHL、Scope us和NIFEL目录)中的相关同行评议文章。研究内容包括定性研究和定量研究。使用混合方法评估工具对质量进行评估。确定的因素被归类为阻碍或促进，并根据概念框架进行分类，这是安徒生医疗保健利用模型的详细版本。16篇文章提供了所有分类的相关因素。一些因素(移徙、文化、东道国的地位、社会网络、护理提供者的专业知识以及个人治疗和交流)被发现既包括促进因素，也包括阻碍非西方妇女利用产前护理的因素。人口统计、遗传和怀孕特征以及可获得护理的类别只包括阻碍因素。缺乏对西方医疗体系的了解和语言熟练程度是最常被报道的阻碍因素。以妇女的母语提供信息和护理是最常被报道的促进因素。审查中发现的因素为确定未充分利用产前护理的风险的非西方妇女以及制定旨在改善其产前护理利用率的干预措施和适当政策提供了具体迹象。
Despite the potential of prenatal care for addressing many pregnancy complications and concurrent health problems, non-western women in industrialized western countries more often make inadequate use of prenatal care than women from the majority population do. This study aimed to give a systematic review of factors affecting non-western women’s use of prenatal care (both medical care and prenatal classes) in industrialized western countries. Eleven databases (PubMed, Embase, PsycINFO, Cochrane, Sociological Abstracts, Web of Science, Women’s Studies International, MIDIRS, CINAHL, Scopus and the NIVEL catalogue) were searched for relevant peer-reviewed articles from between 1995 and July 2012. Qualitative as well as quantitative studies were included. Quality was assessed using the Mixed Methods Appraisal Tool. Factors identified were classified as impeding or facilitating, and categorized according to a conceptual framework, an elaborated version of Andersen’s healthcare utilization model. Sixteen articles provided relevant factors that were all categorized. A number of factors (migration, culture, position in host country, social network, expertise of the care provider and personal treatment and communication) were found to include both facilitating and impeding factors for non-western women’s utilization of prenatal care. The category demographic, genetic and pregnancy characteristics and the category accessibility of care only included impeding factors. Lack of knowledge of the western healthcare system and poor language proficiency were the most frequently reported impeding factors. Provision of information and care in women’s native languages was the most frequently reported facilitating factor. The factors found in this review provide specific indications for identifying non-western women who are at risk of not using prenatal care adequately and for developing interventions and appropriate policy aimed at improving their prenatal care utilization.
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影响因子：
5.4
作者：
Petrou, S;Kupek, E;Maresh, M
通讯作者：
Maresh, M
影响因子：
2.7
作者：
Rice, PL;Naksook, C
通讯作者：
Naksook, C
DOI：
10.1111/j.1471-0528.2008.01860.x
发表时间：
2008-10-01
影响因子：
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作者：
Philibert, M.;Deneux-Tharaux, C.;Bouvier-Colle, M-H
通讯作者：
Bouvier-Colle, M-H
影响因子：
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作者：
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通讯作者：
Foets M
影响因子：
2.7
作者：
Chote, Anushka A.;de Groot, Christianne J. M.;Foets, Marleen
通讯作者：
Foets, Marleen