Promoting the health of refugee women: a scoping literature review incorporating the social ecological model.
Promoting the health of refugee women: a scoping literature review incorporating the social ecological model.
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DOI：
10.1186/s12939-021-01387-5
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发表时间：
2021-01-23
影响因子：
4.8
通讯作者：
Mkandawire-Valhmu L
中科院分区：
文献类型：
--
作者：
Hawkins MM;Schmitt ME;Adebayo CT;Weitzel J;Olukotun O;Christensen AM;Ruiz AM;Gilman K;Quigley K;Dressel A;Mkandawire-Valhmu L
难民妇女在新的国家定居后，其健康可能受到个人、人际、社区和组织因素的不利或有利影响。虽然以前的许多文献都单独强调了这些因素，但缺乏关于这些因素如何相互作用影响难民妇女健康的综合论述。我们在文献综述中进行了专题分析，以阐明提供者如何与难民妇女合作，以防止不利的健康结果，并在多个层面进行干预，以改善她们在重新安置后的健康结果。我们回顾了2009年至2019年来自Google Scholar，JSTOR，Global Health，PubMed，CINAHL，Sociological Abstracts和Social Service Abstracts的同行评审文献，并使用引文链接来识别与难民妇女健康有关的相关信息。我们的文献综述使用的关键术语是，医疗保健，暴力，社会支持和心理健康。我们总共收录了52篇文章、3本书和8个其他来源。我们发现，难民妇女在移徙过程中容易受到暴力侵害，通常患创伤后应激障碍的比率很高。还有人担心提供者在重新安置后会造成二次受害。我们还发现，社会支持是减少孤立，改善医疗保健以及改善心理健康结果的重要因素。然而，社会支持往往难以维持，并受到英语流利程度等因素的影响。卫生保健的影响，健康素养，文化差异，沟通问题，和访问问题。研究结果表明，在个人和人际层面，有必要解决语言障碍，改善医患沟通，并提供适当的医疗和心理健康筛查。在组织一级，组织间的沟通和认识至关重要。在社区一级，提供者可以与社区领导人合作，进行教育，建立对话和合作，帮助促进理解和加强社区社会支持。必须通过综合、多系统的办法，加强对难民妇女的独特需要和关切的沟通和了解，以改善她们的健康状况。
The health of refugee women after settlement in a new country, can be adversely or positively affected by individual, interpersonal, community, and organizational factors. While much of the previous literature highlights these factors individually, there is a lack of comprehensive synthesis regarding how the factors interact to influence the health of refugee women. We conducted a thematic analysis in our literature review to elucidate how providers can work with refugee women to prevent adverse health outcomes and intervene at multiple levels to improve their health outcomes after resettlement. We reviewed peer-reviewed literature from 2009 to 2019 from Google Scholar, JSTOR, Global Health, PubMed, CINAHL, Sociological Abstracts, and Social Service Abstracts, and also used citation chaining, to identify relevant information pertaining to refugee women’s health. The key terms used for our literature review were, health care, violence, social support, and mental health. In total, we included 52 articles, 3 books, and 8 other sources. We found that refugee women are vulnerable to violence during migration and typically have high rates of post-traumatic stress disorder. There were also concerns of secondary victimization by providers after resettlement. We also found that social support is an important factor for reducing isolation, and improving access to health care, as well as improving mental health outcomes. However, social support was often difficult to maintain, and was moderated by factors such as English language fluency. Health care was influenced by health literacy, cultural difference, communication concerns, and access issues. The findings suggest that at the individual and interpersonal levels there is a need to address language barriers, improve provider-patient communication, and provide appropriate medical and mental health screenings. At the organizational level, inter-organizational communication and awareness are vital. At the community level, providers can work with community leaders, to educate, create dialogue and collaboration, to help facilitate understanding and bolster community social support. Improved communication and knowledge about the unique needs and concerns of refugee women through an integrated, multi-system approach is necessary to improve their health outcomes.
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影响因子：
2.7
作者：
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作者：
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通讯作者：
Freedman, Jane