语言、种族和移民身份交叉点的产妇护理:一项定性研究。

IF 2.8 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Womens Health Issues Pub Date : 2023-11-01 DOI:10.1016/j.whi.2023.04.004
May Sudhinaraset PhD , Rebecca A. Kolodner MD , Michelle Kao Nakphong PhD
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引用次数: 1

摘要

引言:有色人种妇女和移民妇女比美国出生的白人妇女更有可能报告在生殖保健期间受到虐待和护理质量差。令人惊讶的是,很少有研究表明语言的获取会如何影响移民妇女的产科护理经历,特别是在种族和民族方面。方法:2018年8月至2019年8月,我们对居住在洛杉矶或奥兰治县的10名墨西哥妇女和8名中国/台湾妇女(n = 18)进行了定性深入的一对一半结构化访谈。采访被转录和翻译,数据最初是根据采访指导问题编码的。我们使用主题分析方法识别模式和主题。结果:与会者描述了缺乏翻译人员以及语言和文化一致的保健提供者和工作人员如何阻碍了她们获得产妇保健服务;特别是,他们描述了与接待员、供应商和超声波技术人员沟通的障碍。尽管墨西哥移民有能力获得西班牙语医疗保健,但墨西哥和中国移民妇女都描述了由于缺乏对医学概念和术语的理解,导致护理质量差,缺乏对生殖程序的知情同意,以及随后的心理和情绪困扰。无证妇女不太可能报告使用利用社会资源改善语言获取和优质护理的策略。结论:如果不能获得文化和语言上适当的保健服务,就无法实现生殖自主。卫生保健系统应确保以妇女能理解的语言和方式向妇女提供全面的信息,特别注意提供跨多种族的语言服务。多语种工作人员和保健提供者在为移民妇女提供护理方面至关重要。
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Maternity Care at the Intersections of Language, Ethnicity, and Immigration Status: A Qualitative Study

Introduction

Women of color and immigrant women are more likely than US-born White women to report mistreatment and poor quality of care during their reproductive health care. Surprisingly little research exists on how language access may impact immigrant women's experiences of maternity care, particularly by race and ethnicity.

Methods

We conducted qualitative in-depth, one-on-one semi-structured interviews from August 2018 to August 2019 with 10 Mexican and eight Chinese/Taiwanese women (n = 18) living in Los Angeles or Orange County who gave birth within the past 2 years. Interviews were transcribed and translated, and data were initially coded based on the interview guide questions. We identified patterns and themes using thematic analysis methods.

Results

Participants described how a lack of translators and language- and cultural-concordant health care providers and staff impeded their access to maternity care services; in particular, they described barriers to communication with receptionists, providers, and ultrasound technicians. Despite Mexican immigrants’ ability to access Spanish-language health care, both Mexican and Chinese immigrant women described how lack of understanding medical concepts and terminology resulted in poor quality of care, lack of informed consent for reproductive procedures, and subsequent psychological and emotional distress. Undocumented women were less likely to report using strategies that leveraged social resources to improve language access and quality care.

Conclusions

Reproductive autonomy cannot be achieved without access to culturally and linguistically appropriate health care. Health care systems should ensure that comprehensive information is given to women, in a language and manner they can understand, with particular attention toward providing in-language services across multiple ethnicities. Multilingual staff and health care providers are critical in providing care that is responsive to immigrant women.

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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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