Markovic Milica, Manderson Lenore, Kelaher Margaret
Key Centre for Women's Health in Society, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Victoria, Australia.
J Immigr Health. 2002 Jan;4(1):5-15. doi: 10.1023/A:1013003126561.
A study of the social and health status of women from the former Yugoslavia was conducted in Queensland, Australia. Study participants were predominantly refugee women who had migrated to Australia between 1991 and 1996. A significant number of the women rated their health status as poor or fair. Most women did not perceive any change in health following migration, but more felt that their health had deteriorated than improved. Applying a social model of health, we explored the social contexts of countries of origin and destination that impact on women's health. We analyze how pre-immigration trauma, settlement problems, health risk behaviors, and participation in screening programs affect women's health status and health needs. Data analysis indicated that government and non-government services can reduce the impact of pre-immigration experience on health risk behaviors and poor health outcomes only to a limited degree. Since the low socioeconomic status of immigrants following immigration was identified by women as a main contributing factor to their poor health status, government support in tackling structural barriers in accessing the Australian labor market is essential to achieve positive health outcomes.
在澳大利亚昆士兰州开展了一项关于前南斯拉夫妇女社会和健康状况的研究。研究参与者主要是1991年至1996年间移民到澳大利亚的难民妇女。相当一部分妇女将自己的健康状况评为差或一般。大多数妇女认为移民后健康状况没有任何变化，但更多人觉得自己的健康状况恶化而非改善。运用健康社会模式，我们探讨了原籍国和目的地国影响妇女健康的社会背景。我们分析了移民前创伤、定居问题、健康风险行为以及参与筛查项目如何影响妇女的健康状况和健康需求。数据分析表明，政府和非政府服务只能在有限程度上减少移民前经历对健康风险行为和不良健康结果的影响。由于移民后妇女认为低社会经济地位是导致其健康状况不佳的主要因素，政府在消除进入澳大利亚劳动力市场的结构性障碍方面提供支持对于实现积极的健康结果至关重要。
