Bollini Paola, Stotzer Urszula, Wanner Philippe
Services for Medical Research, forMed, Evolène, 1983, Switzerland.
Int J Public Health. 2007;52(2):78-86. doi: 10.1007/s00038-007-6003-3.
To explore the issues of pregnancy and delivery in migrant women in their interaction with the Swiss healthcare system.
Focus groups were conducted with women of the Turkish and Portuguese communities. Swiss women were included as the reference group. Interpreters were used when needed. Group discussions were recorded and transcribed; all communications were categorized by specific themes and subdivided as to content.
Eight focus groups were held: there were a total of 40 participants including 14 Turkish, 17 Portuguese, 9 Swiss. The study revealed that migrant women in Switzerland face stressful situations, which may differ according to nationality and length of stay in the country. Main factors negatively affecting pregnancy were stress due to precarious living conditions, heavy work during pregnancy, inadequate communication with healthcare providers, and feelings of racism and discrimination in society.
Main findings of this qualitative study confirm that migrant communities need focused health attention because of numerous barriers to healthcare experienced in Switzerland. Improving the reproductive health of the migrant community is a priority that can be addressed by public health interventions, including integration of migrants into the society, strict observance of labor regulations, improved communication with healthcare providers, and better information targeting migrant communities.
探讨移民女性在与瑞士医疗体系互动过程中的妊娠和分娩问题。
对土耳其和葡萄牙社区的女性开展焦点小组访谈。纳入瑞士女性作为参照组。必要时使用口译员。对小组讨论进行录音和转录；所有交流内容按特定主题分类并进一步细分。
共举行了8次焦点小组访谈：共有40名参与者，其中14名土耳其女性、17名葡萄牙女性、9名瑞士女性。研究表明，瑞士的移民女性面临压力状况，压力状况可能因国籍和在该国的停留时间而异。对妊娠产生负面影响的主要因素包括不稳定生活条件导致的压力、孕期繁重工作、与医疗服务提供者沟通不足以及社会中的种族主义和歧视感。
这项定性研究的主要发现证实，由于在瑞士就医面临诸多障碍，移民群体需要有针对性的健康关注。改善移民群体的生殖健康是一个优先事项，可通过公共卫生干预措施来解决，包括让移民融入社会、严格遵守劳动法规、改善与医疗服务提供者的沟通以及针对移民群体提供更好的信息。
