Dayan Nivi, Shvartzman Pesach
Family Medicine Department, Ben-Gurion University of the Negev, Beer-Sheva.
Harefuah. 2013 Jan;152(1):34-8, 58.
Immigrants differ in morbidity and mortality characteristics, as well as health services and preventative medicine utilization, compared with the non-immigrant population. As the Length of stay in the host country increases, these patterns become similar to the Local population, due to the acculturation process. Immigrant women's prenatal care is often partial and inadequate, usually occurring late in pregnancy, their contraceptive use is lower and the rate of abortions is higher. They have less screening tests for cancer detection, are diagnosed at advanced stages and their survival and cure probabilities are lower Facilitators and barriers to immigrant women's health behaviors include cultural beliefs and perceptions, length of stay in the host country, degree of acculturation, Language barriers, accessibility, primary physician involvement, role burdens, knowledge and awareness. Ethiopian women experienced a sharp transition in a variety of life aspects following their immigration to Israel. Studies show that Ethiopian women's health and health behavior are typical to those encountered among immigrant women. Their birth patterns are becoming similar to local women as their years in Israel increase, and veteran's patterns are closer to the local population. Data regarding contraceptive use is lacking; the abortion rate is four times higher in comparison with Israeli-born Jewish women, and preventive medicine, referral and early detection rates for cancer are lower. Ethiopian immigrant women in Israel are at high risk regarding their health. Understanding the underlying causes, the changes that occur as time in Israel increases, and identifying the accessibility barriers to services experienced by these women, will assist in planning cultural and needs sensitive services, including health promotion programs.
与非移民人口相比,移民在发病率、死亡率特征以及医疗服务和预防医学利用方面存在差异。随着在东道国停留时间的增加,由于文化适应过程,这些模式会变得与当地人口相似。移民妇女的产前护理往往不全面且不足,通常在怀孕后期才进行,她们的避孕措施使用率较低,堕胎率较高。她们接受癌症检测筛查的次数较少,被诊断时往往处于晚期,生存和治愈的概率较低。移民妇女健康行为的促进因素和障碍包括文化信仰和观念、在东道国的停留时间、文化适应程度、语言障碍、可及性、初级医生的参与、角色负担、知识和意识。埃塞俄比亚妇女移民到以色列后,在生活的各个方面都经历了急剧转变。研究表明,埃塞俄比亚妇女的健康和健康行为在移民妇女中具有典型性。随着她们在以色列的时间增加,她们的生育模式正变得与当地妇女相似,老移民的模式则更接近当地人口。缺乏关于避孕措施使用的数据;与以色列出生的犹太妇女相比,堕胎率高出四倍,癌症预防医学、转诊和早期检测率较低。以色列的埃塞俄比亚移民妇女健康风险很高。了解其潜在原因、随着在以色列时间增加而发生的变化以及识别这些妇女所面临的服务可及性障碍,将有助于规划针对文化和需求的敏感服务,包括健康促进项目。