Deeb-Sossa Natalia, Díaz Olavarrieta Claudia, Juárez-Ramírez Clara, García Sandra G, Villalobos Aremis
Chicana/o Studies Department, University of California, Davis, USA.
Cad Saude Publica. 2013 May;29(5):981-91.
This study focuses on the experience of Mexican women migrants in California, USA, with the use of formal health services for sexual and reproductive health issues. The authors used a qualitative interpretative approach with life histories, interviewing eight female users of healthcare services in California and seven key informants in Mexico and California. There were three main types of barriers to healthcare: immigration status, language, and gender. Participants reported long waiting times, discriminatory attitudes, and high cost of services. A combination of formal and informal healthcare services was common. The assessment of quality of care was closely related to undocumented immigration status. Social support networks are crucial to help solve healthcare issues. Quality of care should take intercultural health issues into account.
本研究聚焦于美国加利福尼亚州墨西哥女性移民在利用正规医疗服务解决性健康和生殖健康问题方面的经历。作者采用了一种基于生活史的定性解释方法，对加利福尼亚州的八位女性医疗服务使用者以及墨西哥和加利福尼亚州的七位关键信息提供者进行了访谈。医疗保健存在三种主要障碍：移民身份、语言和性别。参与者报告称等待时间长、存在歧视态度以及服务费用高昂。正规和非正规医疗服务相结合的情况很常见。对护理质量的评估与无证移民身份密切相关。社会支持网络对于帮助解决医疗保健问题至关重要。护理质量应考虑跨文化健康问题。
