Richards Jessica, Kliner Merav, Brierley Shirley, Stroud Laura
Community Pract. 2014 Sep;87(9):33-6.
This qualitative study aimed to investigate maternal and infant health needs within Eastern European populations in Bradford. Evidence suggested that migrants from Eastern Europe had poor maternal and child health and increased rates of infant mortality. Health visitors, community midwives and specialist voluntary workers were involved. Eleven interviews took place. They were semi-structured and analysed using a thematic approach. A number of health needs were identified in Eastern European populations, including high rates of smoking and poor diet. Wider determinants of health such as poverty and poor housing were cited as commonplace for Eastern European migrants. There were numerous cultural barriers to health, such as discrimination, mobility, cultural practices regarding age at pregnancy, and disempowerment of women. Lastly, access to health services was identified as a significant issue and this was impacting on staff working with this population. This study demonstrated the complexity and interaction of health and social factors and their influence on utilisation of health services.
这项定性研究旨在调查布拉德福德市东欧人群的母婴健康需求。有证据表明，来自东欧的移民母婴健康状况不佳，婴儿死亡率上升。参与研究的人员包括健康访视员、社区助产士和专业志愿者工作者。共进行了11次访谈。访谈采用半结构化形式，并运用主题分析法进行分析。研究确定了东欧人群的一些健康需求，包括吸烟率高和饮食不良。贫困和住房条件差等更广泛的健康决定因素被认为是东欧移民的普遍情况。存在许多健康方面的文化障碍，如歧视、流动性、关于怀孕年龄的文化习俗以及妇女权利被剥夺等问题。最后，获得医疗服务被确定为一个重大问题，这对与该人群打交道的工作人员产生了影响。这项研究表明了健康和社会因素的复杂性及相互作用，以及它们对医疗服务利用的影响。
