Puthussery Shuby
Department of Clinical Education and Leadership, Institute for Health Research, University of Bedfordshire, Putteridge Bury, Hitchin Road, Luton, Bedfordshire LU2 8LE, UK.
Best Pract Res Clin Obstet Gynaecol. 2016 Apr;32:39-49. doi: 10.1016/j.bpobgyn.2015.09.003. Epub 2015 Oct 14.
This paper examines trends in perinatal outcomes among migrant mothers in the UK, and it explores potential contributors to disparities focusing on pregnancy, birth and the first year of life. Trends in perinatal outcomes indicate that ethnic minority grouping, regardless of migrant status, is a significant risk factor for unfavourable outcomes. It is unclear whether migrant status per se adds to this risk as within-group comparisons between UK-born and foreign-born women show variable findings. The role of biological and behavioural factors in producing excess unfavourable outcomes among ethnic minority mothers, although indicated, is yet to be fully understood. UK policies have salient aspects that address ethnic inequalities, but their wide focus obscures provisions for migrant mothers. Direct associations between socio-economic factors, ethnicity and adverse infant outcomes are evident. Evidence is consistent about differential access to and utilisation of health services among ethnic minority mothers, in particular recently arrived migrants, refugees and asylum seekers.
本文研究了英国移民母亲的围产期结局趋势，并探讨了导致差异的潜在因素，重点关注怀孕、分娩和生命的第一年。围产期结局趋势表明，无论移民身份如何，少数族裔群体都是不良结局的重要风险因素。目前尚不清楚移民身份本身是否会增加这种风险，因为对英国出生和外国出生女性的组内比较显示出不同的结果。虽然有人指出生物和行为因素在少数族裔母亲中产生过多不良结局方面所起的作用，但尚未完全了解。英国的政策有解决种族不平等问题的显著方面，但其广泛的关注掩盖了对移民母亲的规定。社会经济因素、种族与不良婴儿结局之间的直接关联是明显的。有证据一致表明，少数族裔母亲，特别是新抵达的移民、难民和寻求庇护者，在获得和利用医疗服务方面存在差异。
