Mengesha Zelalem Birhanu, Dune Tinashe, Perz Janette
Sex Health. 2016 May 23. doi: 10.1071/SH15235.
The proportion of women from culturally and linguistically diverse backgrounds is growing in Australia. Synthesising existing evidence concerning the views and experiences of these women in accessing sexual and reproductive health care is crucial to future policy and service development. A systematic review of scientific articles and grey literature published in English between 1990 and 2015 was conducted to identify the barriers and facilitators in accessing sexual and reproductive health care in Australia experienced by culturally and linguistically diverse women. The search strategy covered seven electronic databases (ProQuest, PubMed, EMBASE/Elsevier, SCOPUS, PsycINFO, CINAHL and Infomit) and websites. Thematic analysis methodology was used to analyse and interpret the data extracted from individual studies. From the 1401 potentially relevant articles identified, 22 articles that represent the views and experiences of 1943 culturally and linguistically diverse women in accessing sexual and reproductive health care in Australia were reviewed. The main barriers and facilitators identified were grouped into three major themes. These include personal level experiences of accessing health care, women's interaction with the healthcare system and women's experience with healthcare providers. Implications for clinical practice and future research are discussed based on the findings of the review.
在澳大利亚，来自文化和语言背景多元的女性比例正在上升。综合现有关于这些女性在获得性健康和生殖健康护理方面的观点及经历的证据，对未来政策和服务发展至关重要。开展了一项对1990年至2015年间以英文发表的科学文章和灰色文献的系统综述，以确定澳大利亚文化和语言背景多元的女性在获得性健康和生殖健康护理方面所经历的障碍和促进因素。检索策略涵盖七个电子数据库（ProQuest、PubMed、EMBASE/Elsevier、SCOPUS、PsycINFO、CINAHL和Infomit）以及网站。采用主题分析法对从各项研究中提取的数据进行分析和解读。从所识别出的1401篇潜在相关文章中，对22篇代表1943名文化和语言背景多元的澳大利亚女性在获得性健康和生殖健康护理方面的观点及经历的文章进行了综述。所确定的主要障碍和促进因素被归纳为三个主要主题。这些包括获得医疗护理的个人层面经历、女性与医疗保健系统的互动以及女性与医疗服务提供者的经历。基于综述结果讨论了对临床实践和未来研究的启示。
