Åkerman Eva, Essén Birgitta, Westerling Ragnar, Larsson Elin
a Department of Public Health and Caring Sciences, Social Medicine , Uppsala University , Uppsala , Sweden.
b Department of Women's and Children's Health, International Maternal and Child Health , Uppsala University , Uppsala , Sweden.
Cult Health Sex. 2017 Feb;19(2):194-207. doi: 10.1080/13691058.2016.1214746. Epub 2016 Aug 10.
Thailand is one of the most common countries of origin among immigrants in Sweden and Thai immigrants comprise the immigrant group most frequently diagnosed with HIV. Little is known about their healthcare-seeking behaviour and views on HIV prevention. This study explored Thai women's healthcare-seeking behaviour in relation to sexual and reproductive health and their views on HIV prevention. Nineteen in-depth interviews were conducted with Thai-born women in the Stockholm area. Three themes were identified: (1) poor access to healthcare in Sweden, preferring to seek care in Thailand; (2) partners playing a key role in women's access to healthcare; (3) no perceived risk of HIV, but a positive attitude towards prevention. Despite expressing sexual and reproductive healthcare needs, most women had not sought this type of care, except for the cervical cancer screening programme to which they had been invited. Identified barriers for poor access to healthcare were lack of knowledge about the healthcare system and language difficulties. To achieve 'healthcare on equal terms', programmes and interventions must meet Thai women's healthcare needs and consider what factors influence their care-seeking behaviour. Integrating HIV prevention and contraceptive counselling into the cervical screening programme might be one way to improve access.
泰国是瑞典移民中最常见的原籍国之一，泰国移民是被诊断出感染艾滋病毒最频繁的移民群体。对于他们寻求医疗保健的行为以及对艾滋病毒预防的看法，人们知之甚少。本研究探讨了泰国女性在性健康和生殖健康方面的就医行为及其对艾滋病毒预防的看法。对斯德哥尔摩地区出生于泰国的女性进行了19次深入访谈。确定了三个主题：（1）在瑞典获得医疗保健的机会不佳，她们更倾向于在泰国寻求治疗；（2）伴侣在女性获得医疗保健方面起着关键作用；（3）没有意识到感染艾滋病毒的风险，但对预防持积极态度。尽管表达了性健康和生殖健康方面的医疗需求，但除了受邀参加的宫颈癌筛查项目外，大多数女性并未寻求此类护理。确定的获得医疗保健机会不佳的障碍包括对医疗保健系统缺乏了解和语言困难。为了实现“平等的医疗保健”，项目和干预措施必须满足泰国女性的医疗需求，并考虑影响她们就医行为的因素。将艾滋病毒预防和避孕咨询纳入宫颈癌筛查项目可能是改善获得医疗保健机会的一种方法。
