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探索亚洲原住民妇女获得卫生服务的情况并确定改善措施:一项范围综述

Exploring health services accessibility by indigenous women in Asia and identifying actions to improve it: a scoping review.

作者信息

Thummapol Onouma, Park Tanya, Barton Sylvia

机构信息

Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.

School of Nursing, University of Northern British Columbia, Prince George, BC, Canada.

出版信息

Ethn Health. 2020 Oct;25(7):940-959. doi: 10.1080/13557858.2018.1470607. Epub 2018 May 3.


DOI:10.1080/13557858.2018.1470607
PMID:29722555
Abstract

The aim of this scoping review was to uncover and summarize what is known in the literature about the experiences of Indigenous women in Asia regarding access to health services. The study was informed by the scoping review methodology proposed by Arksey and O'Malley [2005. "Scoping Studies: Towards a Methodological Framework." 8 (1): 19-32. doi:10.1080/1364557032000119616]. A comprehensive search of the databases for peer-reviewed studies and grey literature was conducted between January 2000 and December 2016. The data of selected papers and abstracts were analysed by three independent researchers through a protocol of data charting, descriptive numerical summary, and thematic analysis. Sixteen articles and two abstracts met the inclusion criteria for this scoping review. These 18 peer-reviewed documents consisted of eight qualitative studies, seven quantitative studies, and three mixed-method studies, which included the peer-reviewed poster and oral presentation abstracts from international conferences. The findings were sorted and grouped under the following themes: health care access for Indigenous women in Asia, facilitators to accessing healthcare services, barriers to accessing healthcare services, and cultural contexts impacting health and access. There is limited information about the experiences, facilitators, barriers, and cultural contexts faced by Indigenous women in Asia related to health services accessibility, and even less information related to improving health services accessibility and health outcomes. This scoping review in particular highlights the dearth of literature relating to Indigenous women's postpartum health and access to postnatal supports and services. Generally, it indicates that Indigenous women in Asia are more vulnerable to poor health in comparison to non-Indigenous women, and continue to face challenges and barriers in accessing quality and equitable health services. The barriers identified in this review are useful in explaining why inequities in health and access to health care for Indigenous women living in Asia continue to exist. Recommendations for future research directions are described.

摘要

本范围综述的目的是揭示并总结文献中关于亚洲原住民妇女获得医疗服务经历的已知情况。该研究采用了阿克西和奥马利(2005年,《范围研究:迈向一个方法框架》,8(1):19 - 32。doi:10.1080/1364557032000119616)提出的范围综述方法。在2000年1月至2016年12月期间,对同行评审研究和灰色文献数据库进行了全面检索。三位独立研究人员通过数据图表记录、描述性数值总结和主题分析协议,对所选论文和摘要的数据进行了分析。十六篇文章和两篇摘要符合本范围综述的纳入标准。这18篇同行评审文献包括八项定性研究、七项定量研究和三项混合方法研究,其中包括国际会议的同行评审海报和口头报告摘要。研究结果按照以下主题进行分类和分组:亚洲原住民妇女获得医疗保健服务的情况、获得医疗服务的促进因素、获得医疗服务的障碍以及影响健康和获得医疗服务的文化背景。关于亚洲原住民妇女在获得医疗服务可及性方面所面临的经历、促进因素、障碍和文化背景的信息有限,而与改善医疗服务可及性和健康结果相关的信息更少。本范围综述特别强调了与原住民妇女产后健康以及获得产后支持和服务相关的文献匮乏。总体而言,这表明与非原住民妇女相比,亚洲原住民妇女在健康方面更容易受到影响,并且在获得高质量和公平的医疗服务方面仍然面临挑战和障碍。本综述中确定的障碍有助于解释为什么生活在亚洲的原住民妇女在健康和获得医疗保健方面的不平等现象仍然存在。文中还描述了对未来研究方向的建议。

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