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与残割相伴:关于女性生殖器残割对西班牙女性健康及医疗系统影响的质性研究

Living with mutilation: A qualitative study on the consequences of female genital mutilation in women's health and the healthcare system in Spain.

作者信息

Pastor-Bravo María Del Mar, Almansa-Martínez Pilar, Jiménez-Ruiz Ismael

机构信息

Nursing Department, University of Murcia, Murcia, Spain; IMIB-Arrixaca. Instituto Murciano de investigación Biosanitaria Virgen de la Arrixaca, Murcia, Spain; GLOMHI-Global Migration & Health Initiative, Toronto, Canada.

Nursing Department, University of Murcia, Murcia, Spain; IMIB-Arrixaca. Instituto Murciano de investigación Biosanitaria Virgen de la Arrixaca, Murcia, Spain.

出版信息

Midwifery. 2018 Nov;66:119-126. doi: 10.1016/j.midw.2018.08.004. Epub 2018 Aug 15.

DOI:10.1016/j.midw.2018.08.004
PMID:30170264
Abstract

INTRODUCTION

Female genital mutilation is a health and human rights issue which extends to western countries. It is estimated that there are some seventeen thousand women and girls living in Spain who have either been mutilated or are at risk of being so. Healthcare professionals face the challenge of providing adequate care in response to this emerging problem.

AIM

To discover the repercussions of female genital mutilation on the health of sub-Saharan women residing in Spain, as well as the healthcare received.

METHODS

A life-history qualitative research design was utilized. The study population included 14 genitally mutilated women residing in the Region of Murcia who had given birth in Spain and been attended to by the national public healthcare system.

RESULTS

Women suffer physical, psychological, obstetric and sexual health issues as a result of female genital mutilation and despite having a favourable perception of the healthcare received during the pregnancy and the delivery, the provision of health education, detection and treatment of female genital mutilation by healthcare professionals was seen to be lacking.

CONCLUSIONS AND PRACTICAL IMPLICATIONS

Healthcare policy must address insufficiencies in delivering adequate care to immigrant women who have been the victim of female genital mutilation by implementing the necessary resources and training for professionals to effectively meet the specific healthcare needs of this population and prevent this cruel practice from being perpetuated.

摘要

引言

女性生殖器切割是一个涉及西方国家的健康和人权问题。据估计,生活在西班牙的约有1.7万名妇女和女孩要么已经遭受切割,要么有遭受切割的风险。医疗保健专业人员面临着应对这一新出现问题提供充分护理的挑战。

目的

了解女性生殖器切割对居住在西班牙的撒哈拉以南妇女健康的影响以及她们所接受的医疗保健情况。

方法

采用生命史定性研究设计。研究人群包括14名居住在穆尔西亚地区、在西班牙分娩并接受国家公共医疗保健系统护理的生殖器切割女性。

结果

女性因女性生殖器切割而遭受身体、心理、产科和性健康问题,尽管她们对孕期和分娩期间所接受的医疗保健评价良好,但医疗保健专业人员在提供健康教育、检测和治疗女性生殖器切割方面仍存在不足。

结论与实际意义

医疗保健政策必须通过为专业人员提供必要资源和培训,以有效满足这一人群的特定医疗保健需求并防止这种残忍做法延续,来解决在为遭受女性生殖器切割的移民妇女提供充分护理方面的不足。

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