Hasstedt Kinsey, Desai Sheila, Ansari-Thomas Zhora
Guttmacher Institute, Washington, D.C.
Issue Brief (Commonw Fund). 2018 Nov 1;2018:1-10.
Immigrant women of reproductive age in the U.S. face significant challenges obtaining comprehensive and affordable health insurance coverage and care--including sexual and reproductive health services--compared with U.S.-born women, because of myriad policy and systemic factors.
Synthesize recent evidence on immigrant women’s access to sexual and reproductive health coverage and care and provide recommendations for policymaking and research.
A rapid literature review to identify and summarize evidence from peer-reviewed and select grey literature published since 2011 on health insurance coverage and sexual and reproductive health care services use among immigrant women in the U.S. Where available, evidence is compared to U.S.-born women.
Immigrant women are less likely to have coverage and use sexual and reproductive health services than U.S.-born women, which may increase their risk of negative outcomes. Federal and state policymakers could take actions to advance immigrant women’s sexual and reproductive health, including expanding eligibility for coverage and shoring up the nation’s health care safety net. Further research is needed to understand the needs, use of services, and outcomes of immigrant women, as well as the factors that contribute to differences between immigrant and U.S.-born women, and among groups of immigrant women.
与美国本土出生的女性相比，由于众多政策和系统性因素，美国育龄移民女性在获得全面且负担得起的医疗保险覆盖范围及医疗服务（包括性健康和生殖健康服务）方面面临重大挑战。
综合近期有关移民女性获得性健康和生殖健康覆盖范围及医疗服务的证据，并为政策制定和研究提供建议。
进行快速文献综述，以识别和总结自2011年以来发表的同行评审文献以及精选的灰色文献中有关美国移民女性医疗保险覆盖范围以及性健康和生殖健康护理服务使用情况的证据。在可行的情况下，将证据与美国本土出生的女性进行比较。
与美国本土出生的女性相比，移民女性获得保险覆盖并使用性健康和生殖健康服务的可能性较小，这可能会增加她们出现负面结果的风险。联邦和州政策制定者可以采取行动来促进移民女性的性健康和生殖健康，包括扩大保险覆盖资格以及加强国家医疗安全网。需要进一步开展研究，以了解移民女性的需求、服务使用情况和结果，以及导致移民女性与美国本土出生女性之间以及不同移民女性群体之间存在差异的因素。
