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约旦难民的生殖健康护理利用情况:临时支持与家庭暴力

Reproductive health care utilization among refugees in Jordan: Provisional support and domestic violence.

作者信息

Pierce Hayley

机构信息

Brigham Young University, Provo, UT, USA.

出版信息

Womens Health (Lond). 2019 Jan-Dec;15:1745506519861224. doi: 10.1177/1745506519861224.

Abstract

OBJECTIVES

Conflict and displacement are associated with poverty, disruption of services, loss of identity, reduced care for reproductive needs, and reduced provision of health care, among other things. This article uses the framework outlined by Obermeyer and Potter to test how refugee and native status influence utilization of reproductive health services and experience with domestic violence in a context of high refugee inhabitants and strong refugee-focused non-governmental organization presence. This article addresses the following: (1) coverage, source, and method of contraceptives; (2) variation in reproductive health experience by source of contraception; and finally, (3) factors determining variation in the utilization of reproductive health services and domestic violence experiences for individuals living in and out of refugee camps.

METHODS

The data is the 2012 Jordan Demographic and Health Survey, and the method utilized is logistic regression.

RESULTS

Findings suggest that refugee women serviced by the United Nations Relief and Works Agency have greater access to health-related resources (family planning and contraception), but they have weaker positions in the family as evidenced by domestic violence experiences.

CONCLUSION

It is plausible that provisional resources are the easiest for an aid organization to provide, while the complications of identity loss and the loss of a sense of space pose a challenge for refugees and aid organizations.

摘要

目标

冲突和流离失所与贫困、服务中断、身份丧失、对生殖需求的照料减少以及医疗保健提供减少等诸多因素相关。本文采用奥伯迈耶和波特概述的框架,来检验在难民居民众多且有强大的以难民为重点的非政府组织存在的背景下,难民身份和本地身份如何影响生殖健康服务的利用以及家庭暴力经历。本文探讨以下内容:(1)避孕药具的覆盖范围、来源和方法;(2)避孕来源导致的生殖健康经历差异;最后,(3)决定难民营内外居民生殖健康服务利用和家庭暴力经历差异的因素。

方法

数据来自2012年约旦人口与健康调查,采用的方法是逻辑回归。

结果

研究结果表明,由联合国近东巴勒斯坦难民救济和工程处提供服务的难民妇女更容易获得与健康相关的资源(计划生育和避孕),但从家庭暴力经历来看,她们在家庭中的地位较弱。

结论

临时资源可能是援助组织最容易提供的,而身份丧失的复杂性和空间感的丧失对难民和援助组织构成了挑战。

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