Department of Family Medicine and Community Health, University of Hawai'i, Honolulu, HI (KSS).
Department of Family & Community Medicine, Thomas Jefferson University, Philadelphia, PA (KB, EB, KPG, SN, EP, RB, AS, MA).
Hawaii J Health Soc Welf. 2020 Jun 1;79(6 Suppl 2):70-77.
The number of foreign-born people living in the United States continues to increase yearly. Foreign-born women in the United States, a group that includes both refugees and immigrants, continue to have higher birth rates when compared to their US-born counterparts. This study examines the cultural and socioeconomic factors influencing family planning choices of resettled refugee women living in the United States. Thirty-two Bhutanese, Burmese, and Iraqi women living in Philadelphia participated in interviews and focus groups. A grounded theory approach was used for analysis. Three overarching themes were identified: knowledge acquisition and experiential learning with trans-border migration and resettlement, changes in gender roles and family relations, and provider relationships and provision of care. Findings from the study show that a stable environment results in increased opportunities and personal freedoms, a sense of empowerment, and the desire for family planning. Women want to discuss options, but healthcare providers must begin the conversation. As health care providers in Hawai'i, a state with about 18% of residents being foreign-born, what can be learned from the Philadelphia refugee experience and family planning?
居住在美国的外国出生人口数量持续逐年增加。与美国本土出生的女性相比，在美国的外国出生女性（其中包括难民和移民）的生育率仍然更高。本研究考察了影响居住在美国的重新安置难民女性计划生育选择的文化和社会经济因素。32 名来自不丹、缅甸和伊拉克的生活在费城的女性参与了访谈和焦点小组。扎根理论方法被用于分析。确定了三个总体主题：跨境迁移和重新安置的知识获取和经验学习、性别角色和家庭关系的变化以及提供者关系和护理提供。研究结果表明，稳定的环境会带来更多的机会和个人自由、赋权感以及对计划生育的渴望。女性希望讨论各种选择，但医疗服务提供者必须首先展开对话。作为夏威夷的医疗服务提供者，该州约有 18%的居民是外国出生的，从费城的难民经历和计划生育中可以学到什么？
