Zivot Chloe, Dewey Cate, Heasley Cole, Srinivasan Sharada, Little Matthew
Department of Population Medicine, University of Guelph, 50 Stone Rd E, Guelph, ON N1G 2W1, Canada.
Department of Sociology and Anthropology, University of Guelph, 50 Stone Rd E, Guelph, ON N1G 2W1, Canada.
Int J Environ Res Public Health. 2020 Oct 15;17(20):7511. doi: 10.3390/ijerph17207511.
Interdisciplinary health research that investigates gender as a relational process is necessary to facilitate a safe and healthy resettlement process for refugees in Canada. This scoping review explores the range, nature, and extent of published research examining gender in relation to refugee health during resettlement in Canada. An initial search of six databases yielded 7325 articles published before June 2019. A total of 34 articles published between 1988 and 2019 were included for in-depth review. Articles meeting inclusion criteria primarily focused on refugee women. Categories of focus included maternal health, social and emotional health, health impacts of sexual and gender-based violence and torture, access to health and social services, decision-making and health-seeking behavior, mental health, and sexual and reproductive health. Our thematic analysis identified connections between gender roles, expectations, ideals, and health through interactions and lived experiences within the family, community, and healthcare system. Review findings suggest that many refugee women are influenced by pervasive gender roles and expectations as well as exposed to gendered health systems and practices that may pose risks to health, particularly mental health and access to services. Further efforts should be made to understand processes and experiences of resilience and community building in countering negative impacts of gendered beliefs and practices on health during resettlement.
开展跨学科健康研究，将性别视为一种关系过程进行调查，对于促进加拿大难民安全健康的重新安置过程至关重要。本范围综述探讨了已发表研究的范围、性质和程度，这些研究考察了在加拿大重新安置期间性别与难民健康的关系。对六个数据库的初步检索产生了2019年6月之前发表的7325篇文章。总共纳入了1988年至2019年间发表的34篇文章进行深入综述。符合纳入标准的文章主要关注难民妇女。关注的类别包括孕产妇健康、社会和情感健康、性暴力和基于性别的暴力及酷刑对健康的影响、获得医疗和社会服务的情况、决策和寻求医疗行为、心理健康以及性健康和生殖健康。我们的主题分析通过家庭、社区和医疗系统内的互动及生活经历，确定了性别角色、期望、理想与健康之间的联系。综述结果表明，许多难民妇女受到普遍存在的性别角色和期望的影响，同时也接触到可能对健康，尤其是心理健康和获得服务造成风险的性别化医疗系统和做法。应进一步努力了解在重新安置期间应对性别化观念和做法对健康的负面影响时的复原力和社区建设过程及经历。
