Centre for Gender and Sexual Health Equity, c/o St Paul's Hospital, 1081 Burrard, Vancouver, BC, V6Z 1Y6, Canada.
Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
J Immigr Minor Health. 2022 Feb;24(1):256-299. doi: 10.1007/s10903-021-01184-w. Epub 2021 Apr 3.
Given growing concerns of im/migrant women's access to sexual and reproductive health (SRH) services, we aimed to (1) describe inequities and determinants of their engagement with SRH services in Canada; and (2) understand their lived experiences of barriers and facilitators to healthcare. Using a comprehensive review methodology, we searched the quantitative and qualitative peer-reviewed literature of im/migrant women's access to SRH care in Canada from 2008 to 2018. Of 782 studies, 38 met inclusion criteria. Ontario (n = 18), British Columbia (n = 6), and Alberta (n = 6) were primary settings represented. Studies focused primarily on maternity care (n = 20) and sexual health screenings (n = 12). Determinants included health system navigation and service information; experiences with health personnel; culturally safe and language-specific care; social isolation and support; immigration-specific factors; discrimination and racialization; and gender and power relations. There is a need for research that compares experiences across diverse groups of racialized im/migrants and a broader range of SRH services to inform responsive, equity-focused programs and policies.
鉴于人们对移民和难民妇女获得性健康和生殖健康服务的关注度日益提高，我们旨在：(1) 描述加拿大移民和难民妇女获得性健康和生殖健康服务的不平等现象和决定因素；(2) 了解她们在获得医疗保健方面面临的障碍和促进因素的真实经历。我们采用全面的综述方法，检索了 2008 年至 2018 年加拿大移民和难民妇女获得性健康护理的定量和定性同行评审文献。在 782 项研究中，有 38 项符合纳入标准。安大略省（n=18）、不列颠哥伦比亚省（n=6）和艾伯塔省（n=6）是主要的研究地点。研究主要集中在产妇保健（n=20）和性健康筛查（n=12）上。决定因素包括卫生系统导航和服务信息；与卫生人员的接触经历；文化安全和特定语言的护理；社会孤立和支持；移民特定因素；歧视和种族化；以及性别和权力关系。需要进行研究比较不同种族的移民和难民的经历，以及更广泛的性健康服务，以为有针对性、注重公平的项目和政策提供信息。
