Norwegian Research Centre for Women's Health, Department of Obstetrics and Gynecology, Oslo University Hospital, 0424 Oslo, Norway.
Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, 0316 Oslo, Norway.
Int J Environ Res Public Health. 2021 Jul 15;18(14):7523. doi: 10.3390/ijerph18147523.
Limited understanding of health information may contribute to an increased risk of adverse maternal outcomes among migrant women. We explored factors associated with migrant women's understanding of the information provided by maternity staff, and determined which maternal health topics the women had received insufficient coverage of. We included 401 newly migrated women (≤5 years) who gave birth in Oslo, excluding migrants born in high-income countries. Using a modified version of the Migrant Friendly Maternity Care Questionnaire, we face-to-face interviewed the women postnatally. The risk of poor understanding of the information provided by maternity staff was assessed in logistic regression models, presented as adjusted odds ratios (aORs), with 95% confidence intervals (CI). The majority of the 401 women were born in European and Central Asian regions, followed by South Asia and North Africa/the Middle East. One-third (33.4%) reported a poor understanding of the information given to them. Low Norwegian language proficiency, refugee status, no completed education, unemployment, and reported interpreter need were associated with poor understanding. Refugee status (aOR 2.23, 95% CI 1.01-4.91), as well as a reported interpreter need, were independently associated with poor understanding. Women who needed but did not get a professional interpreter were at the highest risk (aOR 2.83, 95% CI 1.59-5.02). Family planning, infant formula feeding, and postpartum mood changes were reported as the most frequent insufficiently covered topics. To achieve optimal understanding, increased awareness of the needs of a growing, linguistically diverse population, and the benefits of interpretation services in health service policies and among healthcare workers, are needed.
由于对健康信息的了解有限，可能会增加移民妇女出现不良母婴结局的风险。我们探讨了与移民妇女对产妇工作人员提供的信息的理解相关的因素，并确定了哪些产妇健康主题的信息覆盖不足。我们纳入了 401 名新移民（≤5 岁），她们在奥斯陆分娩，不包括出生在高收入国家的移民。使用改良版的《移民友好型产妇护理调查问卷》，我们在产后与这些妇女进行了面对面访谈。使用逻辑回归模型评估了对产妇工作人员提供的信息理解不良的风险，并以调整后的优势比（aOR）和 95%置信区间（CI）表示。这 401 名妇女中的大多数出生在欧洲和中亚地区，其次是南亚和北非/中东地区。三分之一（33.4%）的人报告说对她们所得到的信息理解不佳。挪威语水平低、难民身份、未完成学业、失业以及报告需要翻译人员与理解不佳相关。难民身份（aOR 2.23，95%CI 1.01-4.91）以及报告需要翻译人员与理解不佳独立相关。需要但没有得到专业翻译人员帮助的妇女风险最高（aOR 2.83，95%CI 1.59-5.02）。报告的最常见的信息覆盖不足的主题是计划生育、婴儿配方奶粉喂养和产后情绪变化。为了实现最佳理解，需要在卫生服务政策和医疗保健工作者中提高对不断增长的、语言多样化的人群的需求的认识，并认识到翻译服务的益处。
