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美国为移民妇女提供的公共资金资助的性健康、生殖健康和孕产妇保健服务:系统评价。

Publicly-Funded Services Providing Sexual, Reproductive, and Maternal Healthcare to Immigrant Women in the United States: A Systematic Review.

机构信息

Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, 722 W 168th St, New York, NY, 10032, USA.

出版信息

J Immigr Minor Health. 2022 Jun;24(3):759-778. doi: 10.1007/s10903-021-01289-2. Epub 2021 Oct 25.

Abstract

Sexual, reproductive, and maternal health (SRMH) care in the US is highly politicized, with restrictions that impede immigrant women's health. This review describes SRMH outcomes among immigrant women accessing publicly-funded services. We examined articles published from December 2007 to August 2020 in PubMed, PsycINFO, and Web of Science databases, following PRISMA guidelines. Included articles (n = 9) consisted of predominantly Latina immigrant samples. The majority included a subsample of women classified as vulnerable due to low income, low educational attainment, and/or documentation status. Our search strategy included a range of SRMH outcomes; however, the majority of articles focused on prenatal care (PNC). Over half of the articles revealed that underserved immigrant women with access to Medicaid/CHIP during expansion had higher rates of PNC adequacy compared to those without access. There is a need for more research on the impact of publicly-funded services other than Medicaid on outcomes beyond PNC.

摘要

美国的性健康、生殖健康和母婴健康护理(SRMH)具有高度政治性,其限制措施阻碍了移民妇女的健康。本综述描述了利用公共资金服务的移民妇女的 SRMH 结果。我们按照 PRISMA 指南,查阅了 2007 年 12 月至 2020 年 8 月间在 PubMed、PsycINFO 和 Web of Science 数据库中发表的文章。纳入的文章(n=9)主要是拉丁裔移民样本。其中大多数包括由于低收入、低教育程度和/或身份文件而被归类为弱势群体的女性亚组。我们的检索策略包括一系列 SRMH 结果;然而,大多数文章都集中在产前护理(PNC)上。超过一半的文章表明,在扩大医疗补助/儿童健康保险计划(CHIP)覆盖范围期间,有机会获得医疗补助/CHIP 的服务不足的移民妇女的 PNC 充分性比率高于没有机会的移民妇女。需要更多的研究来评估除了医疗补助之外的公共资金服务对 PNC 以外的结果的影响。

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