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难民女性在高收入国家重新安置后获得避孕护理的体验:批判性综合解读。

Refugee women's experiences with contraceptive care after resettlement in high-income countries: A critical interpretive synthesis.

机构信息

Department of Anthropology & School of Medicine, Medical Scientist Training Program, University of California San Diego, La Jolla, CA, United States.

Department of Medicine, University of California San Francisco, San Francisco, CA, United States.

出版信息

Contraception. 2022 Apr;108:7-18. doi: 10.1016/j.contraception.2021.11.004. Epub 2021 Dec 29.

Abstract

Refugee women often share histories of forced displacement, economic hardship, or gender-based violence and may face common barriers to reproductive health care access after resettlement in high-income countries. This Critical Interpretive Synthesis integrates the available data on contraceptive care for refugee women after resettlement. The review examined shared aspects of the refugee experience that impact women's access to high-quality contraceptive care and transcend the particularities of specific health systems or countries of origin. These include possible shifts in gendered norms and fertility preferences after resettlement, prior experiences with contraception in home countries, refugee camps, and other sites of first-asylum, and negative experiences with health care providers after resettlement (i.e., communication barriers or experiencing discrimination). Our findings demonstrate the need for further methodologically-rigorous research in the field of refugee reproductive health, specifically in relation to evidence-based approaches to training interpreters and providers in contraceptive care for refugees and on male partners and their influence on contraceptive use.

摘要

难民妇女通常有着被迫流离失所、经济困难或基于性别的暴力的共同历史背景,在高收入国家重新安置后,她们可能面临获得生殖健康护理的共同障碍。本批判性综合分析整合了关于难民妇女重新安置后避孕护理的现有数据。该综述审查了影响妇女获得高质量避孕护理的难民经历的共同方面,这些方面超越了特定卫生系统或原籍国的特殊性。其中包括重新安置后性别规范和生育偏好的可能转变、在原籍国、难民营和其他初次庇护地点的避孕经历,以及重新安置后与医疗保健提供者的不良经历(例如,沟通障碍或经历歧视)。我们的研究结果表明,需要在难民生殖健康领域进行更具严谨性的方法学研究,特别是在为难民避孕护理培训口译员和提供者方面,以及在男性伴侣及其对避孕使用的影响方面,需要进行基于证据的方法研究。

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