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瑞典女性医疗保健提供者的自由社会价值观:对多元化性与生殖保健临床接触的影响。

The Liberal Social Values of Swedish Healthcare Providers in Women's Healthcare: Implications for Clinical Encounters in a Diversified Sexual and Reproductive Healthcare.

机构信息

Department of Women's and Children's Health, Faculty of Medicine, Uppsala University, Uppsala, Sweden.

Institute for Futures Studies, Stockholm, Sweden.

出版信息

Int J Public Health. 2022 Jul 11;67:1605000. doi: 10.3389/ijph.2022.1605000. eCollection 2022.

Abstract

Women's healthcare is a potential source of cross-cultural conflicts. Diverging values between healthcare providers and patients challenges the provision of culturally sensitive care and meeting migrant women's needs. The aim is to investigate healthcare providers' values in relation to sexual and reproductive rights, gender equality, migration and religion in Swedish sexual and reproductive healthcare. A national cross-sectional study was carried out. The questionnaire was distributed through a non-probability sample to midwives or other nurses, gynaecologists and obstetricians, and hospital social workers ( = 1,041). Through descriptive statistics, we mapped their values, comparing healthcare provider data to external representative population survey data. Healthcare providers in sexual and reproductive healthcare displayed homogeneous liberal social values, being permissive towards sexual and reproductive rights and restrictive against gender-based violence. They were for gender equality, expressed low anti-immigrant sentiments, and had even more liberal values than the Swedish population and a demographically comparative sub-population. Individuals with very liberal values are selected to work in Swedish sexual and reproductive healthcare. Healthcare providers need self-reflexivity to avoid conflicts in clinical encounters in a diversified society.

摘要

妇女保健是跨文化冲突的潜在来源。医疗保健提供者和患者之间价值观的差异,对提供文化敏感性护理和满足移民妇女的需求提出了挑战。本研究旨在探讨瑞典性与生殖保健中医疗保健提供者在性与生殖权利、性别平等、移民和宗教方面的价值观。采用全国性横断面研究设计。通过非概率抽样向助产士或其他护士、妇科医生和产科医生以及医院社会工作者(n=1041)分发问卷。通过描述性统计,我们绘制了他们的价值观,并将医疗保健提供者数据与外部代表性人口调查数据进行了比较。性与生殖保健中的医疗保健提供者表现出同质的自由社会价值观,对性与生殖权利持宽容态度,对基于性别的暴力持限制态度。他们支持性别平等,表达了较低的反移民情绪,其价值观比瑞典人口和人口统计学上可比的亚群体更为自由。在一个多元化的社会中,具有非常自由价值观的人被选择在瑞典的性与生殖保健中工作。医疗保健提供者需要自我反思,以避免在临床接触中出现冲突。

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