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关注街头外展办公室的妇女性健康和生殖健康。

Attention to Women's Sexual and Reproductive Health at the Street Outreach Office.

机构信息

Department of Maternal-Child Nursing and Public Health, Faculty of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Brazil.

Nursing School of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-902, Brazil.

出版信息

Int J Environ Res Public Health. 2022 Sep 1;19(17):10885. doi: 10.3390/ijerph191710885.

DOI:10.3390/ijerph191710885
PMID:36078601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9517894/
Abstract

The aim of study was to understand care strategies for homeless women, focusing on aspects of sexual and reproductive health from the perspective of Street Outreach Office strategy professionals. This is a qualitative study carried out in a large city in the countryside of São Paulo, Brazil. Data were collected from December 2020 to April 2021 through semi-structured interviews, and the results were obtained through content analysis and thematic modality. Nine health professionals participated in this study, and the analysis of the interviews allowed identifying three thematic categories: (i) being female and sex on the streets (violence and oppression); (ii) gynecology as a gateway to comprehensive care for homeless women; and (iii) pregnancy, puerperium and motherhood in the context of the streets. This study contributes to the reflection of professional practices within the Street Outreach Office, allowing the understanding of challenges in assisting homeless women, aiming to raise awareness of professionals and services that make up the health care network.

摘要

研究目的是了解无家可归妇女的护理策略,重点关注性和生殖健康方面,从街头外展办公室策略专业人员的角度出发。这是在巴西圣保罗农村的一个大城市进行的一项定性研究。数据于 2020 年 12 月至 2021 年 4 月通过半结构化访谈收集,结果通过内容分析和主题模式获得。9 名卫生专业人员参与了这项研究,对访谈的分析确定了三个主题类别:(一)作为女性和街头性行为(暴力和压迫);(二)妇科作为全面照顾无家可归妇女的途径;(三)街头环境中的怀孕、产褥期和母亲身份。这项研究有助于反思街头外展办公室内的专业实践,了解帮助无家可归妇女所面临的挑战,旨在提高卫生保健网络中专业人员和服务的认识。

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PLoS One. 2024 Jul 3;19(7):e0305738. doi: 10.1371/journal.pone.0305738. eCollection 2024.
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Sexual assault and vulnerability to sexually transmitted infections among homeless Brazilian women: a cross sectional qualitative study.无家可归的巴西女性中的性侵犯和性传播感染易感性:一项横断面定性研究。
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Assisting Homeless Women in a City in Brazil during the COVID-19 Pandemic in the Context of a Street Outreach Office: The Perceptions of Health Professionals.在街头外展办公室背景下,为巴西一城市中 COVID-19 大流行期间的无家可归妇女提供援助:卫生专业人员的看法。
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本文引用的文献

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Street Clinics and the Healthcare of Vulnerable Homeless Communities in Brazil: A Qualitative Study.巴西街头诊所与弱势无家可归者社区的医疗保健:一项定性研究。
Int J Environ Res Public Health. 2022 Feb 23;19(5):2573. doi: 10.3390/ijerph19052573.
2
The vulnerability of women living homeless in Nicaragua: A comparison between homeless women and men in a low-income country.尼加拉瓜无家可归妇女的脆弱性:低收入国家无家可归妇女与男子的比较。
J Community Psychol. 2022 Jul;50(5):2314-2325. doi: 10.1002/jcop.22777. Epub 2021 Dec 16.
3
Characteristics Associated with Homeless Pregnant Women in Columbus, Ohio.俄亥俄州哥伦布市无家可归孕妇的特征。
Matern Child Health J. 2022 Feb;26(2):351-357. doi: 10.1007/s10995-021-03227-y. Epub 2021 Oct 6.
4
"Whose baby is this?": challenges for homeless women's right to motherhood.“这是谁的孩子?”:无家可归妇女的生育权面临的挑战。
Cad Saude Publica. 2021 May 28;37(5):e00269320. doi: 10.1590/0102-311X00269320. eCollection 2021.
5
The routine of the street outreach office team: Procedures and care for the homeless.街头外展办公室团队的日常工作:为无家可归者提供程序和关怀。
Glob Public Health. 2021 Jun;16(6):924-935. doi: 10.1080/17441692.2020.1810297. Epub 2020 Aug 25.
6
Desire for and barriers to obtaining effective contraception among women experiencing homelessness.无家可归女性对有效避孕措施的需求及获取障碍
Contracept Reprod Med. 2020 Aug 17;5:12. doi: 10.1186/s40834-020-00113-w. eCollection 2020.
7
Recognizing and responding to women experiencing homelessness with gendered and trauma-informed care.识别和回应无家可归的妇女,提供性别平等和创伤知情关怀。
BMC Public Health. 2020 Mar 26;20(1):397. doi: 10.1186/s12889-020-8353-1.
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Violence and Emergency Department Use among Community-Recruited Women Who Experience Homelessness and Housing Instability.社区招募的无家可归和住房不稳定女性的暴力行为和急诊部门使用情况。
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Gaps in Sexual Assault Health Care Among Homeless Young Adults.无家可归的年轻成年人中性侵犯医疗保健的差距。
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Prim Health Care Res Dev. 2019 Sep 12;20:e131. doi: 10.1017/S1463423619000665.