Programa de Estudios Sociales en Salud, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610658, Chile.
Departamento de Historia y Ciencias Sociales, Facultad de Artes Liberales, Universidad Adolfo Ibáñez, Santiago 7941169, Chile.
Int J Environ Res Public Health. 2022 Oct 20;19(20):13583. doi: 10.3390/ijerph192013583.
The sexual and reproductive health of young migrants has not been sufficiently addressed in mobility studies. In this article, we dwell on some aspects of this issue in the migration process of Latin American youth. We conducted a qualitative study in the region of Tarapacá, Chile, carrying out in-depth interviews with key informants, health staff and young migrants between 18 and 25 years old. The results show some motivations to migrate related to sexual and reproductive health: young pregnant women, LGBTQI+ and HIV-positive people seeking access to health care and social contexts of reduced gender discrimination. During the migration process, young people are exposed to various kinds of sexual violence, and in their settlement in Chile, to situations of racism, stigma and discrimination in society as a whole and in access to and during sexual and reproductive health care. Health care for young migrants is mainly focused on maternal care and reproductive issues, while sexual health as a whole is disregarded. We argue that sexual health must be addressed as a central dimension of the lived experiences of young migrants, and that the social, cultural and structural factors that undermine their sexual and reproductive health must be addressed in order to provide culturally competent health services.
流动人口的性与生殖健康在流动研究中尚未得到充分关注。本文探讨了拉丁美洲青年移民过程中的这一问题。我们在智利塔拉帕卡地区开展了一项定性研究,对关键信息提供者、卫生工作人员和 18 至 25 岁的青年移民进行了深入访谈。研究结果显示,一些与性与生殖健康相关的移民动机:年轻孕妇、LGBTQI+和 HIV 阳性人群寻求获得医疗保健和性别歧视程度较低的社会环境。在移民过程中,年轻人面临各种形式的性暴力,在他们在智利定居后,又面临整个社会以及在获得和进行性与生殖保健时的种族主义、污名化和歧视等情况。青年移民的医疗主要侧重于产妇保健和生殖问题,而整体的性健康则被忽视。我们认为,必须将性健康作为青年移民生活经历的一个核心维度来加以处理,还必须解决破坏其性与生殖健康的社会、文化和结构性因素,以便提供具有文化能力的保健服务。