香港少数族裔巴基斯坦裔妇女的孕产经历。
Maternity care experience of Pakistani ethnic minority women in Hong Kong.
机构信息
JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Hong Kong, Hong Kong SAR, China.
出版信息
Front Public Health. 2023 Mar 1;11:1009214. doi: 10.3389/fpubh.2023.1009214. eCollection 2023.
BACKGROUND
Persistent inequalities in maternity care experience and outcomes exist globally for ethnic minority (EM) and migrant women. Despite the fact that this is an important research area, no prior study has been done in Hong Kong (HK) to examine maternity care experience of EM women.
OBJECTIVES
To investigate maternity care experience of Pakistani EM women (both local born and immigrants) during pregnancy, birth and after birth in hospital in HK. An evaluation of their satisfaction and factors predicting satisfaction with care during the three phases of maternity care was included in the study.
METHODS
A cross sectional survey was conducted among Pakistani EM women who had given birth in HK in last 3 years, using a structured questionnaire by a bilingual interviewer, from April to May 2020. Counts and percentages were used to describe all categorical variables. Association between predictor variables and overall satisfaction was assessed by bivariate analysis and multiple logistic regression.
RESULTS
One hundred and twenty questionnaires were completed. Almost 60 percent of the women were very satisfied with the overall care. More than half of the women described the care they received as kind, respectful and well communicated. After adjusting for age and parity, HK born Pakistani women expressed relatively less satisfaction with care, especially during pregnancy and labor and birth, as compared with Pakistan born women. Women with conversational or fluent English-speaking ability also felt comparatively less satisfied particularly from intrapartum and postnatal care in hospital. Education level had a negative association with satisfaction with care during pregnancy.
CONCLUSIONS
Maternity care providers should take into account the diversity of EM women population in HK. Our findings suggest that effective communication and care that can meet individual needs, expectations, and values is imperative to improve experience and quality of maternity care for EM women in HK.
背景
在全球范围内，少数民族（EM）和移民妇女在孕产护理体验和结果方面仍然存在不平等现象。尽管这是一个重要的研究领域，但在香港（HK），此前没有研究专门探讨 EM 妇女的孕产护理体验。
目的
调查在 HK 分娩的巴基斯坦 EM 妇女（包括本地出生和移民）在怀孕期间、分娩期间和产后在医院的孕产护理体验。本研究还评估了她们对护理的满意度以及预测三个孕产阶段护理满意度的因素。
方法
2020 年 4 月至 5 月，通过双语访谈员使用结构化问卷，对过去 3 年内在 HK 分娩的巴基斯坦 EM 妇女进行了横断面调查。使用计数和百分比描述所有分类变量。使用单变量分析和多因素逻辑回归评估预测变量与总体满意度之间的关联。
结果
完成了 120 份问卷。近 60%的女性对整体护理非常满意。超过一半的女性形容她们所接受的护理亲切、尊重且沟通良好。在调整年龄和产次后，与巴基斯坦出生的女性相比，HK 出生的巴基斯坦女性对护理的满意度相对较低，尤其是在怀孕期间、分娩和产后期间。能够进行会话或流利英语交流的女性，特别是在分娩和产后期间，对护理的满意度也相对较低。教育程度与怀孕期间对护理的满意度呈负相关。
结论
孕产护理提供者应考虑到香港 EM 妇女群体的多样性。我们的研究结果表明，有效的沟通和能够满足个体需求、期望和价值观的护理对于改善香港 EM 妇女的孕产护理体验和质量至关重要。
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