Granero-Molina José, Gómez-Vinuesa Ariadna Sara, Granero-Heredia Gonzalo, Fernández-Férez Alba, Ruiz-Fernández María Dolores, Fernández-Medina Isabel María, Jiménez-Lasserrotte María Del Mar
Nursing, Phisiotheraphy and Medicine Department, University of Almería, 04120 Almería, Spain.
Associate Researcher, Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago 7500000, Chile.
Healthcare (Basel). 2023 Jun 5;11(11):1659. doi: 10.3390/healthcare11111659.
Migratory movements are a political, social, and public health issue on a global scale. Access to sexual and reproductive health services for irregular migrant women (IMW) is a public health issue. The aim of this study is to identify qualitative evidence of IMW's experiences of sexual and reproductive health care in emergency and primary care settings. The methods employed involve conducting a meta-synthesis of qualitative studies. Synthesis includes assembling and categorising findings based on similarity in meaning. The search was conducted between January 2010 and June 2022 using PubMed, WOS, CINAHL, SCOPUS, and SCIELO databases. Out of the initial pool of 142 articles identified, only 9 fulfilled the predetermined criteria and were subsequently included in the review. Four main themes were established: (1) the need to focus emergency care on sexual and reproductive health; (2) unsatisfactory clinical experiences; (3) forced reproduction; and (4) alternating between formal and informal healthcare services. The attitudes of IMW towards sexual and reproductive health are influenced by culture, educational level, fear, barriers, and the attitude of healthcare providers. Healthcare institutions need to be aware of the IMW's experiences to understand the specific difficulties they face. IMW calls for socially and culturally sensitive health care, cultural mediators, improved communication, and safe environments that ensure confidentiality.
人口迁移是一个全球性的政治、社会和公共卫生问题。为非正规移民妇女（IMW）提供性健康和生殖健康服务是一个公共卫生问题。本研究的目的是确定非正规移民妇女在急诊和初级保健环境中获得性健康和生殖健康护理经历的定性证据。所采用的方法包括对定性研究进行元综合。综合包括根据意义的相似性对研究结果进行汇总和分类。检索于2010年1月至2022年6月期间使用PubMed、WOS、CINAHL、SCOPUS和SCIELO数据库进行。在最初确定的142篇文章中，只有9篇符合预定标准，随后被纳入综述。确定了四个主要主题：（1）需要将急诊护理重点放在性健康和生殖健康上；（2）临床体验不尽人意；（3）强迫生育；（4）在正规和非正规医疗服务之间交替。非正规移民妇女对性健康和生殖健康的态度受到文化、教育水平、恐惧、障碍以及医疗服务提供者态度的影响。医疗机构需要了解非正规移民妇女的经历，以理解她们所面临的具体困难。非正规移民妇女呼吁提供具有社会和文化敏感性的医疗服务、文化调解人、改善沟通以及确保保密的安全环境。
