Samari Goleen, Wurtz Heather M, Karunaratne Mihiri, Coleman-Minahan Kate
Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York, USA.
Anthropology Department, University of Connecticut, Storrs, Connecticut, USA.
Womens Health Rep (New Rochelle). 2023 Jul 5;4(1):319-327. doi: 10.1089/whr.2023.0004. eCollection 2023.
To provide perspectives from heterogenous cisgender immigrant women and service providers for immigrants in New York City (NYC) on how restrictive sexual and reproductive health (SRH) care delivery environments during COVID-19 shape immigrant's access to health care and health outcomes to generate insights for clinical practices and policies for immigrant women's health care needs.
A qualitative study was conducted in 2020 and 2021, including in-depth interviews with 44 immigrant women from different national origins and 19 direct service providers for immigrant communities in NYC to explore how immigrants adapted to and were impacted by pandemic-related SRH care service delivery barriers. Interviews were coded and analyzed using a constant comparative approach.
Pandemic-related delays and interrupted health care, restrictive accompaniment policies, and the transition from in-person to virtual care compounded barriers to care for immigrant communities. Care delays and interruptions forced some participants to live with untreated health conditions, resulting in physical pain and emotional distress. Participants also experienced challenges within the health care system because of changes to visitor policies that restricted the accompaniment of family members or support persons. Some participants experienced difficulties accessing telehealth and technology, while others welcomed the flexibility given the demands of frontline work and childcare.
To mitigate the health and social implications of increasingly restrictive immigration, reproductive, and social policies, clinical practices like expanding access to care for all immigrants, engaging immigrant communities in health care institutions policies and practices, and integrating immigrant's support networks into care play an important role.
提供纽约市（NYC）不同的顺性别移民女性及移民服务提供者的观点，探讨新冠疫情期间性与生殖健康（SRH）护理提供环境的限制如何影响移民获得医疗保健的机会及健康结果，从而为满足移民女性医疗保健需求的临床实践和政策提供见解。
于2020年和2021年开展了一项定性研究，包括对44名来自不同国家的移民女性以及19名纽约市移民社区的直接服务提供者进行深入访谈，以探究移民如何适应与新冠疫情相关的SRH护理服务提供障碍以及受到的影响。访谈采用持续比较法进行编码和分析。
与疫情相关的医疗保健延误和中断、限制性的陪同政策，以及从面对面护理向虚拟护理的转变，加剧了移民社区获得护理的障碍。护理延误和中断迫使一些参与者带着未治疗的健康问题生活，导致身体疼痛和情绪困扰。由于访客政策的变化限制了家庭成员或支持人员的陪同，参与者在医疗保健系统中也遇到了挑战。一些参与者在使用远程医疗和技术方面遇到困难，而另一些人则因一线工作和育儿需求而对其灵活性表示欢迎。
为减轻日益严格的移民、生殖和社会政策对健康和社会的影响，诸如扩大所有移民获得护理的机会、让移民社区参与医疗保健机构的政策和实践，以及将移民的支持网络纳入护理等临床实践发挥着重要作用。
