在欧洲，女性移民在初级保健和社区中寻求和获得心理健康支持的障碍和促进因素：一项“女性主义”系统评价。
Barriers and facilitators to seeking and accessing mental health support in primary care and the community among female migrants in Europe: a "feminisms" systematic review.
机构信息
Department of Primary Care & Public Health, Brighton & Sussex Medical School, University of Sussex, Watson Building, Room 104, Falmer, Brighton, East Sussex, BN1 9PH, UK.
School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, GU2 7XH, Surrey, UK.
出版信息
Int J Equity Health. 2023 Sep 26;22(1):196. doi: 10.1186/s12939-023-01990-8.
BACKGROUND
Recent years have seen record levels of migration to Europe. Female migrants are at heightened risk of developing mental health disorders, yet they face barriers to accessing mental health services in their host countries. This systematic review aims to summarise the barriers and facilitators to accessing mental health support for female migrants in Europe.
METHODS
The review follows PRISMA guidelines, and the protocol was pre-published on PROSPERO. Six electronic databases were searched: CINAHL, Global Health Database, Medline, PsycARTICLES, PsycINFO and Web of Science. Thematic analysis was undertaken on the identified studies. A feminist quality appraisal tool was applied.
RESULTS
Eight qualitative, six quantitative and five mixed methods studies were identified. Barriers included a lack of information, stigma, religious and cultural practices and beliefs, and a lack of consideration of gender-specific needs within the health system. Gender-sensitive services, supportive general practitioners and religious leaders facilitated access.
CONCLUSIONS
The design of mental health research, services, policies, and commissioning of support for migrants must consider female migrant needs. Mental health support services must be culturally aware and gender sensitive.
REGISTRATION
The review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO, registration number CRD42021235571.
背景
近年来，欧洲的移民人数达到了历史新高。女性移民在发展心理健康障碍方面的风险更高，但她们在东道国获得心理健康服务方面面临障碍。本系统评价旨在总结欧洲女性移民获得心理健康支持的障碍和促进因素。
方法
本评价遵循 PRISMA 指南进行，方案已在 PROSPERO 上预先发表。我们在六个电子数据库中进行了搜索：CINAHL、全球健康数据库、Medline、PsycARTICLES、PsycINFO 和 Web of Science。对确定的研究进行了主题分析。应用了女权主义质量评估工具。
结果
确定了八项定性研究、六项定量研究和五项混合方法研究。障碍包括缺乏信息、污名、宗教和文化习俗和信仰，以及卫生系统内缺乏对特定性别需求的考虑。对性别敏感的服务、支持性的全科医生和宗教领袖促进了获得服务的机会。
结论
心理健康研究、服务、政策的设计以及对移民的支持的委托必须考虑女性移民的需求。心理健康支持服务必须具有文化意识和对性别问题的敏感性。
登记号
本评价方案已在国际前瞻性系统评价登记库（PROSPERO）注册，注册号为 CRD42021235571。
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