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瑞典年轻移民的性与生殖健康及权利:一项探索可获取文件区域差异的理想类型分析

Sexual and Reproductive Health and Rights for Young Migrants in Sweden: An Ideal-Type Analysis Exploring Regional Variations of Accessible Documents.

作者信息

Brunet Johansson Albert, Hurtig Anna-Karin, Nkulu Kalengayi Faustine Kyungu

机构信息

Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden.

出版信息

Int J Public Health. 2024 Apr 18;69:1606568. doi: 10.3389/ijph.2024.1606568. eCollection 2024.

Abstract

This study aims to map sexual and reproductive health and rights (SRHR) policies, strategies, and interventions targeting young migrants and describe the patterns of organisation, resources, and services across Sweden's 21 regions. We conducted a document analysis of accessible online documents on SRHR policies, strategies, and interventions targeting young migrants in Sweden's 21 regions. We used ideal-type analysis of the documents to create a typology, which formed the basis of a ratings system illustrating variations in organisation, resources, and services across regions. Findings suggest that efforts aimed at addressing young migrants' SRHR are fragmented and unequal across regions. While SRHR policies and strategies are commonplace, they routinely lack specificity. Available resources vary depending on region and resource type. Additionally, information and interventions, although common, do not consistently meet the specific needs of migrant youths. This study suggests that fragmented efforts are fuelling geographic inequalities in fulfilling SRHR among young migrants. There is an urgent need to improve national coordination and collaboration between national and local actors in SRHR efforts targeting young migrants to ensure equity.

摘要

本研究旨在梳理针对年轻移民的性与生殖健康及权利(SRHR)政策、战略和干预措施,并描述瑞典21个地区的组织模式、资源和服务情况。我们对瑞典21个地区可获取的关于针对年轻移民的SRHR政策、战略和干预措施的在线文档进行了文献分析。我们运用理想类型分析法对文档进行分析以创建一种类型学,这构成了一个评级系统的基础,该系统展示了各地区在组织、资源和服务方面的差异。研究结果表明,旨在解决年轻移民SRHR问题的努力在各地区是分散且不均衡的。虽然SRHR政策和战略很常见,但通常缺乏针对性。可用资源因地区和资源类型而异。此外,信息和干预措施虽然普遍,但并不总是能满足移民青年的特定需求。本研究表明,分散的努力正在加剧年轻移民在实现SRHR方面的地区不平等。迫切需要改善国家层面的协调以及国家和地方行为体在针对年轻移民的SRHR工作中的协作,以确保公平。

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Lancet. 2018 Jun 30;391(10140):2642-2692. doi: 10.1016/S0140-6736(18)30293-9. Epub 2018 May 9.

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