Intergenerational Health, Murdoch Children's Research Institute, Melbourne, Australia.
School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, Australia.
Ethn Health. 2024 Aug;29(6):720-744. doi: 10.1080/13557858.2024.2359388. Epub 2024 Jun 12.
Inequitable pregnancy care experiences and outcomes disproportionately affect refugee background women in Australia. Culturally safe care is essential for achieving health equity, however, cultural safety can only be determined by the person receiving care. To our knowledge, women of refugee background in Australia are yet to be asked what culturally safe pregnancy care is to them. Specifically, this study aimed to explore what culturally safe pregnancy care is to Karen women (from Burma) of refugee background.
A photovoice study founded on community-based participatory research principles was undertaken with a Karen community of refugee background living in Victoria, Australia. A community advisory group was established, guiding study design and conduct. Five S'gaw Karen-speaking women with experience of pregnancy care in Australia were invited to take photos within their community. Participants shared their photos and stories with each other in four online discussion groups.
Reflexive thematic analysis guided by a critical constructionist lens developed three themes: Building foundations for belonging; cultivating reciprocal curiosity; and storytelling as an expression of self and shared power. These themes sit within the overarching theme
When Karen women can embrace their cultural and spiritual identity without fear of discrimination, including racism, culturally safe pregnancy care is possible. This study contributes to the design and delivery of maternity services by providing insights that can enhance equitable and culturally safe pregnancy care for Karen women of refugee background.
在澳大利亚，不平等的妊娠护理体验和结果不成比例地影响了有难民背景的女性。文化安全护理对于实现健康公平至关重要，但文化安全性只能由接受护理的人来确定。据我们所知，澳大利亚有难民背景的女性尚未被问及对她们来说什么样的妊娠护理是文化安全的。具体来说，本研究旨在探讨有难民背景的 Karen 女性（来自缅甸）对文化安全的妊娠护理的看法。
一项基于社区参与式研究原则的影像照护研究是在澳大利亚维多利亚州的一个有难民背景的 Karen 社区中进行的。成立了一个社区咨询小组，指导研究设计和进行。邀请了五名有在澳大利亚怀孕护理经验的 S'gaw Karen 语女性在她们的社区内拍摄照片。参与者在四个在线讨论小组中分享了他们的照片和故事。
通过批判性建构主义视角进行的反思性主题分析得出了三个主题：建立归属感的基础；培养相互好奇；以及作为自我和共同权力表达的讲故事。这些主题包含在一个总的主题中。
当 Karen 女性能够在不担心歧视（包括种族主义）的情况下拥抱自己的文化和精神身份时，文化安全的妊娠护理是可能的。本研究通过提供可以增强有难民背景的 Karen 女性公平和文化安全妊娠护理的见解，为产妇服务的设计和提供做出了贡献。
