Chu C
School of Public Health, Griffith University, Queensland, Australia.
Ethn Health. 1998 Feb-May;3(1-2):125-34. doi: 10.1080/13557858.1998.9961854.
In recent decades, Australia has rapidly become one of the more ethnically diverse societies with over 120 different languages groups and 41.9% of the population having at least one parent born overseas. This presents a great challenge for decision-makers and service providers to plan and provide effective and responsive health services for communities with such diverse languages, cultural backgrounds, migration circumstances and socioeconomic status. In order to offer equitable, culturally sensitive and appropriate health services, there is a pressing need to identify and manage cross-cultural health issues. This paper will first clarify concepts fundamental to the understanding of cross-cultural phenomena. It will then discuss several priority migrant health issues including communication breakdown, reproductive health, mental health, workplace health and safety, and doubly disadvantaged groups. Finally it will recommend measures to address the above issues and to promote equity, access and quality in health care for migrants.
近几十年来,澳大利亚迅速成为种族最多元化的社会之一,有超过120个不同的语言群体,41.9%的人口至少有一位父母出生在海外。这给决策者和服务提供者带来了巨大挑战,他们需要为具有如此多样语言、文化背景、移民情况和社会经济地位的社区规划并提供有效且及时响应的卫生服务。为了提供公平、具有文化敏感性且合适的卫生服务,迫切需要识别和处理跨文化卫生问题。本文将首先阐明理解跨文化现象的基本概念。然后将讨论几个优先的移民健康问题,包括沟通障碍、生殖健康、心理健康、工作场所健康与安全以及双重弱势群体。最后,将推荐应对上述问题的措施,并促进移民医疗保健的公平性、可及性和质量。