학술논문

Determinants and Inequities in Sexual and Reproductive Health (SRH) Care Access Among Im/Migrant Women in Canada: Findings of a Comprehensive Review (2008–2018)
Document Type
article
Source
Journal of Immigrant and Minority Health. 24(1)
Subject
Health Services and Systems
Public Health
Health Sciences
Human Society
Contraception/Reproduction
Health Services
Clinical Research
Prevention
Reproductive health and childbirth
Good Health and Well Being
Decent Work and Economic Growth
British Columbia
Female
Health Services Accessibility
Humans
Maternal Health Services
Pregnancy
Reproductive Health
Reproductive Health Services
Sexual Behavior
Transients and Migrants
Sexual health
Reproductive health
Immigrant health
Health service access
Health inequities
Public Health and Health Services
Epidemiology
Public health
Sociology
Language
Abstract
Given growing concerns of im/migrant women's access to sexual and reproductive health (SRH) services, we aimed to (1) describe inequities and determinants of their engagement with SRH services in Canada; and (2) understand their lived experiences of barriers and facilitators to healthcare. Using a comprehensive review methodology, we searched the quantitative and qualitative peer-reviewed literature of im/migrant women's access to SRH care in Canada from 2008 to 2018. Of 782 studies, 38 met inclusion criteria. Ontario (n = 18), British Columbia (n = 6), and Alberta (n = 6) were primary settings represented. Studies focused primarily on maternity care (n = 20) and sexual health screenings (n = 12). Determinants included health system navigation and service information; experiences with health personnel; culturally safe and language-specific care; social isolation and support; immigration-specific factors; discrimination and racialization; and gender and power relations. There is a need for research that compares experiences across diverse groups of racialized im/migrants and a broader range of SRH services to inform responsive, equity-focused programs and policies.