Factors Associated with Access to Maternal and Reproductive Health Care among Somali Refugee Women Resettled in Ohio, United States: A Cross-Sectional Survey

被引:0
作者
Aduragbemi Banke-Thomas
Kafuli Agbemenu
Crista Johnson-Agbakwu
机构
[1] Maricopa Integrated Health System,Refugee Women’s Health Clinic
[2] London School of Economics and Political Science,Department of Health Policy
[3] State University of New York,School of Nursing
[4] Arizona State University,Southwest Interdisciplinary Research Center
来源
Journal of Immigrant and Minority Health | 2019年 / 21卷
关键词
Refugee; Access; Somali; Maternal health; Reproductive health;
D O I
暂无
中图分类号
学科分类号
摘要
This study examined maternal and reproductive health (MRH) access of Somali refugees in the U.S. across four access dimensions (willingness to seek care, gaining entry to the health system, seeing a primary provider and seeing a specialist). We conducted a cross-sectional survey of 427 Somali refugee reproductive-age women in Franklin County, Ohio. Following descriptive statistics of demographics, we conducted multivariate analyses to test associations between demographics and the four access dimensions. Most Somali refugee women were married (68%), attained primary education (92%), employed (64%) and were circumcised (82%). Young (OR 2.61, 95% CI 1.25–5.60), single (OR 1.78, 95% CI 1.15–2.78), and minors upon arrival (OR 2.36, 95% CI 1.44–3.90) were more willing to seek care. Lack of insurance, limited language fluency and being circumcised limited access to care across all dimensions. Barriers to access need to be systematically addressed. Deconstructing beliefs regarding health systems may improve access, especially among older Somali women.
引用
收藏
页码:946 / 953
页数:7
相关论文
共 119 条
  • [1] Davidson PM(2016)The refugee crisis: we cannot ignore this for much longer Health Care Women Int 37 945-5
  • [2] Mbaka-Mouyeme F(2006)Providing health care to medically uninsured immigrants and refugees Can Med Assoc J 174 1253-1254
  • [3] Caulford P(2012)Hidden violence is silent rape: sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands Cult Health Sex 14 505-520
  • [4] Vali Y(2014)Unmet contraceptive needs among refugees Can Fam Physician 60 e613-e619
  • [5] Keygnaert I(2017)Experiences of refugee women in accessing and utilizing a refugee-focused prenatal clinic in the United States: a mixed methods study Glob Women’s Heal 1 14-20
  • [6] Vettenburg N(2017)Scoping review on maternal health among immigrant and refugee women in Canada: prenatal, intrapartum, and postnatal care J Pregnancy 2017 1-14
  • [7] Temmerman M(2008)Somali women and their pregnancy outcomes postmigration: data from six receiving countries BJOG 115 1630-1640
  • [8] Aptekman M(2009)Responding to the complex and gendered needs of refugee women Affilia 24 272-284
  • [9] Rashid M(2002)What does “access to health care” mean? J Health Serv Res Policy 7 186-188
  • [10] Wright V(2009)Ensuring cross-cultural equivalence in translation of research consents and clinical documents: a systematic process for translating English to Chinese J Transcult Nurs 20 77-82