“In My Culture, We Don’t Know Anything About That”: Sexual and Reproductive Health of Migrant and Refugee Women

Metusela, Christine; Ussher, Jane M.; Perz, Janette; Hawkey, Alexandra; Morrow, Michael R.; Narchal, Renu; Estoesta, Jane; Monteiro, Melissa

doi:10.1007/s12529-017-9662-3

Cited by 167 publications

(165 citation statements)

References 62 publications

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“…The refusal of husbands to actively participate in contraceptive usage was highlighted in previous studies which had evaluated the presence of family planning in Sudan. 22,23 Furthermore, the primary reason due to which condoms were not used was attributed to the respondent's lack of preference (46.1%). Only 15.1% of the respondents regarded condoms to be useful in family planning and gave it significant importance.…”

Section: Discussionmentioning

confidence: 99%

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Abdulmageed

Elnimeri²

2018

Int J Community Med Public Health

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Background: About 214 million women in the reproductive age in the developing countries who need to prevent and plan for their pregnancy are not using methods of modern contraceptives. The aim of this study was to investigate the socio-demographic and cultural elements that inform the health-seeking behavior towards family planning among Sudanese women in Sharq-Alneel locality in the Sudan-Africa. Furthermore, the study aimed to identify individuals within Sudanese families, who predominantly interfered with the decision of the women in using of contraceptives for family planning.Methods: A cross-sectional community based study was conducted in September-2017 to February-2018 using structured questionnaire to 576 Sudanese women age of 15-49 years from 4 administrative units. A multistage cluster sampling technique was adopted. Binary and multinomial logistic regression models were used to analyze the results using SPSS version 22.Results: Women respondents were (57.1%), and (42.9%) from rural and urban areas respectively. Women (89.3%) of respondents were married for more than five years. A 381 (66%) women respondents were not using contraception at the time of the study. Women in rural areas were 0.9 less likely to obtain information from other sources than from PHC. There was significant association (p<0.001) between women’s educational level and awareness about contraception.Conclusions: Women use of contraception in Sharq-Alneel was low. Barrier to contraception use for majority of women was that they believe their healths are at risk for using modern contraceptives. There was also high prevalence of respondents’ husbands refused the use of contraceptives.

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Section: Discussionmentioning

confidence: 99%

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Abdulmageed

Elnimeri²

2018

Int J Community Med Public Health

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“…La enfermedad crónica se definió como una enfermedad de más de 3 meses de evolución. 14,15 La etapa de la adolescencia se clasificó en temprana (de 10 a 13 años), media (de 14 a 16 años) y tardía (de 17 a 18 años de edad). La dismenorrea se definió como la presencia de dolor durante la menstruación.…”

Section: Métodos Y Materialesunclassified

Factores que impactan sobre la percepción de la menstruación en las adolescentes

2020

Arch Argent Pediat

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RESUMEN Introducción. Se ha descrito que la menstruación se percibe como un evento natural pero molesto, con un impacto negativo en la vida diaria de la mujer. El objetivo del estudio fue identificar la percepción de la menstruación en adolescentes y los factores que podían influir sobre esta. Material y métodos. Estudio transversal observacional comparativo en adolescentes posmenárquicas con y sin enfermedades crónicas, en 2 hospitales pediátricos y 2 escuelas de nivel primario y secundario. Se recabaron los datos de edad, escolaridad, tipo de población, fecha de menarca y presencia de dismenorrea. Se aplicó un cuestionario previamente validado para evaluar la percepción sobre la menstruación. Resultados. Se incluyó un total de 346 adolescentes. Se encontró que la percepción más frecuente hacia la menstruación fue la negativa en un 65,6 % (n = 227), positiva en el 16 % (n = 55), sigilosa en el 13 % (n = 45) e indeterminada en el 5,4 % (n = 19). La presencia de enfermedad crónica demostró ser un factor protector de la percepción negativa de la menstruación (odds ratio 0,4 [intervalo de confianza del 95 %: 0,20-0,78], p = 0,007). Conclusiones. Más de la mitad de las adolescentes presentaron una actitud negativa hacia la menstruación, pero la presencia de una enfermedad crónica la mejoró.

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“…2 Risks for poor health in this group are further compounded when considering outcomes of reproductive health, which carry additional barriers and burdens, and have exceptional importance to overall health. [3][4][5][6][7][8] Poor reproductive outcomes also carry significant economic costs. For example, each year there are *380,000 preterm births in the United States that cost an estimated $26 billion, the majority of which are covered by Medicaid.…”

Section: Introductionmentioning

confidence: 99%

Reproductive Health Outcomes in African Refugee Women: A Comparative Study

Agbemenu

Auerbach

Murshid

et al. 2019

Journal of Women's Health

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Background: African refugee women in the United States are at risk of poor reproductive health outcomes; however, examination of reproductive health outcomes in this population remains inadequate. We compared:(1) prepregnancy health and prenatal behavior; (2) prenatal history and prenatal care utilization; and (3) labor and birth outcomes between African refugee women and U.S.-born Black and White women. Methods: A secondary data analysis of enhanced electronic birth certificate data was used. Univariate comparisons using chi-squared tests for dichotomous variables and analysis of variance and/or Kruskal-Wallis tests for continuous variables were conducted for Refugee versus Black versus White women. A p-value <0.05 was considered statistically significant. Results: From 2007 to 2016, 789 African refugee, 17,487 Black, and 59,615 White women in our population gave birth. African refugees experienced more favorable health outcomes than U.S.-born groups on variables examined. Compared to U.S.-born women, African refugee women had fewer prepregnancy health risks ( p < 0.001), fewer preterm births ( p < 0.001), fewer low birth weight infants ( p < 0.001), and higher rates of vaginal deliveries ( p < 0.001). These favorable outcomes occurred despite later initiation of prenatal care ( p < 0.001) and lower scores of prenatal care adequacy among refugee women compared to U.S.-born groups ( p < 0.001). Conclusions:The healthy immigrant effect appears to extend to reproductive health outcomes in our studied population of African refugee women. However, based on our data, targeted, culturally-congruent education surrounding family planning and prenatal care is recommended. Insight from reproductive health care experiences of African refugee women can provide understanding of the protective factors contributing to the healthy immigrant effect in reproductive health outcomes, and knowledge gained can be utilized to improve outcomes in other at-risk groups.

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“In My Culture, We Don’t Know Anything About That”: Sexual and Reproductive Health of Migrant and Refugee Women

Cited by 167 publications

References 62 publications

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Factores que impactan sobre la percepción de la menstruación en las adolescentes

Reproductive Health Outcomes in African Refugee Women: A Comparative Study

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