ArticleGlobal health action2013
Access to and use of sexual and reproductive health services provided by midwives among rural immigrant women in Spain: midwives' perspectives.
Article in Global health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Challenges in the provision of healthcare services for migrants: a systematic review through providers' lens.BMC health services research · 2015Pooled it
- The influence of rurality on women's decision making and pregnancy choices following an unintended pregnancy: A systematic review.Women's health (London, England)Pooled it
- Enhancing Youth Access to Reproductive Health Services in Rural Communities Through Clinical and Educational Interventions in Upstate New York, USA.Perspectives on sexual and reproductive health · 2025Article
- Contraceptive access and use among women with migratory experience living in high-income countries: a scoping review.BMC public health · 2024Article
- Article
- Immigrant women's perspectives on contraceptive counselling provided by midwives in Sweden - a qualitative study.Sexual and reproductive health matters · 2022Article
- Relationship Between Socio-Demographic Characteristics, Reproductive Health Behaviors, and Health Literacy of Women in Serbia.Frontiers in public health · 2021Article
- Global output of research on the health of international migrant workers from 2000 to 2017.Globalization and health · 2018Article
- Ethnicity and Language Proficiency Differences in the Provision of and Intention to Use Prenatal Screening for Down's Syndrome and Congenital Anomalies. A Prospective, Non-selected, Register-Based Study in the Netherlands.Maternal and child health journal · 2018Article
- Gender and health - aspects of importance for understanding health and illness in the world.Global health action · 2015Article
- [How do immigrant women access health services in the Basque Country? Perceptions of health professionals].Atencion primariaArticle
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThere insufficient information regarding access and participation of immigrant women in Spain in sexual and reproductive health programs. Recent studies show their lower participation rate in gynecological cancer screening programs; however, little is known about the participation in other sexual and reproductive health programs by immigrant women living in rural areas with high population dispersion.
objectivesThe objective of this study is to explore the perceptions of midwives who provide these services regarding immigrant women's access and participation in sexual and reproductive health programs offered in a rural area.
designA qualitative study was performed, within a larger ethnographic study about rural primary care, with data collection based on in-depth interviews and field notes. Participants were the midwives in primary care serving 13 rural basic health zones (BHZ) of Segovia, a region of Spain with high population dispersion. An interview script was designed to collect information about midwives' perceptions on immigrant women's access to and use of the healthcare services that they provide. Interviews were recorded and transcribed with participant informed consent. Data were analyzed based on the qualitative content analysis approach and triangulation of results with fieldwork notes.
resultsMidwives perceive that immigrants in general, and immigrant women in particular, underuse family planning services. This underutilization is associated with cultural differences and gender inequality. They also believe that the number of voluntary pregnancy interruptions among immigrant women is elevated and identify childbearing and childrearing-related tasks and the language barrier as obstacles to immigrant women accessing the available prenatal and postnatal healthcare services.
conclusionsImmigrant women's underutilization of midwifery services may be linked to the greater number of unintended pregnancies, pregnancy terminations, and the delay in the first prenatal visit, as discerned by midwives. Future research should involve samples of immigrant women themselves, to provide a deeper understanding of the current knowledge, attitudes, and practices of the immigrant population regarding reproductive and sexual health to provide better health services.
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