Evidence map›Paper›PMID 27724904›Full record

ArticleBMC international health and human rights2016

Knowledge and utilization of sexual and reproductive healthcare services among Thai immigrant women in Sweden.

Eva Åkerman, Per-Olof Östergren, Birgitta Essén, Cecilia Fernbrant, Ragnar Westerling

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In one paragraph

Article in BMC international health and human rights, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eva ÅkermanDivision of Social Medicine, Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden. eva.akerman@pubcare.uu.se.
Per-Olof ÖstergrenDivision of Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Jan Waldenströms gatan 35, Malmö, 205 02, Sweden.
Birgitta EssénDepartment of Women's and Children's Health, International Maternal and Child Health, Uppsala University, Akademiska sjukhuset, Uppsala, 751 85, Sweden.
Cecilia FernbrantDivision of Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Jan Waldenströms gatan 35, Malmö, 205 02, Sweden.
Ragnar WesterlingDivision of Social Medicine, Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigration from Thailand to Sweden has increased threefold over the last 10 years. Today Thailand is one of the most common countries of origin among immigrants in Sweden. Since the year 2000, new HIV cases are also more prevalent among Thai immigrants compared to other immigrant nationalities in Sweden. The purpose of this study was to investigate the association between knowledge and utilization of sexual and reproductive healthcare services, contraceptive knowledge and socio-demographic characteristics and social capital among Thai immigrant women in Sweden.

methodsThis is a cross-sectional study using a postal questionnaire to all Thai women (18-64) in two Swedish regions, who immigrated to the country between 2006 and 2011. The questionnaire was answered by 804 women (response rate 62.3 %). Bivariate and multivariate logistic regression analyses were used.

resultsThe majority (52.1 %) of Thai women had poor knowledge of where they should turn when they need sexual and reproductive healthcare services. After controlling for potential confounders, living without a partner (OR = 2.02, CI: 1.16-3.54), having low trust in others (OR = 1.61, CI: 1.10-2.35), having predominantly bonding social capital (OR = 1.50, CI: 1.02-2.23) and belonging to the oldest age group (OR = 2.65, CI: 1.32-5.29) were identified as risk factors for having poor knowledge. The majority (56.7 %) had never been in contact with healthcare services to get advice on contraception, and about 75 % had never been HIV/STI tested in Sweden. Low utilization of healthcare was associated with poor knowledge about healthcare services (OR = 6.07, CI: 3.94-9.34) and living without a partner (OR = 2.53, CI: 1.30-4.90). Most Thai women had knowledge of how to prevent an unwanted pregnancy (91.6 %) and infection with HIV/STI (91.1 %).

conclusionsThe findings indicate that social capital factors such as high trust in others and predominantly bridging social capital promote access to knowledge about healthcare services. However, only one-fourth of the women had been HIV/STI tested, and due to the HIV prevalence among Thai immigrants in Sweden, policy makers and health professionals need to include Thai immigrants in planning health promotion efforts and healthcare interventions.

Indexed as

ContraceptionEmigrants and ImmigrantsHealth Knowledge, Attitudes, PracticeSocial CapitalAdolescentAdultAge FactorsCross-Sectional StudiesFamily CharacteristicsFemaleHIV InfectionsHumansLogistic ModelsMass ScreeningMiddle AgedOdds RatioHealthcare utilizationHIV/STIImmigrationSocial capitalThai women

Identifiers

PMID27724904
PMCPMC5057435

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.