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dc.contributor.authorGoicolea, Isabel
dc.contributor.authorGea-Sánchez, Montserrat
dc.contributor.authorOtero Garcia, Laura 
dc.contributor.authorSanz-Barbero, Belén
dc.identifier.citationGlob Health Action . 2013 Nov 8;6:22645.es_ES
dc.description.abstractThere 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. The 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. A 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. Midwives 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. Immigrant 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.es_ES
dc.description.sponsorshipThis work was supported by Spain's Health esearch Fund (PI 080306).es_ES
dc.publisherTaylor & Francis Openes_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAttitude of Health Personnel es_ES
dc.subject.meshCulture es_ES
dc.subject.meshEmigrants and Immigrants es_ES
dc.subject.meshFamily Planning Services es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHealth Services Accessibility es_ES
dc.subject.meshHumans es_ES
dc.subject.meshInterviews as Topic es_ES
dc.subject.meshMaternal Health Services es_ES
dc.subject.meshMidwifery es_ES
dc.subject.meshPregnancy es_ES
dc.subject.meshRural Population es_ES
dc.subject.meshSpain es_ES
dc.titleAccess to and use of sexual and reproductive health services provided by midwives among rural immigrant women in Spain: midwives' perspectives.es_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.contributor.funderFondo de Investigaciones Sanitariases_ES
dc.identifier.journalGlobal health actiones_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.relation.projectIDinfo:eu_repo/grantAgreement/ES/PI 080306es_ES

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Atribución-NoComercial-CompartirIgual 4.0 Internacional
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