Learning from UJAMBO: Perspectives on Gynecologic Care in African Immigrant and Refugee Women in Boston, Massachusetts

P. K. Mehta, K. Saia, D. Mody, S. S. Crosby, A. Raj, S. Maru, L. Piwowarczyk

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

African-born immigrant women, and particularly refugees and asylum seekers, are at risk for reproductive health disparities but inadequately use relevant gynecologic services. We sought to elucidate perspectives on gynecologic care in a population of Congolese and Somali immigrants. We conducted a secondary qualitative analysis of focus group data using a grounded theory approach and the Integrated Behavioral Model as our theoretical framework. Thirty one women participated in six focus groups. Participant beliefs included the states of pregnancy and/or pain as triggers for care, preferences included having female providers and those with familiarity with female genital cutting. Barriers included stigma, lack of partner support, and lack of resources to access care. Experiential attitudes, normative beliefs, and environmental constraints significantly mediated care preferences for/barriers to gynecologic health service utilization in this population. Centering of patient perspectives to adapt delivery of gynecologic care to immigrants and refugees may improve utilization and reduce disparities.

Original languageEnglish
Pages (from-to)380-387
Number of pages8
JournalJournal of Immigrant and Minority Health
Volume20
Issue number2
DOIs
StatePublished - 1 Apr 2018
Externally publishedYes

Keywords

  • African immigrants
  • Gynecology
  • Health services
  • Qualitative
  • Refugees
  • Reproductive health

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