Revista Espanola de Salud Publica
Volume 88, Issue 2, 2014, Pages 301-310

Immigrantswomen care in a health Intercultural mediation program [Atenciónamujeres Inmigrantes En Un Programademediación Intercultural En Salud] (Article) (Open Access)

Quevedo M.A.* , Paredes-Carbonell J.J. , Mestre C.S. , López-Sánchez P. , Luis GarcíaMoreno J. , Consuelo D.V.
  • a Centre de Salut Pública de València, Direcció General de Salut Pública, Conselleria de Sanitat de la Generalitat Valenciana, Avda. Cataluña, 21, 46020 Valencia, Spain, Fundación Para El Fomento de la Investigación Sanitaria, Biomédica de la Comunitat Valenciana -FISABIO, Valencia, Spain
  • b Centre de Salut Pública de València, Direcció General de Salut Pública, Conselleria de Sanitat de la Generalitat Valenciana, Avda. Cataluña, 21, 46020 Valencia, Spain, Fundación Para El Fomento de la Investigación Sanitaria, Biomédica de la Comunitat Valenciana -FISABIO, Valencia, Spain, Facultat D'Infermeria i Podologia, Universitat de València, Valencia, Spain
  • c Centro de Investigación en Economía, Gestión de la Salud, Universidad Politécnica de Valencia, Valencia, Spain
  • d Centre de Salut Pública de València, Direcció General de Salut Pública, Conselleria de Sanitat de la Generalitat Valenciana, Avda. Cataluña, 21, 46020 Valencia, Spain, Facultat D'Infermeria i Podologia, Universitat de València, Valencia, Spain
  • e Centre de Salut Pública de València, Direcció General de Salut Pública, Conselleria de Sanitat de la Generalitat Valenciana, Avda. Cataluña, 21, 46020 Valencia, Spain
  • f Centro de Investigación en Economía, Gestión de la Salud, Universidad Politécnica de Valencia, Valencia, Spain

Abstract

Background: Intercultural Mediation is a strategy for quality health care aimed at reducing inequalities in immigrant population. The aim is to analysemain reasons consultation with themediation service, women care profile and characteristics of intervention. Methods: Cross-sectional study of 339 episodes of care by two intercultural mediators (MI) from February 2008 to October 2011 in Valencia. Variables were analysed individual records of the consultations of the MI: reasons for referral to MI and professionals who refer, motives and problems identified by MI, kind of intervention, kind of derivation of MI and socio-economic variables. To evaluate the differences between countries, X2 test was used for qualitative variables and one-way ANOVA test for quantitative variables. Results: 123 women (36,3%), were referred to the MI by the Sexual and Reproductive Health Centre and 98 (28,9%) by the midwife. 272 women (80,24%) were referred for information and demand for contraception. The MI conducted health education and detected social problems in 67 women (19,7%) and gender violence in 38 (11,21%). Conclusions: The women attending were LatinAmerican immigrants (those of Bolivia showed more vulnerability) and were referred for contraception. The MI provided information, education and facilitated access to reproductive health services.Bolivian women showed more vulnerability factors: irregular situation, precarious work and low residence time.

Author Keywords

Primary care Health promotion risk factors cultural competency Battered women Immigration

Index Keywords

Vulnerable Populations vulnerable population Ecuador health promotion human statistics health service Colombia Cultural Competency ethnology cultural competence Cross-Sectional Studies cross-sectional study migrant Humans Emigrants and Immigrants Spain female patient referral Socioeconomic Factors Referral and Consultation socioeconomics Contraception Women's Health Services Article organization and management legal abortion Abortion, Legal Battered Women Bolivia Healthcare Disparities health care disparity battered woman
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904855253&doi=10.4321%2fS1135-57272014000200012&partnerID=40&md5=19ae074d0255cc894a281f8d87171cbf
DOI: 10.4321/S1135-57272014000200012
ISSN: 11355727
Cited by: 4
Original Language: Spanish