Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain
BackgroundImmigrant populations face diverse barriers to accessing appropriate healthcare services on several levels. In the Basque Country, Sub-Saharan African women were identified as facing the largest barriers to access them. The aim of the study is to analyse Sub-Saharan African immigrant women...
| Autores: | , , , , |
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| Formato: | artículo |
| Fecha de publicación: | 2019 |
| País: | España |
| Recursos: | Universidad del País Vasco |
| Repositorio: | Addi. Archivo Digital para la Docencia y la Investigación |
| OAI Identifier: | oai:addi.ehu.eus:10810/32729 |
| Acesso em linha: | http://hdl.handle.net/10810/32729 |
| Access Level: | acceso abierto |
| Palavra-chave: | health access immigrant health health services research health disparities barriers to healthcare women's health undocumented immigrants illegal immigrants immigration qualitative research cultural safety inequalities perceptions services populations knowledge racism lens HIV |
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Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, SpainPérez Urdiales, IratxeGoicolea Julián, María IsabelSan Sebastián, MiguelIrazusta Astiazaran, AmayaLinander, Idahealth accessimmigrant healthhealth services researchhealth disparitiesbarriers to healthcarewomen's healthundocumented immigrantsillegal immigrantsimmigrationqualitative researchcultural safetyinequalitiesperceptionsservicespopulationsknowledgeracismlensHIVBackgroundImmigrant populations face diverse barriers to accessing appropriate healthcare services on several levels. In the Basque Country, Sub-Saharan African women were identified as facing the largest barriers to access them. The aim of the study is to analyse Sub-Saharan African immigrant women's perceptions and experiences of access to appropriate healthcare in the public health system in the Basque Country, Spain.MethodsFourteen women from eight Sub-Saharan African countries who have used the Basque public healthcare services were interviewed. A qualitative content analysis was applied: meaning that units were identified, coded and the resulting codes were then organized into three categories.ResultsThe first category, Fearing to enter a health system perceived as not friendly for immigrants, included factors, mainly those related to legal conditions for accessing healthcare services and lack of lawful documentation, that made women avoid or discontinue seeking out healthcare.The second category, Being attended on professionals' own communication terms, comprised how the lack of effective communication compromised not only the access of the immigrant women to healthcare services, but also their health.Lastly, the third category, Is mistreatment based on racism or merely on bad luck? described how being an immigrant and black influenced the way they were (mis)treated in the health system.ConclusionFor Sub-Saharan African immigrant women, accessing appropriate healthcare in the Basque Country was perceived to be subject to institutional barriers. At the legal level, barriers included lack of entitlement, difficulties in fulfilling legal access conditions and lack of documentation. The lack of communication with health centre staff and their attitudes, guided by a stereotyped social image of immigrants and black people, also hindered their possibilities of receiving appropriate healthcare. Facilitators for accessing healthcare included strategies from individual professionals, personal networks and social actors to help them to cope with the barriers. There is a need of reinforcing inclusion values and rights-based approach to attention among staff at the health centres to have more non-discriminatory and culturally appropriate health systems.We thank the participants in this study who willingly shared their experiences. We also thank the NGO and social associations for their support in the recruitment of this study.Biomed Central201920192019info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/32729reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://equityhealthj.biomedcentral.com/articles/10.1186/s12939-019-0958-6info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Atribución 3.0 Españaoai:addi.ehu.eus:10810/327292026-06-18T09:23:17Z |
| dc.title.none.fl_str_mv |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| title |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| spellingShingle |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain Pérez Urdiales, Iratxe health access immigrant health health services research health disparities barriers to healthcare women's health undocumented immigrants illegal immigrants immigration qualitative research cultural safety inequalities perceptions services populations knowledge racism lens HIV |
| title_short |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| title_full |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| title_fullStr |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| title_full_unstemmed |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| title_sort |
Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain |
| dc.creator.none.fl_str_mv |
Pérez Urdiales, Iratxe Goicolea Julián, María Isabel San Sebastián, Miguel Irazusta Astiazaran, Amaya Linander, Ida |
| author |
Pérez Urdiales, Iratxe |
| author_facet |
Pérez Urdiales, Iratxe Goicolea Julián, María Isabel San Sebastián, Miguel Irazusta Astiazaran, Amaya Linander, Ida |
| author_role |
author |
| author2 |
Goicolea Julián, María Isabel San Sebastián, Miguel Irazusta Astiazaran, Amaya Linander, Ida |
| author2_role |
author author author author |
| dc.subject.none.fl_str_mv |
health access immigrant health health services research health disparities barriers to healthcare women's health undocumented immigrants illegal immigrants immigration qualitative research cultural safety inequalities perceptions services populations knowledge racism lens HIV |
| topic |
health access immigrant health health services research health disparities barriers to healthcare women's health undocumented immigrants illegal immigrants immigration qualitative research cultural safety inequalities perceptions services populations knowledge racism lens HIV |
| description |
BackgroundImmigrant populations face diverse barriers to accessing appropriate healthcare services on several levels. In the Basque Country, Sub-Saharan African women were identified as facing the largest barriers to access them. The aim of the study is to analyse Sub-Saharan African immigrant women's perceptions and experiences of access to appropriate healthcare in the public health system in the Basque Country, Spain.MethodsFourteen women from eight Sub-Saharan African countries who have used the Basque public healthcare services were interviewed. A qualitative content analysis was applied: meaning that units were identified, coded and the resulting codes were then organized into three categories.ResultsThe first category, Fearing to enter a health system perceived as not friendly for immigrants, included factors, mainly those related to legal conditions for accessing healthcare services and lack of lawful documentation, that made women avoid or discontinue seeking out healthcare.The second category, Being attended on professionals' own communication terms, comprised how the lack of effective communication compromised not only the access of the immigrant women to healthcare services, but also their health.Lastly, the third category, Is mistreatment based on racism or merely on bad luck? described how being an immigrant and black influenced the way they were (mis)treated in the health system.ConclusionFor Sub-Saharan African immigrant women, accessing appropriate healthcare in the Basque Country was perceived to be subject to institutional barriers. At the legal level, barriers included lack of entitlement, difficulties in fulfilling legal access conditions and lack of documentation. The lack of communication with health centre staff and their attitudes, guided by a stereotyped social image of immigrants and black people, also hindered their possibilities of receiving appropriate healthcare. Facilitators for accessing healthcare included strategies from individual professionals, personal networks and social actors to help them to cope with the barriers. There is a need of reinforcing inclusion values and rights-based approach to attention among staff at the health centres to have more non-discriminatory and culturally appropriate health systems. |
| publishDate |
2019 |
| dc.date.none.fl_str_mv |
2019 2019 2019 |
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info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10810/32729 |
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http://hdl.handle.net/10810/32729 |
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Inglés |
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Inglés |
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https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-019-0958-6 |
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info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/3.0/es/ Atribución 3.0 España |
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openAccess |
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http://creativecommons.org/licenses/by/3.0/es/ Atribución 3.0 España |
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application/pdf |
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Biomed Central |
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Biomed Central |
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reponame:Addi. Archivo Digital para la Docencia y la Investigación instname:Universidad del País Vasco |
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Universidad del País Vasco |
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