Migrant and native women’s perceptions of prenatal care communication quality: the role of host-country language proficiency

BMC Public Health

Research

Milton Severo¹  Sousan Hamwi¹  Henrique Barros²  Elsa Lorthe³ 

[1] EPIUnit– Instituto de Saúde Pública, Universidade Do Porto, Porto, Portugal;Laboratório Para a Investigação Integrativa E Translacional Em Saúde Populacional (ITR), Porto, Portugal;EPIUnit– Instituto de Saúde Pública, Universidade Do Porto, Porto, Portugal;Laboratório Para a Investigação Integrativa E Translacional Em Saúde Populacional (ITR), Porto, Portugal;Departamento de Ciências da Saúde Pública E Forenses, e Educação Médica, Faculdade de Medicina, Universidade Do Porto, Porto, Portugal;Unit of Population Epidemiology, Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland;Université Paris Cité, INSERM, INRA, Centre for Research in Epidemiology and Statistics Paris (CRESS), Paris, France;

关键词: Migrants;    Maternal health services;    Communication barriers;    Physician–patient relation;   

DOI  :  10.1186/s12889-023-15154-4

 received in 2022-05-30, accepted in 2023-01-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDespite the potentially significant impact of women-prenatal care provider communication quality (WPCQ) on women’s perinatal health, evidence on the determinants of those perceptions is still lacking, particularly among migrant women.MethodsWe aimed to examine the effect of women’s host-country language proficiency on their perceived WPCQ. We analyzed the data of 1210 migrant and 1400 native women who gave birth at Portuguese public hospitals between 2017 and 2019 and participated in the baMBINO cohort study. Migrants’ language proficiency was self-rated. Perceived WPCQ was measured as a composite score of 9 different aspects of self-reported communication quality and ranged from 0 (optimal) to 27.ResultsA high percentage of women (29%) rated communication quality as “optimal”. Zero-inflated regression models were fitted to estimate the association between language proficiency and perceived WPCQ. Women with full (aIRR 1.35; 95% CI 1.22,1.50), intermediate (aIRR 1.41; 95% CI 1.23,1.61), and limited (aIRR 1.72; 95% CI 1.45,2.05) language proficiencies were increasingly more likely to have lower WPCQ when compared to natives.ConclusionsFacilitating communication with migrant women experiencing language barriers in prenatal care could provide an important contribution to improving prenatal care quality and addressing potential subsequent disparities in perinatal health outcomes.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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