Experiences Of Immigrant Women Research Articles

African Immigrant Women's Experiences of Maternity Care in the United States

African Immigrant Women's Experiences of Maternity Care in the United States

Transition, Adjustment, and Healthcare Avoidance: African Immigrant Women's Experiences and Perceptions of Navigating Primary Healthcare in the USA.

This study explores the transition and adjustment of African immigrant women, particularly Ethiopian immigrant women (EIW), as they navigate the U.S. healthcare system and their ability to access and utilize healthcare services. A qualitative cross-sectional design with a mix of purposive and snowball sampling techniques was utilized to recruit EIW (N = 21, ≥18 years) who arrived in the U.S. within the last five years. One-on-one in-depth interviews were conducted to collect data. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically using Nvivo12 software. The thematic analysis revealed three major themes: (1) settling into new life in the U.S. delays EIWs' ability to access primary healthcare; (2) adjusting to the U.S. healthcare system: confusions and mixed perceptions; and (3) avoidance of care: EIW's reasons for PHC visits changed in the U.S. Participants avoided healthcare, except for life-threatening conditions, general check-ups, and maternal healthcare services. Transitional support for legal, residential, employment, and health information could help tackle the challenges of accessing primary healthcare for EIW. Future research should analyze access to healthcare in relation to the everyday struggles of immigrant women, as well as legal and complex structural issues beyond acculturative issues.

African Immigrant Women's Experiences of Maternity Care in the United States.

The purpose of this study was to explore maternity care experiences of African immigrant women during the perinatal period including factors affecting access to and use of care. We used Sandelowski's (2010) qualitative descriptive approach to examine how African immigrant women from various countries of origin and with diverse ethnic backgrounds experienced and navigated the maternity care system in the United States during pregnancy and childbirth. We conducted semi-structured interviews with 15 African immigrant women living in the Columbus, Ohio area. Participants were recruited using purposive and snowball sampling between February 2021 and May 2021. Interviews were recorded, transcribed, and analyzed using a reflexive thematic analysis approach. Four major themes defined the experiences of our study participants: access to information, patient-clinician relationships, experiences of discrimination, and costs of maternity care. Findings highlight key barriers to providing quality and acceptable maternity care to African immigrant women at multiple levels. This group's unique barriers underlie the importance of incorporating their diverse experiences into maternity care models and clinical practice. Further research is needed to evaluate and improve maternity care for African immigrant women.

Structural gendered racism as conceptualized by immigrant women in the United States

RationaleImmigrants represent a rapidly growing proportion of the population, yet the many ways in which structural inequities, including racism, xenophobia, and sexism, influence their health remains largely understudied. Perspectives from immigrant women can highlight intersectional dimensions of structural gendered racism and the ways in which racial and gender-based systems of structural oppression interact. ObjectiveThis study aims to show the multilevel manifestations of structural gendered racism in the health experiences of immigrant women living in New York City. MethodSemi-structured, in-depth interviews were conducted in 2020 and 2021 with 44 cisgender immigrant women from different national origins in New York City to explore how immigrant women experienced structural gendered racism and its pathways to their health. Interviews were thematically analyzed using a constant comparative approach. ResultsParticipants expressed intersectional dimensions of structural gendered racism and the anti-immigrant climate through restrictive immigration policy and issues related to citizenship status, disproportionate immigration enforcement and criminalization, economic exploitation, and gendered interpersonal racism experienced across a range of systems and contexts. Participants weighed their concerns for safety and facing racism as part of their life course and health decisions for themselves and their families. ConclusionsThe perspectives and experiences of immigrant women are key to identifying multilevel solutions for the burdens of structural gendered racism, particularly among individuals and communities of non-U.S. national origin. Understanding how racism, sexism, xenophobia, and intersecting systems of oppression impact immigrant women is critical for advancing health equity.

Immigrant women’s and families’ views and experiences of routine postnatal care: findings from a qualitative evidence synthesis

BackgroundUptake of postnatal care (PNC) is low and inequitable in many countries, and immigrant women may experience additional challenges to access and effective use. As part of a larger study...

Responding to structural inequities: Coping strategies among immigrant women during COVID-19

Examining coping strategies and resilience among immigrant communities reflects a commitment to working with immigrant communities to understand their needs while also identifying and building upon their strengths. In the United States, the physical, emotional, and economic impacts of the COVID-19 pandemic intersected with existing structural inequities to produce distinct challenges and stressors related to the pandemic, immigration, caregiving responsibilities, and structural xenophobia. Leveraging an understanding of the multilevel effects of stress, this qualitative study explores individual, interpersonal, and community-level coping strategies immigrant women used to respond to, alleviate, or reduce distress related to these compounding stressors. Using semi-structured in-depth interviews conducted in 2020 and 2021 with 44 first- and second-generation cisgender immigrant women from different national origins and 19 direct service providers serving immigrant communities in New York City, data were coded and analyzed using a constant comparative approach. Four central themes were identified: caregiving as a source of strength, leveraging resources, social connections, and community support. While women described a range of coping strategies they used to manage stressors and challenges, perspectives from direct service providers also connect these coping strategies to the harm-generating institutions, policies, and structures that produce and uphold structural oppression and inequities. Accounts from service providers point to the detrimental long-term effects of prolonged coping, underscoring a duality between resilience and vulnerability. Exploring the coping strategies cisgender immigrant women used to ease distress and promote resilience during a period of heightened structural vulnerability is critical to centering the experiences of immigrant women while simultaneously directing attention towards addressing the fundamental causes of cumulative disadvantage and the systems and structures through which it is transmitted.

Maternity Care at the Intersections of Language, Ethnicity, and Immigration Status: A Qualitative Study.

Women of color and immigrant women are more likely than US-born White women to report mistreatment and poor quality of care during their reproductive health care. Surprisingly little research exists on how language access may impact immigrant women's experiences of maternity care, particularly by race and ethnicity. We conducted qualitative in-depth, one-on-one semi-structured interviews from August 2018 to August 2019 with 10 Mexican and eight Chinese/Taiwanese women (n=18) living in Los Angeles or Orange County who gave birth within the past 2 years. Interviews were transcribed and translated, and data were initially coded based on the interview guide questions. We identified patterns and themes using thematic analysis methods. Participants described how a lack of translators and language- and cultural-concordant health care providers and staff impeded their access to maternity care services; in particular, they described barriers to communication with receptionists, providers, and ultrasound technicians. Despite Mexican immigrants' ability to access Spanish-language health care, both Mexican and Chinese immigrant women described how lack of understanding medical concepts and terminology resulted in poor quality of care, lack of informed consent for reproductive procedures, and subsequent psychological and emotional distress. Undocumented women were less likely to report using strategies that leveraged social resources to improve language access and quality care. Reproductive autonomy cannot be achieved without access to culturally and linguistically appropriate health care. Health care systems should ensure that comprehensive information is given to women, in a language and manner they can understand, with particular attention toward providing in-language services across multiple ethnicities. Multilingual staff and health care providers are critical in providing care that is responsive to immigrant women.

The story of women immigrants from FSU and their integration into Israeli academia

The under-representation of minorities at senior levels in academia has received some research attention in recent years. However, the experience of immigrant women from the former Soviet Union (FSU) in Israeli academia has not been examined. These women are mostly from a generation known as the ‘1.5 generation’ who immigrated to Israel as children. This study focuses on the intersection of immigration and gender that shape the lives and careers of the 1.5 generation women currently employed as senior academics in Israel. Using the theoretical framework of capital, Bourdieu’s concepts of cultural and social capital, as well as Borjas’ ethnic capital, we analyzed twenty in-depth interviews to examine the perception of these women, their life story, and their professional integration into Israeli academia. We identified two focal points that fostered their success – (1) the Soviet heritage- selective adoption of ethnic capital, encompassing cultural and social capital of an ethnic group and (2) role models within and outside the family often based on ethnicity. We discuss the obstacles faced by minorities in attempting integration into selective professional guilds.

Experiences of childbirth care among immigrant and non-immigrant women: a cross-sectional questionnaire study from a hospital in Norway

BackgroundImmigrant women have higher risks for poor pregnancy outcomes and unsatisfactory birth experiences than the general population. The mechanisms behind these associations remain largely unknown, but they may result from differential care provided to immigrant women or unsatisfactory interactions with health providers. This study aimed to investigate immigrant and non-immigrant women's experiences of health care during childbirth, particularly assessing two dimensions: perceived general quality of care and attainment of health care needs during childbirth.MethodsThis was a cross-sectional study carried out over 15 months in 2020 and 2021, and data were collected from a self-completed questionnaire. The labour and birth subscale from the Experience of Maternity Care questionnaire was used to assess the primary outcome of care experiences. A total of 680 women completed the questionnaire approximately within two days after birth (mean 2.1 days) at a hospital in Trondheim, in central Norway. The questionnaire was provided in eight languages.ResultsThe 680 respondents were classified as immigrants (n = 153) and non-immigrants (n = 527). Most women rated their quality of care during childbirth as high (91.5%). However, one-quarter of the women (26.6%) reported unmet health care needs during childbirth. Multiparous immigrant women were more likely than multiparous non-immigrant women to report that their health care needs were unmet during childbirth (OR: 3.31, 95% CI: 1.91–5.72, p < 0.001, aOR: 2.83, 95% CI: 1.53–5.18, p = 0.001). No other significant differences between immigrant versus non-immigrant women were found in subjective ratings of childbirth care experiences. Having a Norwegian-born partner and a high level of Norwegian language skills did not influence the immigrant women's experience of childbirth care.ConclusionsOur findings indicate that many women feel they receive high-quality health care during childbirth, but a considerable number still report not having their health care needs met. Also, multiparous immigrant women report significantly more unmet health care needs than non-immigrants. Further research is required to assess immigrant women's childbirth experiences and for health care providers to give optimal care, which may need to be tailored to a woman's cultural background and individual expectations.

Postnatal experiences of South Asian immigrant women in Australia, Canada, the United Kingdom, and the United States: a qualitative systematic review protocol.

The goal of this review is to gain an understanding of the postnatal experiences of South Asian immigrant women in 4 English-speaking countries: Australia, Canada, the United Kingdom, and the United States. The postnatal period is an important time in the lives of women and their families. Major changes take place during this time as a woman's body gradually returns to its pre-pregnancy state. The postnatal period is also a time for women to adapt and transition into their new role as a mother. Immigrant women experience many challenges in accessing quality postnatal care in comparison to non-migrant populations. South Asian immigrant women, specifically, encounter unique postnatal experiences and face a myriad of hardships in accessing proper postnatal care. The presence of cultural factors and traditional norms largely influence postnatal experiences of South Asian immigrant women. Cultural factors include, but are not limited to, relationships with family and in-laws, gender-specific roles, newborn gender, mental health stigma, language barriers, acculturative stress, and expression of depression. Qualitative studies in English reporting postnatal experiences of South Asian immigrant women published after January 2000 will be considered for this review. Research designs may include, but are not limited to, feminist research, exploratory descriptive design, or ethnography. Gray literature will be limited to theses and dissertations only. MEDLINE, Embase, CINAHL, EthOS, and ProQuest Dissertations and Theses will be searched. Disagreement resolution, data extraction, and meta-aggregation will be completed through discussion between 2 reviewers. Studies will be critically appraised and assigned a level of credibility. PROSPERO CRD42022354306.

Storytelling Embroidery Art Therapy Group With Portuguese-Speaking Immigrant Women in Canada (Groupe d’art-thérapie de récit par la broderie avec des femmes immigrantes lusophones au Canada)

The aim of this qualitative research was to listen to and explore immigrant women’s stories and, through a process of interpretation and analysis, to shed light on the lived experiences and cultures behind those stories. An eight-session virtual art therapy program was developed with 10 participants, which included storytelling and embroidery, exploring their past, present, and hopes for their future. The purpose was to gain an understanding of the potential effects of storytelling, embroidery, and the group setting in an art therapy program, and to contribute to the development of more culturally sensitive art therapy interventions. The completed artworks were displayed in a virtual art exhibition for public education. Data were collected using narrative inquiry methodology and were discussed based on the research question: What do stories reveal about the experience of immigrant women through embroidery in group art therapy? Findings indicated that: the experience of immigration contributes to mental health concerns; there is value in combining art making and narrative storytelling to improve psychological well-being; there are many positive therapeutic outcomes in group work; and there are benefits in using embroidery including in culturally sensitive art therapy practices when working with this population. Findings also demonstrated that this group helped participants to (re)establish social relationships. Additionally, it was found that the art exhibition expanded the visitors’ knowledge about art therapy practices.

Immigrant Women's Experiences of Domestic Violence in Canada: A Qualitative File Audit.

Domestic violence (DV) experienced by immigrant women is a global health concern. Precarious immigration status, language barriers, and discrimination can lead to reluctance in seeking support. Is a non-profit charitable organization and support center for immigrant women. Participants in this study were immigrant women who attended Changing Together. The aim of this study is to illustrate immigrant women's experiences of DV and identify the community services they access. The files of a social worker at Changing Togetherwere audited for this project. There were 1,034 files available to audit. The six steps of thematic analysis were used to create themes from the notes of each file, specifically to answer the question: what are the experiences of immigrant women with domestic violence and what are the services they access through Changing Together? Three themes were developed: Building Independence, Surviving Abuse, and Services to Support Surviving. Building Independence centres on women building solid foundations to start their lives in Canada to support themselves and their families. Surviving Abuse encompasses the hardships women endured for the perceived sake of their children until there was an event leading to the unavoidable need for change. Services to Support Surviving explores the services women accessed through the social worker at Changing Together. This study highlights the complexities of immigrant women enduring DV in a foreign country. The file notes described women's experiences of living with hardships and endurance of challenges. Further research should identify community resources for this population.

Immigrant women's experience of labor and birth.

To describe the childbirth experience of immigrant women in maternity hospitals in southern Brazil. Descriptive, qualitative study, Hybrid Thematic Oral History method, in two public maternity hospitals in Curitiba-PR; semi-structured interviews collected from March to December 2020. Analysis followed the proposed method. The seven interviewees - collaborators immigrated from Venezuela, Haiti and Tunisia. Relevant themes emerged: 1) Surprises and feelings during the childbirth process, pointing out preferences, unexpected birth outcomes, factors related to the higher incidence of C-section and descriptions of sensations and feelings; 2) The care perceived by women and memories of experiences in the country of origin, with reports of previous childbirth experience, difficulties in the current childbirth and perceptions of the care received. The childbirth process was experienced with expectation, accessing feelings and memories. The positive childbirth experience was favored by team care, participation in decision-making, well-informed prenatal care, bonding with the care team, effective communication and evidence-based obstetric practices. Challenges were perceived regarding cultural sensitivity in care.

Gestational Diabetes and International Migration.

In many countries, immigrant women constitute a substantial proportion of women giving birth. With gestational diabetes being one of the most common complications in pregnancy, understanding gestational diabetes in the context of international migration becomes increasingly relevant. Here, we examine the current evidence related to international migration and gestational diabetes, including short- and long-term adverse outcomes and the experiences of immigrant women with gestational diabetes care and long-term follow-up. Existing evidence focuses on immigrants in high-income countries, and has mainly examined differences in the risk of developing gestational diabetes, or on the experiences of immigrant women diagnosed with gestational diabetes. Studies suggest that the risk of gestational diabetes may be influenced by migration and that immigrant women likely experience particular barriers to care and follow-up. Current research on perinatal outcomes is inconclusive and studies on long-term outcomes are practically absent. Future research should include data on country of origin and examine the role of premigration and postmigration factors in developing gestational diabetes and its associated short- and long-term outcomes. Understanding these factors will provide useful insights into improving the health and health care needs of migrating populations and enable inclusion of culturally appropriate health care practices, thereby improving the health of our current and future generations.

‘What’s the problem? I am happy that you are my customer!’ African immigrant women’s emotional labour and resilience in a multilingual workplace

ABSTRACTRecent research on multilingualism and emotions in the immigrant context indicates that negative emotions such as anxiety related to monolingual or cultural norms may prevail in immigrants’ daily lives. Immigrants may respond to negative emotions with avoidance, for instance by avoiding using the language that makes them anxious. This study further examines emotion-related concepts of immigrant experience in a setting rarely researched: a highly multilingual workplace in Cape Town, South Africa. It focuses on immigrants’ emotional lived experiences, emotional labour, and coping strategies such as avoidance or resilience. We report on semi-structured interviews with four African immigrant women working as shop assistants in a China Town shopping centre in the Western Cape. Noting the diversity of experiences in emotional reactions and coping, findings reveal that negative emotions African immigrant women experience are associated more with threatened life chances, than with non-standard speech forms. Although reported experiences imply a significant burden of emotional labour, these African immigrant women do not get caught in negative emotions and avoidance; rather, they demonstrate emotional resilience and active coping strategies (e.g. positive emotions, humour, gratitude) that allow them to manage conflict and negativity.

African Immigrant's Women Experiences on Extended Family Relations.

African immigrants are increasingly migrating to high-income countries, including Canada, in search of a better life. These immigrants often face several challenges, such as keeping healthy ties with their extended families back home and in a new socio-cultural context. We present findings from a participatory action research (PAR) study of Sub-Saharan African immigrants and refugees (SSAIRs) living in Alberta, Canada. Using the theoretical framework of postcolonial feminism and transnationalism, in this study we investigated how cultural roots and transnational ties affect newcomer transition and integration to provide information on the female perspectives of SSAIRs. The results of the study indicate that maintaining relational ties with one’s extended family in the homeland has been highlighted as both a source of support—providing moral, social, religious, and cultural support during the integration processes—and strain, with participants noting its impact on their integration processes, such as delaying the ability to restructure life and to successfully plan their life financially. Our findings outline various implications of the existing gaps and recommendations for policymakers and community stakeholders for future improvement. Overall, our study findings affirm the importance of extended family relations for African immigrants living in Canada.

Alone in Paradise: Exploring the Intersections of Gender, Ethnicity, Single Motherhood, Social Class, and Immigration

There is a paucity of research that is centred on cross-cultural transitioning for single mothers who immigrate to Canada. Focusing on the intersections of gender, ethnicity, social class, single motherhood, and immigration increases the understanding of challenges affecting single, immigrant mothers. As part of a qualitative description study, we examined the complex experiences of immigrant women who had navigated cross-cultural transitions and single motherhood through the lens of their intersecting cultural identities and social locations. Purposeful sampling was used to recruit single, immigrant mothers from multiple counselling agencies in a western Canadian city. Content analysis of six semi-structured interviews elucidated the women’s experience experiences of gender and mothering discourses within various social contexts, the impact of intersectionality on their acculturation processes in Canada, their relationships with their children, and the challenges of economic and psychosocial acculturation. One overarching theme that was related to the contrasts between the women’s former world and new world formed a lens through which they made meaning of their lived experiences. Implications for counselling and social services are provided.

Menopausal experiences of South Asian immigrant women: a scoping review.

South Asians make up a significant portion of global immigration. Immigrants often face challenges when navigating the healthcare system, which can influence their experience during the menopausal transition. The purpose of this scoping review is to summarize the existing literature on South Asian immigrant women's menopausal experience. Various electronic databases were systematically searched to identify research articles. The menopausal experiences of South Asian immigrant women were examined. A total of 11 studies were included in this scoping review. A variety of physical symptoms were reported, including vasomotor symptoms, musculoskeletal symptoms, somatic symptoms, and early onset of menopause. Psychosocial symptoms included anxiety, depression, and decreased memory/concentration. Cultural experiences were both positive and negative, depending on the connotations surrounding menopause. Individual facilitators for a healthy transition included education and employment. Familial barriers included a lack of knowledge and support. Community and societal factors were both positive and negative, depending on the level of acculturation. Self-management was the most widely used intervention. Findings of this scoping review can help guide the development and evaluation of menopause interventions for South Asian immigrant women. Culturally sensitive care, increased discussion on sexual health, support networks, and reduction of socioeconomic barriers are needed to address the health needs of South Asian immigrant women. Further research is needed to better understand South Asian immigrant women's menopausal needs and help guide intervention design.

Gender and Trajectories of Marital Breakdown: Accounts of Chinese Immigrant Women in Canada.

The relatively sparse literature has documented various challenges international migration poses to martial stability, yet we know little about immigrant women's experiences with marital breakdown. Drawing data from a qualitative study of Chinese economic immigrants to Canada, this article explores women's experiences of navigating the processes of this life circumstance, and of how gender—including their senses of changing gender roles in post-immigration and postmarital contexts—plays out in these trajectories. The results of this exploratory study illustrate the value of transcending dichotomous conceptions of the relationship between gender and migration, and of opening spaces in which to better understand immigrant women's increasingly diversified life trajectories and the range of barriers they encounter along the way. The study also reveals multiple opportunities for social work contributions: tackling systematic barriers to settlement, facilitating social support in the community, and recognizing individuals’ diverse trajectory potentials (including the potential for this typically unwelcome event to be integrated as personal growth and transition).

Perinatal care experiences of immigrant Syrian women: a qualitative phenomenological study.

Adverse birth outcomes of immigrant women and neonates are associated with the quality of perinatal care. For this reason, examining immigrant women's experiences of perinatal care is necessary if host country care systems are to respond appropriately to migration. The aim of the study was to evaluate the perinatal care experiences of immigrant women. The qualitative phenomenological design used in the study enabled to make an in-depth exploration of immigrant women's experiences. The participants were 24 women who had a pregnancy within the past 6 months and lived in Adana, Turkey, between September and December 2019. Data were collected using a semi-structured form through the snowball method. Qualitative data were analysed using the thematic analysis method. The participants' mean age was 21.41 [standard deviation (SD) 3.86] years. Mean age at first pregnancy was 17.27 (SD 4.59) years. It was determined that immigrant women received insufficient maternity services. In thematic analysis, 4 main themes indicating barriers to sufficient perinatal care were identified. The barriers to maternal care services were: language barrier, cultural incompatibility, decreased social support and inadequate information. Our findings indicated that perinatal care for immigrant women was inadequate and their experiences were generally negative. Although the barriers seem separate, they are actually intertwined, with the language barrier appearing to be the main one. Innovative approaches are needed to solve this problem. Mobile applications that translate instantly can be used by both immigrant women and health care professionals.