Abstract：
The ability to exercise autonomy in achieving reproductive health goals necessitates access to contraceptive and reproductive health information and medical care. Finding trusted, comprehensive, consistent and affordable reproductive care is particularly challenging for immigrants living in the United States, especially for those without legal immigration status and for those who prefer a language other than English. In immigrant communities, sexual and reproductive health (SRH) knowledge, contraceptive choice, and family planning are influenced by many factors including tension between traditional and adopted cultural norms, limited English proficiency, restricted health care access, and structural racism. The family-centered model and longitudinal nature of relationships in pediatric primary care pose a unique opportunity to support immigrant families across the lifespan in obtaining SRH information and achieving reproductive health goals. Here, we present the unique vulnerabilities faced by immigrants seeking SRH services in the United States including both the upstream and downstream health effects of immigration status on family health. We then describe four time points across the lifespan where pediatricians can support SRH, including examples of existing SRH programming designed or adapted for immigrant families. Finally, we discuss opportunities to advance research, policy, education, and clinical care related to SRH equity for immigrant families.
摘要：
在实现生殖健康目标方面行使自主权的能力需要获得避孕和生殖健康信息以及医疗保健。寻找信任，全面,持续和负担得起的生殖护理对于居住在美国的移民来说尤其具有挑战性，特别是对于那些没有合法移民身份的人和那些喜欢英语以外的语言的人。在移民社区，性健康和生殖健康（SRH）知识，避孕选择，计划生育受到许多因素的影响，包括传统文化规范和所采用文化规范之间的紧张关系，英语水平有限，有限的医疗保健服务，结构性种族主义。以家庭为中心的模式和儿科初级保健中关系的纵向性质为支持移民家庭在整个生命周期中获得SRH信息和实现生殖健康目标提供了独特的机会。这里,我们介绍了在美国寻求SRH服务的移民所面临的独特脆弱性，包括移民身份对家庭健康的上游和下游健康影响。然后，我们描述了整个生命周期中儿科医生可以支持SRH的四个时间点，包括为移民家庭设计或改编的现有SRH计划的示例。最后,我们讨论推进研究的机会，政策,教育,以及与移民家庭SRH公平相关的临床护理。
