Barriärer till sexuell och reproduktiv hälsa hos kvinnor med flyktingbakgrund : En litteraturstudie om kvinnors upplevelser

Sammanfattning: Background: More than 13 million women worldwide have been forced to flee their home countries. Women with a refugee background have higher rates of ill health compared to the general population, with an increased risk for sexually transmitted diseases, sexual violence, and perinatal morbidity, contributing to a diminished sexual and reproductive health. Aim: To identify the self-experienced barriers that prevent sexual and reproductive health and wellbeing in women with a refugee background. Method: A general literature review using a qualitative content analysis on 17 original articles according to the 9 steps described by Polit and Beck. Results: Three main categories were found: Barriers to knowledge, Limited agency, and Barriers to care. Women experienced barriers due to shame, misconceptions, lack of knowledge regarding sexuality and reproduction, and limited sexual and reproducitve agency. Several factors contributed to barriers within a health care setting, and in access to health care. Conclusion: Barriers to sexual and reproductive health can cause suffering. Which barriers prevent women from acheiving sexual and reproductive health over times is highly individual. Nurses need to be knowledgeable about which barriers patients could be affected by in order to provide them with person-centered care, strengthen their empowerment, and improve their health.