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Maternity care experience of Pakistani ethnic minority women in Hong Kong

BACKGROUND: Persistent inequalities in maternity care experience and outcomes exist globally for ethnic minority (EM) and migrant women. Despite the fact that this is an important research area, no prior study has been done in Hong Kong (HK) to examine maternity care experience of EM women. OBJECTIV...

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Autores principales: Asim, Saba, Nichini, Elena, Goggins, William Bernard, Dong, Dong, Yeoh, Eng-King
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014597/
https://www.ncbi.nlm.nih.gov/pubmed/36935720
http://dx.doi.org/10.3389/fpubh.2023.1009214
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author Asim, Saba
Nichini, Elena
Goggins, William Bernard
Dong, Dong
Yeoh, Eng-King
author_facet Asim, Saba
Nichini, Elena
Goggins, William Bernard
Dong, Dong
Yeoh, Eng-King
author_sort Asim, Saba
collection PubMed
description BACKGROUND: Persistent inequalities in maternity care experience and outcomes exist globally for ethnic minority (EM) and migrant women. Despite the fact that this is an important research area, no prior study has been done in Hong Kong (HK) to examine maternity care experience of EM women. OBJECTIVES: To investigate maternity care experience of Pakistani EM women (both local born and immigrants) during pregnancy, birth and after birth in hospital in HK. An evaluation of their satisfaction and factors predicting satisfaction with care during the three phases of maternity care was included in the study. METHODS: A cross sectional survey was conducted among Pakistani EM women who had given birth in HK in last 3 years, using a structured questionnaire by a bilingual interviewer, from April to May 2020. Counts and percentages were used to describe all categorical variables. Association between predictor variables and overall satisfaction was assessed by bivariate analysis and multiple logistic regression. RESULTS: One hundred and twenty questionnaires were completed. Almost 60 percent of the women were very satisfied with the overall care. More than half of the women described the care they received as kind, respectful and well communicated. After adjusting for age and parity, HK born Pakistani women expressed relatively less satisfaction with care, especially during pregnancy and labor and birth, as compared with Pakistan born women. Women with conversational or fluent English-speaking ability also felt comparatively less satisfied particularly from intrapartum and postnatal care in hospital. Education level had a negative association with satisfaction with care during pregnancy. CONCLUSIONS: Maternity care providers should take into account the diversity of EM women population in HK. Our findings suggest that effective communication and care that can meet individual needs, expectations, and values is imperative to improve experience and quality of maternity care for EM women in HK.
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spelling pubmed-100145972023-03-16 Maternity care experience of Pakistani ethnic minority women in Hong Kong Asim, Saba Nichini, Elena Goggins, William Bernard Dong, Dong Yeoh, Eng-King Front Public Health Public Health BACKGROUND: Persistent inequalities in maternity care experience and outcomes exist globally for ethnic minority (EM) and migrant women. Despite the fact that this is an important research area, no prior study has been done in Hong Kong (HK) to examine maternity care experience of EM women. OBJECTIVES: To investigate maternity care experience of Pakistani EM women (both local born and immigrants) during pregnancy, birth and after birth in hospital in HK. An evaluation of their satisfaction and factors predicting satisfaction with care during the three phases of maternity care was included in the study. METHODS: A cross sectional survey was conducted among Pakistani EM women who had given birth in HK in last 3 years, using a structured questionnaire by a bilingual interviewer, from April to May 2020. Counts and percentages were used to describe all categorical variables. Association between predictor variables and overall satisfaction was assessed by bivariate analysis and multiple logistic regression. RESULTS: One hundred and twenty questionnaires were completed. Almost 60 percent of the women were very satisfied with the overall care. More than half of the women described the care they received as kind, respectful and well communicated. After adjusting for age and parity, HK born Pakistani women expressed relatively less satisfaction with care, especially during pregnancy and labor and birth, as compared with Pakistan born women. Women with conversational or fluent English-speaking ability also felt comparatively less satisfied particularly from intrapartum and postnatal care in hospital. Education level had a negative association with satisfaction with care during pregnancy. CONCLUSIONS: Maternity care providers should take into account the diversity of EM women population in HK. Our findings suggest that effective communication and care that can meet individual needs, expectations, and values is imperative to improve experience and quality of maternity care for EM women in HK. Frontiers Media S.A. 2023-03-01 /pmc/articles/PMC10014597/ /pubmed/36935720 http://dx.doi.org/10.3389/fpubh.2023.1009214 Text en Copyright © 2023 Asim, Nichini, Goggins, Dong and Yeoh. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Asim, Saba
Nichini, Elena
Goggins, William Bernard
Dong, Dong
Yeoh, Eng-King
Maternity care experience of Pakistani ethnic minority women in Hong Kong
title Maternity care experience of Pakistani ethnic minority women in Hong Kong
title_full Maternity care experience of Pakistani ethnic minority women in Hong Kong
title_fullStr Maternity care experience of Pakistani ethnic minority women in Hong Kong
title_full_unstemmed Maternity care experience of Pakistani ethnic minority women in Hong Kong
title_short Maternity care experience of Pakistani ethnic minority women in Hong Kong
title_sort maternity care experience of pakistani ethnic minority women in hong kong
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014597/
https://www.ncbi.nlm.nih.gov/pubmed/36935720
http://dx.doi.org/10.3389/fpubh.2023.1009214
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