MÜLTECİ VE GÖÇMEN KADINLARDA KADIN SAĞLIĞI SORUNLARI

Year 2020, Volume: 2 Issue: 2, 55 - 69, 31.12.2020

Meryem Öngen , Nurcan Kırca

Abstract

Mülteci ve göçmen kadınlar göç sırasında baskı, fiziksel ve cinsel şiddet ve yaşamı tehdit eden durumlar olmak üzere çok sayıda travmaya maruz kalabilirler. Göç sonrasında ise, dil engeli, barınma, beslenme, eğitim, iş bulma, sağlık kurumlarına ve tıbbi tedavilere erişimin kısıtlı olması, sağlık sigortasının bulunmaması, cinsel sağlık taramaları ve aile planlaması yöntemleri ile ilgili bilgi eksikliği ve olumsuz tutumlar, istenmeyen gebelikler, güvenli olmayan küretaj ve cinsel yolla bulaşan hastalıklar gibi nedenlere bağlı olarak da sağlık açısından risk altında olan gruplar arasındadırlar. Ayrıca ataerkil değerler, kültürel ve bireysel tabular üreme sağlığı, cinsel sağlık ve ana-çocuk sağlığı konularında sağlık okuryazarlığını ve edinilen bilgileri davranışa dönüştürebilmeyi olumsuz olarak etkileyebilmektedir. Bu sebeple, hemşirelerin ve diğer sağlık profesyonellerinin, mülteci ve göçmen kadınlarda kadın sağlığı, üreme sağlığı ve cinsel sağlık konularını dikkatli bir şekilde ele almaları ve hasta ilişkilerini kadınların cinsel ve üreme sağlığı ihtiyaçlarını karşılamalarına imkân verecek şekilde yönetme becerisine sahip olmaları gerekmektedir.

Keywords

Göçmen, kadın, mülteci, sağlık sorunları

WOMEN'S HEALTH ISSUES IN REFUGEE AND MIGRANT WOMEN

Abstract

Refugee and migrant women can be subjected to a number of traumas during migration, including coercion, physical and sexual violence, and life-threatening situations. After migration, they are also among the groups at risk in terms of health due to reasons such as language barrier, accommodation, nutrition, education, employment, limited access to health institutions and medical treatments, lack of health insurance, lack of information and negaitve attitudes about sexual health screening and family planning methods, unwanted pregnancy, unsafe abortion and sexually transmitted diseases. In addition, patriarchal values, cultural and individual taboos can negatively affect health literacy on reproductive health, sexual health and maternal and child health and the ability to transform the acquired knowledge into behavior. Therefore, nurses and other healthcare professionals need to carefully address women's health, reproductive health and sexual health issues in refugee and migrant women, and have the ability to manage patient relationships in a way that enables them to meet women's sexual and reproductive health needs.

Keywords

Immigrant, women, refugee, health problems

References

• Abdool Karim, Q., Abdool Karim, S.S., Frohlich, J.A., Grobler, A.C., Baxter, C., Mansoor, L. E., . . . Taylor, D. (2010). Effectiveness and safety of tenofovir gel, an antiretroviral microbicide, for the prevention of HIV infection in women. Science, 329(5996), 1168-1174.
• Agcadağ Çelik, İ. & Vural, F. (2018). Suriyeli mülteci kadınların kuma dramı: Kilis İli Örneği. Uluslararası Toplum Araştırmaları Dergisi, 8(14), 343-375.
• Agénor, M., Abboud, S., Delgadillo, J.G., Pérez, A.E., Peitzmeier, S.M. & Borrero, S. (2018). Intersectional nativity and racial/ethnic disparities in human papillomavirus vaccination initiation among U.S. women: a national population-based study. Cancer Causes Control, 29(10), 927-936.
• Akhter, S. & Kusakabe, K. (2014). Gender-based violence among documented Rohingya refugees in Bangladesh. Indian Journal of Gender Studies, 21(2), 225-246.
• Alpern, J.D., Davey, C.S. & Song, J. (2016). Perceived barriers to success for resident physicians interested in immigrant and refugee health. BMC Medical Education, 16, 178.
• Austin, J., Guy, S., Lee Jones, L., McGinn, T. & Schlecht, J. (2008). Reproductive health: a right for refugees and internally displaced persons. Reproductive Health Matters, 16(31), 10-21.
• Aydın, C. (2017). Göçmenlerin karşılaştıkları ve neden oldukları bazı psikolojik sorunlar ve çözüm önerileri üzerine bir analiz. Uluslararası Bilimsel Araştırmalar Dergisi, 305-316.
• Basile, K.C., Smith, S.G., Breiding, M.J., Black, M.C. & Mahendra, R. (2014). Sexual Violence Surveillance. Uniform Definitions and Recommended Data Elements. National Center for Injury Prevention and Control. Retrieved from https://www.cdc.gov/violenceprevention/pdf/sv_surveillance_definitionsl-2009-a.pdf (last accessed 15.08.2020)
• Baş, M., Molu, B., Tuna, H.İ. & Baş, İ. (2017). Göç eden ailelerin sosyo-kültürel ve ekonomik değişiminin kadın ve çocuk yaşamına etkisi. İnsan ve Toplum Bilimleri Araştırmaları Dergisi, 6(3), 1680-1693.
• Başar, F. (2017). Toplumsal cinsiyet eşitsizliği: Kadın sağlığına etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 2017(3), 131-137.
• Botfield, J.R., Newman, C.E. & Zwi, A.B. (2016). Young people from culturally diverse backgrounds and their use of services for sexual and reproductive health needs: a structured scoping review. Sexual Health, 13(1), 1-9.
• Büyüktiryaki, M., Canpolat, F.E., Alyamaç Dizdar, E., Okur, N. & Kadıoğlu Şimşek, G. (2015). Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey. Conflict and Health, 9, 38.
• Centers for Disease Control and Prevention (CDC). (2016). Chlamydia-CDC Fact Sheet (Detailed). https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm#_ENREF_1 (last accessed 25.11.2020)
• Centers for Disease Control and Prevention (CDC). (2019). Gonorrhea-CDC Fact Sheet (Detailed Version). https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea-detailed.htm (last accessed 25.11.2020)
• Centers for Disease Control and Prevention (CDC)-U.S. Department of Health and Human Services (HHS). (2016). Department of Health and Human Services: Medical examination of aliens revisions to medical screening process. Federal Register, 81(16). https://www.govinfo.gov/content/pkg/FR-2016-01-26/pdf/2016-01418.pdf (last accessed 25.11.2020)
• Collins, C. H., Zimmerman, C. & Howard, L.M. (2011). Refugee, asylum seeker, immigrant women and postnatal depression: rates and risk factors. Archives of Women's Mental Health, 14(1), 3-11.
• De Martel, C., Plummer, M., Vignat, J. & Franceschi, S. (2017). Worldwide burden of cancer attributable to HPV by site, country and HPV type. International Journal of Cancer, 141(4), 664-670.
• Demir, G. & Arıöz, A. (2014). Göç Eden Kadınların Sağlıklı Yaşam Biçimi Davranışları ve Etkileyen Faktörler. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 1(2), 1-8.
• Desgrees du Lou, A., Pannetier, J., Ravalihasy, A., Le Guen, M., Gosselin, A., Panjo, H., . . . Dray-Spira, R. (2016). Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub- Saharan African migrants in France. AIDS (London, England), 30(4), 645-656.
• Ekmekci, P. E. (2017). Syrian Refugees, Health and Migration Legislation in Turkey. Journal of Immigrant and Minority Health, 19(6), 1434-1441.
• Erenel, H., Aydogan Mathyk, B., Sal, V., Ayhan, I., Karatas, S. & Koc Bebek, A. (2017). Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey. Archives of Gynecology and Obstetrics, 295(1), 45-50.
• Fazel, M., Wheeler, J. & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet, 365(9467), 1309-1314.
• Fellmeth, G., Fazel, M. & Plugge, E. (2016). Migration and perinatal mental health in women from low‐ and middle‐income countries: a systematic review and meta‐analysis. International Journal of Obstetrics and Gynaecology, 124(5), 742-752.
• Fellmeth, G., Plugge, E., Paw, M. K., Charunwatthana, P., Nosten, F. & McGready, R. (2015). Pregnant migrant and refugee women’s perceptions of mental illness on the Thai-Myanmar border: a qualitative study. BMC Pregnancy Childbirth, 15(1), 93.
• Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S. & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bulletin of the World Health Organiation, 90(2), 139g-149g.
• Foster, R.P. (2001). When immigration is trauma: guidelines for the individual and family clinician. The American Journal of Orthopsychiatry, 71(2), 153-170.
• Freedman, J. (2016). Sexual and gender-based violence against refugee women: a hidden aspect of the refugee "crisis". Reproductive Health Matters, 24(47), 18-26.
• Gagnon, A.J. (2004). The Responsiveness of the Canadian Health Care System towards Newcomers. In P. G. Forest, G. P. Marchildon, & T. McIntosh (Eds.), Changing Health Care in Canada. Toronto: University of Toronto Press, pp. 349-388.
• Gagnon, A.J., Merry, L. & Robinson, C. (2002). A Systematic Review of Refugee Women’s Reproductive Health. Refuge: Canada’s Journal on Refugees, 21(1), 6-17.
• Gargano, L.M., Underwood, N.L., Sales, J.M., Seib, K., Morfaw, C., Murray, D., . . . Hughes, J.M. (2015). Influence of sources of information about influenza vaccine on parental attitudes and adolescent vaccine receipt. Human Vaccines & Immunotherapeutics, 11(7), 1641-1647.
• Gee, G.C., Spencer, M., Chen, J., Yip, T. & Takeuchi, D.T. (2007). The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Social Science & Medicine, 64(10), 1984-1996.
• Gibson-Helm, M., Teede, H., Block, A., Knight, M., East, C., Wallace, E. M. & Boyle, J. (2014). Maternal health and pregnancy outcomes among women of refugee background from African countries: a retrospective, observational study in Australia. BMC Pregnancy Childbirth, 14, 392.
• Gönül, S. (2020). Zorunlu Göç ve Toplumsal Cinsiyet: Suriyeli Kadınların Evlilik Deneyimleri. Toplumsal Cinsiyet Perspektifinden Türkiye'de Göç Araştırmaları.
• Greenfield, L.S., Page, L.C., Kay, M., Li Vollmer, M., Breuner, C.C. & Duchin, J.S. (2015). Strategies for increasing adolescent immunizations in diverse ethnic communities. The Journal of Adolescent Health, 56(5 Suppl), S47-53.
• Gümüş, G., Kaya, A., Yılmaz, S.Ş., Özdemir, S., Başıbüyük, M. & Coşkun, A.M. (2017). Sureyili mülteci kadınların üreme sağlığı sorunları. Kadın Sağlığı Hemşireliği Dergisi, 3(1), 1-17.
• Hollander, A.C., Bruce, D., Burström, B. & Ekblad, S. (2011). Gender-related mental health differences between refugees and non-refugee immigrants--A cross-sectional register-based study. BMC Public Health, 11, 180.
• Islam, M.M. & Gagnon, A.J. (2016). Use of reproductive health care services among urban migrant women in Bangladesh. BMC Women's Health, 16, 15.
• Johnson, C.E., Mues, K.E., Mayne, S.L. & Kiblawi, A.N. (2008). Cervical cancer screening among immigrants and ethnic minorities: a systematic review using the Health Belief Model. Journal of Lower Genital Tract Disease, 12(3), 232-241.
• Johnson, E.B., Reed, S.D., Hitti, J. & Batra, M. (2005). Increased risk of adverse pregnancy outcome among Somali immigrants in Washington state. American Journal of Obstetrics and Gynecology, 193(2), 475-482.
• Kahler, L.R., Sobota, C.M., Hines, C.K. & Griswold, K. (1996). Pregnant women at risk: an evaluation of the health status of refugee women in Buffalo, New York. Health Care for Women International, 17(1), 15-23.
• Kalkan, O., Gülay, M., Vatan, İ., Engindeniz, F.T., Bakış, B. & Özyürek, M.M. (2014). Bursa İli Osmangazi İlçesi’nde İkamet Eden Suriyeli Göçmenlerin Temel Sağlık Durumlarının Değerlendirilmesi.
• Kara, P. & Nazik, E. (2018). Göçün Kadın ve Çocuk Sağlığına Etkisi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(2), 58-69.
• Kaypak, Ş. & Bimay, M. (2016). Suriye Savaşı Nedeniyle Yaşanan Göçün Ekonomik ve Sosyo-Kültürel Etkileri: Batman Örneği. Batman Üniversitesi Yaşam Bilimleri Dergisi, 6(1), 84-110.
• Keygnaert, I., Vettenburg, N. & Temmerman, M. (2012). Hidden violence is silent rape: sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Culture, Health & Sexuality, 14(5), 505-520.
• Kirmayer, L. J., Narasiah, L., Munoz, M., Rashid, M., Ryder, A. G., Guzder, J., . . . Pottie, K. (2011). Common mental health problems in immigrants and refugees: General approach in primary care. Canadian Medical Association Journal, 183(12), E959-E967.
• Kiyak, H., Gezer, S., Ozdemir, C., Gunkaya, S., Karacan, T. & Gedikbasi, A. (2020). Comparison of delivery characteristics and early obstetric outcomes between Turkish women and Syrian refugee pregnancies. Nigerian Journal of Clinical Practice, 23(1), 12-17.
• Kleinman, A. & Benson, P. (2006). Anthropology in the clinic: the problem of cultural competency and how to fix it. PLoS Medicine, 3(10), 1673-1676.
• Kumbasar Karaosmanoğlu, H. (2018). HIV İnfeksiyonuna Cinsiyet Bazlı Bakış: Kadın ve HIV. Flora Dergisi, 23(3), 95-101.
• Kurtuldu, K. & Şahin, E. (2018). Göçün Kadın Yaşamı ve Sağlığı Üzerine Etkileri. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 1(1), 37-46.
• Le Fevre, M.L. (2014). Screening for Chlamydia and gonorrhea: U.S. preventive services task force recommendation statement. Annals of Internal Medicine, 161(12), 902-910.
• Li, M. (2016). Pre-migration Trauma and Post-migration Stressors for Asian and Latino American Immigrants: Transnational Stress Proliferation. Social Indicators Research, 129(1), 47-59.
• Liu, Z.Y., Li, J., Hong, Y. & Yao, L. (2016). Reproductive health service utilization and social determinants among married female rural-to-urban migrants in two metropolises, China. Journal of Huazhong University of Science and Technology [Medical Sciences], 36, 904-909.
• McGready, R., Kang, J., Watts, I., Tyrosvoutis, M.E.G., Torchinsky, M.B., Htut, A.M., Tun, N.W., Keereecharoen, L., Wangsing, C., Hanboonkunupakarn, B. & Nosten, F.H. (2015). Audit of antenatal screening for syphilis and HIV in migrant and refugee women on the Thai-Myanmar border: a descriptive study [version 2; referees: 2 approved]. F1000 Research, 3, 123.
• McMichael, C. (2013). Unplanned but not unwanted? Teen pregnancy and parenthood among young people with refugee backgrounds. Journal of Youth Studies, 16(5), 663-678.
• McMullin, J. M., De Alba, I., Chávez, L. R. & Hubbell, F. A. (2005). Influence of beliefs about cervical cancer etiology on Pap smear use among Latina immigrants. Ethnicity & Health, 10(1), 3-18.
• Meldrum, R. M., Liamputtong, P. & Wollersheim, D. (2016). Sexual Health Knowledge and Needs: Young Muslim Women in Melbourne, Australia. International Journal of Health Services, 46(1), 124-140.
• Merry, L., Small, R., Blondel, B. & Gagnon, A.J. (2013). International migration and caesarean birth: a systematic review and meta-analysis. BMC Pregnancy Childbirth, 13, 27.
• Metusela, C., Ussher, J., Perz, J., Hawkey, A., Morrow, M., Narchal, R., . . . Monteiro, M. (2017). “In My Culture, We Don’t Know Anything About That”: Sexual and reproductive health of migrant and refugee women. International Journal of Behavioral Medicine, 24(6), 836-845.
• Napolitano, F., Gualdieri, L., Santagati, G. & Angelillo, I.F. (2018). Knowledge and attitudes toward HPV infection and vaccination among immigrants and refugees in Italy. Vaccine, 36(49), 7536-7541.
• Ngum Chi Watts, M. C., Liamputtong, P. & Carolan, M. (2014). Contraception knowledge and attitudes: Truths and myths among African Australian teenage mothers in Greater Melbourne, Australia. Journal of Clinical Nursing, 23(15-16), 2131-2141.
• Nyangoma, E.N., Olson, C.K., Painter, J.A., Posey, D.L., Stauffer, W.M., Naughton, M., Zhou, W., Kamb, M. & Benoit, S.R. (2017). Syphilis among U.S.-bound refugees, 2009-2013. Journal of Immigrant and Minority Health, 19(4), 835-842.
• Ozel, S., Yaman, S., Kansu Celik, H., Hancerliogullari, N., Balci, N. & Engin Ustun, Y. (2018). Obstetric outcomes among Syrian refugees: a comparative study at a Tertiary Care Maternity Hospital in Turkey. Revista Brasileira de Ginecologia e Obstetricia, 40(11).
• Önal, A. & Keklik, B. (2016). Mülteci ve sığınmacıların sağlık hizmetlerine erişimde yaşadığı sorunlar: Isparta ilinde bir uygulama. Süleyman Demirel Üniversitesi Vizyoner Dergisi, 7(15), 132-148.
• Pannetier, J., Ravalihasy, A., Lydié, N., Lert, F. & Desgrées du Loû, A. (2018). Prevalence and circumstances of forced sex and post-migration HIV acquisition in sub-Saharan African migrant women in France: an analysis of the ANRS-PARCOURS retrospective population-based study. Lancet Public Health, 3(1), e16-e23.
• Parsons, C. E., Young, K. S., Rochat, T. J., Kringelbach, M. L. & Stein, A. (2012). Postnatal depression and its effects on child development: a review of evidence from low- and middle-income countries. British Medical Bulletin, 101, 57-79.
• Porter, M. & Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA, 294(5), 602-612.
• Priebe, S., Giacco, D. & El-Naib, R. (2016). Public health aspects of mental health among migrants and refugees: a review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/326308/9789289051651-eng.pdf?sequence=1&isAllowed=y (last accessed 20.08.2020)
• Sağlık Bakanlığı (SB). (2009). Cinsel Sağlık/Üreme Sağlığı. Üreme Sağlığına Giriş, Katılımcı Rehberi. Retrieved from https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/a%C3%A7sap40.pdf (Son Erişim: 18.08.2020)
• Sağlık Bakanlığı (SB). (2020). HIV-AIDS İstatistik. Retrieved from https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/hiv-aids/hiv-aids-liste/hiv-aids-istatislik.html (Son Erişim: 19.08.2020)
• Salad, J., Verdonk, P., de Boer, F. & Abma, T. A. (2015). "A Somali girl is Muslim and does not have premarital sex. Is vaccination really necessary?" A qualitative study into the perceptions of Somali women in the Netherlands about the prevention of cervical cancer. International Journal for Equity in Health, 14, 68.
• Sangalang, C. C., Becerra, D., Mitchell, F. M., Lechuga-Peña, S., Lopez, K. & Kim, I. (2019). Trauma, post-migration stress, and mental health: a comparative analysis of refugees and immigrants in the United States. Journal of Immigrant and Minority Health, 21(5), 909-919.
• Stauffer, W.M., Painter, J., Mamo, B., Kaiser, R., Weinberg, M. & Berman, S. (2012). Sexually transmitted infections in newly arrived refugess: is routine screening for Neisseria gonorrheae and Chlamydia trachomatis infection indicated? The American Journal of Tropical Medicine and Hygiene, 86(2), 292-295.
• Stulhofer, A., Graham, C., Bozicević, I., Kufrin, K. & Ajduković, D. (2009). An assessment of HIV/STI vulnerability and related sexual risk-taking in a nationally representative sample of young Croatian adults. Archives of Sexual Behavior, 38(2), 209-225.
• Suarez, L., Hendricks, K.A., Cooper, S.P., Sweeney, A.M., Hardy, R.J. & Larsen, R.D. (2000). Neural tube defects among Mexican Americans living on the US-Mexico border: Effects of folic acid and dietary folate. American Journal of Epidemiology, 152(11), 1017-1023.
• Şimşek, H. (2011). Toplumsal cinsiyet eşitsizliğinin kadın üreme sağlığına etkisi: Türkiye Örneği. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, 25(2), 119-126.
• Taşçı Duran, E. (2016). Göç eden gebe kadınların planlı davranış kuramına göre doğum öncesi bakım almaya yönelik niyet ve tutumlarını etkileyen etmenler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 3(1), 1-15.
• Tavara, L. (2006). Sexual violence. Best Practice & Research Clinical Obstetrics and Gynaecology, 20(3), 395-408.
• Torres, L., Driscoll, M.W. & Voell, M. (2012). Discrimination, acculturation, acculturative stress, and Latino psychological distress: a moderated mediational model. Cultural Diversity & Ethnic Minority Psychology, 18(1), 17-25.
• Turkay, Ü., Aydın, Ü., Salıcı, M., Çalışkan, E., Terzi, H., Astepe, B. S. & Varlıklı, O. (2020). Comparison of pregnant Turkish women and Syrian refugees: Does living as a refugee have an unfavorable effect on pregnancy outcomes? International Journal of Gynecology & Obstetrics, 149(2), 160-165.
• UNHCR. (2016). ‘Refugees’ and ‘Migrants’ – Frequently Asked Questions (FAQs). Retrieved from https://www.unhcr.org/en-us/news/latest/2016/3/56e95c676/refugees-migrants-frequently-asked-questions-faqs.html (last accessed 14.08.2020)
• UNHCR. (2020). Türkiye'deki Mülteciler ve Sığınmacılar. Retrieved from https://www.unhcr.org/tr/turkiyedeki-multeciler-ve-siginmacilar (Son Erişim: 14.08.2020)
• Ussher, J.M., Perz, J., Metusela, C., Hawkey, A.J., Morrow, M., Narchal, R. & Estoesta, J. (2017). Negotiating Discourses of Shame, Secrecy, and Silence: Migrant and Refugee Women's Experiences of Sexual Embodiment. Archives of Sexual Behavior, 46(7), 1901-1921.
• Ussher, J.M., Ryhder Orbid, M., Perz, J., Rae, M., Wong, T.W.K. & Newman, P. (2012). Purity, Privacy and Procreation: Constructions and Experiences of Sexual and Reproductive Health in Assyrian and Karen Women Living in Australia. Sexuality & Culture, 16(4), 467-485.
• Utting, S., Calcutt, C., Marsh, K. & Doherty, P. (2012). Women and Sexual and Reproductive Health. Paper presented at the Australian Women’s Health Network, Drysdale, Australia. Retrieved from https://awhn.org.au/wp-content/uploads/2015/03/94_AWHNWomenSexualReproductiveHealthPositionPaper2012.pdf (last accessed 15.08.2020)
• Van Roosmalen, J., Schuitemaker, N. W. E., Brand, R., Van Dongen, P. M. J. & Bennebroek Gravenhorst, J. (2002). Substandard care in immigrant versus indigenous maternal deaths in the Netherlands. An International Journal of Obstetrics and Gynaecology, 109(2), 212-213.
• Vázquez Navarrete, M. L., Terraza Núñez, R., Vargas Lorenzo, I. & Lizana Alcazo, T. (2009). Perceived needs of health personnel in the provision of healthcare to the immigrant population. Gaceta Sanitaria, 23(5), 396-402.
• Wilson-Mitchell, K. & Rummens, J. A. (2013). Perinatal outcomes of uninsured immigrant, refugee and migrant mothers and newborns living in Toronto, Canada. International Journal of Environmental Research and Public Health, 10(6), 2198-2213.
• World Health Organization (WHO). (2018). Human papillomavirus (HPV). Immunization, Vaccines and Biologicals. Retrieved from https://www.who.int/immunization/diseases/hpv/en/ (last accessed 18.08.2020)
• World Health Organization (WHO). (2018). Report on the health of refugees and migrants in the WHO European Region. WHO Regional Office for Europe. https://apps.who.int/iris/bitstream/handle/10665/311347/9789289053846-eng.pdf?sequence=1&isAllowed=y (last accessed 25.11.2020)
• World Health Organization (WHO). (2020). Defining sexual health. Sexual and Reproductive Health. Retrieved from https://www.who.int/reproductivehealth/topics/sexual_health/sh_definitions/en/ (last accessed 16.08.2020)
• Yağmur, Y. & Aytekin, S. (2018). Mülteci kadınların üreme sağlığı sorunları. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(1), 56-60.