Fertility, Migration and Acculturation: Intersectional approach to the sexual and reproductive experiences and expectations among Cape Verdean and Portuguese Families

CONTEXT: The existing knowledge on the interplay among immigration, acculturation, and fertility is new and inconsistent, particularly regarding the sociocultural constraints to fertility. The FEMINA project emerges from three main socio-demographic factors: 1) declining fertility in Portugal, 2) the structural changes of the country over the last four decades, and 3) the significant role of immigration in increasing birth rates. Therefore, it was designed to address the complex factors of individual, social, cultural and economic order which influence the sexual and reproductive health (SRH) experiences and expectations among Cape Verdean and Portuguese Families. By combining the expertise of CIES-IUL and ISAMB-FMUL researchers in the areas of Migrations, Family, and Health Inequalities, FEMINA intends to establish a comprehensive intersectional approach to SRH as the right for all to a satisfying and safe sex life. AIMS: The overall research question (RQ) ("Does immigration and acculturation influence intersectional SRH inequalities in Portugal?") generated a number of subsidiary RQ: 1. What is the difference in the fertility gap of Portuguese native and Cape Verdean migrant women? 2. What socio-demographic factors (including migrant-specific indicators) are associated with SRH of Portuguese native and Cape Verdean migrant men and women? 3. What are the differences in the current cultural practices and future expectations related to SRH of Portuguese native and Cape Verdean migrant men and women? 4. What cultural believes and practices of Portuguese native and Cape Verdean migrant men and women support or harm positive SRH health and healthcare utilization? 5. What are the views and values of experts and stakeholders regarding tailoring SRH services to the receiving population? 6. How can SRH services be more integrative of cognitions and practices from immigrants’ cultures of origin? METHODS: To answer these RQ, a multimethod research was designed to explore both between and within-group differences. It uses individual and family quantitative and qualitative data collection on SRH and related factors. First, a cross-sectional telephone survey will investigate the SRH of around 600 Cape Verdean and 600 Portuguese men and women aged 18-49 living in the Greater Lisbon area. Secondly, a qualitative study using in-depth interviews with a subsample of the survey will be conducted among 30 Cape Verdean and 30 Portuguese men and women. Finally, a Delphi panel for consensus on good practices for SRH will be performed with experts from different fields (Academia, Non-Government Organizations, Politicians, Clinical Practitioners and Civil Society). This will produce recommendations to reduce sexual and reproductive inequities. OUTCOMES: The project will produce relevant knowledge in the area of SRH, which will benefit the development of prevention strategies, training of professionals, and public policy institutions, through the project?s dissemination plan.

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External Partners
CIES-IUL - Centre for Research and Studies in Sociology
Association For Research, Development Of Medical School
Data from Ciência-IUL
ISCTE FCT Portugal