BACKGROUND Traditional medicine serves as a form of primary health care for more than 80% of African populations. Currently, there is no research documenting if and how African migrant communities engage with their traditional health practices and beliefs after they resettle in Western countries. The aim of this study was to examine African migrant women's experiences and perspectives about traditional and complementary medicine use in relation to their maternal health and wellbeing in Australia. METHODS We conducted a mixed method study between December 2016 and October 2017. Questionnaires were completed by 319 women and 15 in-depth interviews were conducted among African migrant women residing across the Sydney metropolitan area, Australia. Survey data were analysed using SPSS (version 23) and logistic regression model was used to test associations. Qualitative data were analysed thematically using NVivo 11 software to identify themes and conceptual categories in the participants' responses. The study was informed by Andersen's Socio-behavioural model of health service utilisation. RESULTS The findings indicated that use of traditional and complementary medicine was high and continued to be well used following African women's resettlement in Australia. The survey found that 232 (72.7%) women use some form of traditional and complementary medicine for maternal health and wellbeing purposes. Most women (179, 77.2%) reported that maintaining their maternal health and wellbeing was the most common reason for use. The interview findings indicated that access to traditional medicine included making requests from relatives and friends who travelled to Africa looking for a similar medicinal plant in Australia and preparing home remedies with advice from family members and healers back in Africa. Age ≥ 35 years (OR, 16.5; 95%CI, 6.58-41.5; p < 0.001), lower education (OR, 24; 95%CI, 8.18-71.1; p < 0.001), parity (OR, 7.3; 95%CI, 1.22-42.81; p = 0.029), and lower income (OR, 2.7; 95%CI, 1.23-5.83; p = 0.013) were strong predictors of traditional medicine use. CONCLUSION Use of traditional and complementary medicine among African migrant women in Sydney remained high following resettlement in Australia. As noted in Andersen's sociobehavioural model of health service utilisation, specific predisposing and enabling factors including age, education and income were associated with use of traditional and complementary medicine.

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在澳大利亚，非洲移民妇女使用传统药物和辅助药物改善产妇健康和幸福：一项混合方法研究。

背景技术传统医学用作超过80％的非洲人口的基本医疗保健形式。目前，尚无研究记录非洲移民社区在西方国家定居后是否以及如何与他们的传统卫生习惯和信仰互动。这项研究的目的是检验非洲移民妇女在澳大利亚使用传统药物和补充药物与其孕产妇健康和福祉相关的经验和观点。方法我们在2016年12月至2017年10月之间进行了混合方法研究。调查问卷由319名妇女完成，对居住在澳大利亚悉尼都会区的非洲移民妇女进行了15次深度访谈。使用SPSS（版本23）分析调查数据，并使用逻辑回归模型测试关联。使用NVivo 11软件对定性数据进行了主题分析，以识别参与者回答中的主题和概念类别。该研究是由安徒生的卫生服务利用的社会行为模型提供的。结果研究结果表明，传统和补充医学的使用率很高，并且在非洲妇女移居澳大利亚后继续得到很好的使用。调查发现，有232名（72.7％）妇女使用某种形式的传统药物和辅助药物来实现孕产妇保健和福祉。大多数妇女（179名，占77.2％）报告说，保持产妇的健康和福祉是最常见的使用原因。访谈的结果表明，获得传统医学的途径包括向前往非洲寻找在澳大利亚的类似药用植物的亲戚和朋友提出请求，并在非洲的家人和治疗师的建议下准备家庭疗法。年龄≥35岁（OR，16.5; 95％CI，6.58-41.5; p <0.001），初等教育（OR，24; 95％CI，8.18-71.1; p <0.001），均等（OR，7.3; 95％ CI为1.22-42.81； p = 0.029）和较低的收入（OR为2.7； 95％CI为1.23-5.83； p = 0.013）是传统医学使用的有力预测指标。结论在澳大利亚移民之后，悉尼的非洲移民妇女对传统药物和补充药物的使用仍然很高。正如安徒生（Andersen）利用卫生服务的社会行为模型所指出的那样，包括年龄，