BACKGROUND The existing knowledge on the interplay between reproductive and sexual health, migration and acculturation is recent and inconsistent, particularly on the sociocultural motives and constraints regarding fertility. Therefore, sexual and reproductive health (SRH) surveys are needed to provide accurate and comparable indicators to identify and address SRH inequalities, with specific focus on under researched aspects, such as the interrelation between migration and gender. FEMINA (FErtility, MIgratioN and Acculturation) aims to investigate intersectional SRH inequalities among Cape Verdean immigrant and Portuguese native families and how they impact on fertility in Portugal. This study will use a comprehensive approach exploring simultaneously the components of SRH, namely regarding identities, perceptions and practices of both women and men among lay people and relevant experts and stakeholders. The project has three main goals: 1) to identify social determinants of SRH among Cape Verdean immigrant and Portuguese native men and women of reproductive age; 2) to gain understanding of the diversity of the sexual and reproductive experiences and expectations of Cape Verdean immigrant and Portuguese native men and women of reproductive age, considering the singularities of their migratory, social and family dynamics; and 3) to produce recommendations for policy makers, employers and service providers on how to better address the SRH needs of Portuguese-born and immigrant populations. METHODS The study will address these goals using a mixed methods approach, including: a cross-sectional telephone survey with a probabilistic sample of 600 Cape Verdean immigrant and 600 Portuguese native women and men (women aged 18 to 49 and men aged 18 to 54), residents of the Greater Lisbon Area; a qualitative research through in-depth interviews with a subsample of 30 Cape Verdean immigrants and 30 Portuguese native men and women; and a Delphi technique for finding consensus on good practices in SRH for the entire population with a special emphasis on immigrants, namely extra-EU migrants. DISCUSSION Data will be used to produce a comprehensive set of indicators to monitor SRH in Portugal, to foster a greater understanding of its specificities and challenges to policy and decision makers, and to provide targeted recommendations to promote inclusive and migrant sensitive SRH services.

中文翻译：

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生育，迁移和适应（FEMINA）：一项研究交叉性和生殖健康不平等的研究方案。

背景技术关于生殖和性健康，迁移和适应之间的相互作用的现有知识是新近且不一致的，尤其是关于生育的社会文化动机和制约因素。因此，需要进行性健康和生殖健康（SRH）调查，以提供准确和可比较的指标来识别和解决SRH不平等现象，并特别关注正在研究的方面，例如移民与性别之间的相互关系。FEMINA（生育率，移徙和文化适应）旨在调查佛得角移民和葡萄牙原住民家庭之间的SRH不平等交叉现象，以及它们如何影响葡萄牙的生育率。这项研究将采用全面的方法，同时探索SRH的组成部分，即有关身份，外行人以及相关专家和利益相关者对男女的看法和实践。该项目的三个主要目标是：1）确定佛得角移民和葡萄牙育龄男性和女性中性健康和生殖健康的社会决定因素；2）考虑到他们的迁徙，社会和家庭动态的独特性，从而了解佛得角移民和葡萄牙土著男性和女性的性和生殖经历的多样性和期望；3）就如何更好地满足葡萄牙出生和移民人口的性健康和生殖健康需求，为政策制定者，雇主和服务提供者提供建议。方法本研究将使用混合方法来解决这些目标，包括：一项横断面电话调查，其中包括大里斯本地区居民的600名佛得角移民和600名葡萄牙土著男女（概率为18至49岁的男性和18至54岁的男性）的概率样本；通过对30名佛得角移民和30名葡萄牙原住民男女的子样本进行深入访谈，进行定性研究；德尔菲（Delphi）技术，该技术可为整个人群在性健康和生殖健康方面的良好实践达成共识，特别侧重于移民，即欧盟以外的移民。讨论数据将用于生成一套全面的指标，以监测葡萄牙的性健康和生殖健康，以加深对其特殊性和对政策制定者和决策者的挑战，并提供有针对性的建议，以促进包容性和移民敏感性的性健康和生殖健康服务。