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Birthing Cultural Humility: A Transformation of Reproductive Justice in the Military Health System
Brelahn J Wyatt-Nash1, Caitlin M Drumm2, Abigail Konopasky3
1Department of Gynecologic Surgery and Obstetrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Birth (Berkeley, Calif.)
|September 8, 2025
Summary
Lack of cultural humility in military healthcare leads to discrimination and poor patient experiences. Improving provider cultural humility can enhance maternal-child healthcare equity and patient outcomes.
Area of Science:
- Healthcare Disparities
- Cultural Humility in Medicine
- Maternal-Child Health Equity
Background:
- Maternal-child healthcare disparities are linked to patient cultural identities, affecting even military healthcare recipients.
- Cultural humility is proposed to advance equity by understanding cultural impacts on patient care.
- The patient perspective on cultural humility's impact on healthcare is underexplored.
Purpose of the Study:
- To explore patient identity and experiences within the Military Health System.
- To understand how cultural humility (or lack thereof) influences maternal-child healthcare from the patient viewpoint.
Main Methods:
- Conducted 31 semi-structured interviews with individuals who delivered using military health insurance.
- Recruited participants via flyers and social media, employing purposive sampling.
- Utilized thematic analysis to identify patterns in patient experiences.
Main Results:
- Minority patients reported racism, sexism, and homophobia due to providers' lack of cultural humility, resulting in oppressive care.
- Lack of cultural humility manifested as poor communication, dismissal, judgment, and paternalism.
- Instances of shared decision-making, autonomy, and respect demonstrated culturally humble care, positively impacting patient experiences.
Conclusions:
- Patient experiences in military healthcare confirm a lack of cultural humility.
- Providers should use these insights to foster cultural humility in patient interactions.
- Addressing cultural humility is crucial for improving maternal-child healthcare equity within the Military Health System.
Keywords:
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