在中西部不断增长的拉丁裔社区的产前护理利用挑战和促进者
Juliana Teruel Camargo1,2, Romina L Barral3, Elizabeth H Kerling1
1Department of Dietetics & Nutrition, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.
Maternal and child health journal
|June 27, 2023
概括
拉丁裔妇女面临着早期和一致的产前护理障碍,包括移民身份和医疗保健准入问题. 改善护理需要社区信任,负担得起的服务和文化敏感的沟通.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 与非拉丁裔白人女性相比,拉丁裔女性在启动产前护理 (PNC) 和遵守推的访问时间表方面存在差异.
- 解决这些差异对于改善这一人口群体中母亲和婴儿健康结果至关重要.
研究的目的:
- 调查在中西部城市环境中拉丁裔妇女中影响第一季度产前护理 (FTPNC) 和整体产前护理利用 (PNCU) 的挑战和促进者.
- 为提高PNC获取和质量的目标干预提供信息.
主要方法:
- 采用了使用理论领域框架的混合方法方法.
- 数据收集包括与医疗保健专业人员进行半结构化访谈,与拉丁裔妇女及其支持者聚焦小组,以及定量调查.
- 这项研究是在堪萨斯城大都市区进行的.
主要成果:
- 对FTPNC和PNCU的主要挑战包括移民身份,缺乏医疗保险,复杂的入学流程 (例如,医疗补助),护理成本 (特别是妊娠糖尿病),有限的PNC素养,延迟获得专家,不充分的口译服务,交通障碍和心理健康困境.
- FTPNC的促进者包括社会支持和社区联系.
- PNCU的促进者包括西班牙语提供者和口译员,有效的非语言沟通,文化定制的教育,以及获得计划生育资源的机会.
结论:
- 拉丁裔妇女获得及时和适当的产前护理的重大障碍需要多方面的解决方案.
- 建议包括加强社区对提供者的信任,提高服务的负担能力,特别是对于妊娠糖尿病患者,并利用社交媒体传播信息.
- 在文化上有能力的护理,包括语言获取和有效的沟通策略,对于改善PNC利用至关重要.
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