年轻的黑人妇女在冠状病毒疾病2019年大流行期间所需的怀孕和分娩支持
Ashley V Hill1, Phoebe Balascio1, Mikaela Moore1
1Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, PA, USA.
SSM. Qualitative research in health
|December 18, 2023
概括
年轻的黑人妇女在产前护理中面临种族歧视,提供者质疑她们的投诉,并假定她们吸毒. 集中他们的声音可以改善生殖保健公平.
科学领域:
- 生殖健康 生殖健康
- 健康 公平 卫生 公平
- 在医疗保健中的种族正义.
背景情况:
- 年轻的黑人妇女在产周护理方面经历了显著的差异.
- 结构性种族主义和偏见会对孕产妇的健康状况产生负面影响.
- 了解生活经验对于改善护理至关重要.
研究的目的:
- 为了记录年轻的,黑人孕妇的怀孕和分娩经历.
- 确定围产期医疗保健中的障碍和促进者.
- 为提供公平护理的建议提供信息.
主要方法:
- 这项定性研究涉及25名年轻的黑人/双种族孕妇 (16-23岁).
- 2022年3月至7月进行的个人采访.
- 使用基础理论原则进行主题内容分析.
主要成果:
- 四个主要主题出现了:对历史种族主义的认识,有关药物使用和生殖胁迫的提供者假设,对分娩投诉的驳回,以及患者对其需求的了解.
- 参与者报告了结构性种族主义和交叉偏见的经历.
- 提供者质疑黑人妇女分娩投诉的有效性.
结论:
- 年轻的黑人孕妇面临着显著的结构性种族主义和医疗保健提供者的偏见.
- 集中这个群体的观点对于开发反种族主义框架至关重要.
- 公平的生殖保健需要解决系统偏见,并促进以患者为中心的做法.
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