黑人孕产妇健康体验的交叉性:对交叉性孕产妇心理健康研究,政策和实践的含义
Shantesica M Gilliam1, Kandyce Hylick2, Erica N Taylor2
1Environmental and Health Sciences Department, Spelman College, Atlanta, Georgia.
Journal of midwifery & women's health
|February 6, 2024
概括
黑人妇女在孕产妇健康方面面临着巨大的差异. 这项研究强调了种族,性别和社会经济地位等交叉因素如何影响南方黑人妇女的围产期心理健康.
科学领域:
- 生殖健康 生殖健康
- 孕产妇心理健康 孕产妇心理健康
- 卫生社会学 卫生社会学
背景情况:
- 在美国,黑人妇女经历了显著的孕产妇死亡率和发病率差异.
- 关于降低黑人分娩个体的孕产妇死亡率的研究正在出现.
- 影响黑人女性围产期心理健康的结构性和社会因素需要进一步探索.
研究的目的:
- 探索南方黑人孕产期妇女的交叉压力经历.
- 检查交叉身份对围产期心理健康结果的影响.
- 通过交叉镜头解决了解母亲和儿童健康的差距.
主要方法:
- 通过与16名黑人围产期参与者进行虚拟半结构面试收集的定性数据 (9名怀孕,7名分娩后).
- 面试评估了与交叉身份相关的心理压力的感受,态度和看法.
- 分析采用了批判性种族理论和交叉性.
主要成果:
- 五个总体主题出现了:围产期心理健康经验,出生和育儿,而黑人,社会经济因素,应对机制,和社区/社会支持.
- 确定了种族,性别,怀孕和社会经济地位对心理健康的复杂相互作用.
- 突出了黑人妇女在周产期所面临的独特挑战.
结论:
- 这项研究揭示了交叉身份 (种族,性别,社会经济地位) 如何深刻影响围产期心理健康.
- 强调在孕产妇心理健康政策和实践中需要采取反种族主义和跨部门的方法.
- 呼吁进行系统性改变,以解决怀孕期间和分娩后黑人妇女的心理健康问题.
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