超越分娩工作:通过社区围产支持doulas解决健康的社会决定因素
Heather Rice1, Cyleste Collins1, Emily Cherney1
1Cleveland State University, OH, USA.
Clinical nursing research
|April 11, 2024
概括
健康的社会决定因素 (SDOH) 显著影响怀孕的黑人妇女,交通和住房的不稳定性造成了连续的挑战,并加剧了母亲和婴儿健康差异. 解决这些需求对于公平的护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 孕产妇健康 孕产妇健康
背景情况:
- 非洲裔美国人的不良孕产妇和婴儿健康结果凸显出一个重大的公共卫生危机.
- 结构性种族主义和健康的社会决定因素 (SDOH) 在资源,教育,权力和机会方面造成不平等.
- 了解怀孕的黑人妇女的SDOH需求对于改善健康结果至关重要.
研究的目的:
- 描述健康的社会决定因素 (SDOH) 需要和怀孕的黑人妇女的经验.
- 从杜拉和Birthing Beautiful Communities (BBC) 客户的角度来研究这些需求.
- 确定特定的SDOH问题如何产生影响母亲和婴儿健康的级联影响.
主要方法:
- 使用2017-2023年间在俄俄州克利夫兰和阿克伦收集的数据进行的定性描述性研究.
- 包括58名客户,26名杜拉和2名资源摄入专家助理 (RISA).
- 对个人访谈,doula重点小组和RISA访谈进行内容分析,以确定SDOH.
主要成果:
- 参与者报告了所有健康社会决定因素 (SDOH) 的问题.
- 交通和住房的不稳定性成为关键问题,造成了一系列进一步的问题.
- 由于交通或健康并发症无法工作,导致住房不稳定.
结论:
- 需要可靠的来源来收集SDOH信息并将客户连接到资源.
- 政策必须保护孕妇免受导致健康差异的SDOH级联影响.
- 解决SDOH对于减少非裔美国妇女的不良孕妇和婴儿健康结果至关重要.
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