为印第安纳州的黑人和拉丁裔妇女提供对孕产妇护理挑战的观点:一个定性访谈研究
Lucia Guerra-Reyes1, Rossmary D Márquez-Lameda2, Ruhun Wasata2
1Associate Professor, Department of Applied Health Science, Indiana University Bloomington, Bloomington, IN, USA. Correspondence: luguerra@iu.edu; luguerra@indiana.edu.
Sexual and reproductive health matters
|October 30, 2024
概括
印第安纳州面临高的孕产妇死亡率,特别是黑人和拉丁裔母亲. 解决系统性种族主义和政策问题对于安全,尊重母亲护理的机会至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 孕产妇的健康差异
背景情况:
- 印第安纳州的母婴死亡率很高,对黑人和拉丁裔社区的影响不成比例.
- 确保安全和尊重的孕产妇护理是一个关键的公共卫生问题,特别是对于少数群体.
- 医疗保健提供者对于识别和解决公平孕产妇护理障碍至关重要.
研究的目的:
- 探索临床和社区提供者对印第安纳州黑人和拉丁裔客户面临的挑战的观点.
- 通过了解护理的多方面的障碍,为孕产妇护理计划和政策提供信息.
主要方法:
- 定性研究涉及32次采访,提供服务于印第安纳州黑人和拉丁裔社区的提供者.
- 采访通过在线视频进行,记录,转录,并使用六步主题方法进行分析.
- 通过在线来源和推招募参与者.
主要成果:
- 确定了六个关键的挑战领域:非医疗基础设施/政策,系统性种族主义/偏见,拉丁裔社区的不安全,护理服务不满,导航问题和有限的整体护理.
- 挑战是相互关联的,跨越结构,组织和人际关系层面.
- 当前的州立孕产妇护理计划往往侧重于个人/人际层面,忽视了更广泛的结构性问题.
结论:
- 诸如产科种族主义,公民限制,提供者短缺和交通障碍等复杂问题需要多层次的干预.
- 基于权利的方法,以少数群体为中心,对于有效的,以公平为中心的母亲护理变化是必要的.
- 政策和计划改革必须解决结构和组织因素,以确保为所有妇女提供安全和尊重的孕产妇护理.
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