黑人妇女在产前护理期间的责任感:一项混合方法研究
Emily Dove-Medows1, Alison R Walsh1, Francesca A Williamson2
1University of Michigan, School of Nursing, 400 North Ingalls, Ann Arbor, MI, USA.
Patient education and counseling
|February 26, 2025
概括
黑人妇女在产前护理过程中经常受到指责,因为提供者专注于个人因素,而不是系统性种族主义. 解决这个问题需要对种族主义进行公开的沟通,并保证并发症不是患者的错.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 产前保健提供者可能不成比例地将不良妊娠结果归因于黑人妇女的个人因素.
- 这种关注可以延续有害的叙述,并导致黑人女性感到内.
- 种族主义在很大程度上影响了美国的孕产妇健康不平等.
研究的目的:
- 探索黑人妇女在产前护理期间与指责相关的沟通经历.
- 了解提供者沟通如何影响母亲健康的背景下对责怪的看法.
主要方法:
- 这是一项涉及17名黑人女性的横截面混合方法研究.
- 通过调查和采访收集的数据,评估关于风险,责怪和妊娠并发症的沟通.
- 面试数据的专题分析和混合方法分析,比较调查和面试结果.
主要成果:
- 超过一半 (53%) 的参与者报告说,在产前护理期间经历了指责.
- 出现了四个主题,详细介绍了指责和沟通策略的经验,以减轻指责.
- 提供者犯下的和自我责备的行为有助于内化对不利的怀孕状况的责怪.
结论:
- 参与者认为,当提供者专注于个人因素,而忽略了关于结构性和人际种族主义的讨论时,他们就会受到指责.
- 责备的量化措施可能无法充分捕捉黑人妇女在产前护理中的细微经验.
- 关于种族主义对健康的影响的直接沟通和像"这不是你的错"这样的安慰性陈述可以减少责怪.
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