原住民妇女产妇死亡率决定因素的模型
Jennifer L Heck1, Ingrid R Wilhelm1, Kathryn M L Konrad1
1Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Journal of advanced nursing
|March 10, 2025
概括
由于社会,结构,政治和生物因素,土著母亲死亡率惊人高. 解决这些决定因素对于土著家庭至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 土著研究土著研究.
背景情况:
- 美国的土著孕产妇死亡率不成比例地高,2021年12月每10万活产婴儿死亡人数达到118.7人.
- 这些差异凸显了影响土著妇女健康结果的系统不平等.
- 现有的研究往往未能捕捉到影响土著母亲健康的独特的社会,结构,政治和生物决定因素.
研究的目的:
- 开发一个全面的模型,说明土著妇女产妇死亡率的多方面的决定因素.
- 将土著观点和知识系统纳入了解孕产妇健康的过程中.
- 为文化相关的干预和政策提供信息,以减少土著母婴死亡率.
主要方法:
- 作为理论框架,利用了认识论解殖和土著主义女权主义.
- 采用理论导出,涉及非土著学者和土著学者之间的合作.
- 包括来自土著社区成员的反来完善模型.
主要成果:
- 确定了关键的风险因素,包括历史创伤,文化种族灭绝和持续的系统压迫.
- 突出了保护因素,如文化联系,弹性和社区支持.
- 开发了一个视觉模型,展示了这些决定因素的复杂相互作用.
结论:
- 解决已识别的决定因素对于土著家庭的福祉和繁荣至关重要.
- 学术研究人员和土著社区之间的持续伙伴关系对于改善孕产妇安全至关重要.
- 该模型为创伤信息,文化相关的临床实践和政策制定提供了一个框架.
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