黑人分娩人员对种族一致性的看法与产科医生和助产士
E Nicole Teal1, Aryana Daye1, Sarah C Haight1
1Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Diego, La Jolla, California; and the College of Arts and Sciences, the Department of Epidemiology, the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, and the School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
黑人分娩个人更喜欢种族一致的提供者,因为害怕死亡和种族主义的经历. 寻找这样的提供者是具有挑战性的,强调需要增加获得公平产科护理的机会.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 定性研究是指质量研究.
背景情况:
- 黑人分娩个体面临不成比例的高孕产妇死亡率.
- 种族主义和歧视的经历显著影响围产期护理.
- 患者-提供者种族一致性是提高产科结果的兴趣日益增长的领域.
研究的目的:
- 探索黑人分娩个人的观点与产科医生和助产士的种族一致性.
- 了解种族主义,歧视和压力的经历如何影响这些观点.
主要方法:
- 使用半结构面试和焦点小组进行定性描述性研究.
- 包括在2019-2021年间分娩的32名非西班牙裔黑人妇女.
- 专题分析被用来从转录的数据中确定关键主题.
主要成果:
- 对死亡的恐惧深深植根于黑人周产经验中.
- 参与者报告了不被倾听的经历,刻板印象,以及难以找到种族一致的提供者.
- 渴望种族一致被视为减少伤害的策略;自我倡导是关键的应对机制.
结论:
- 黑人分娩个人更喜欢种族一致的产科医生和助产士.
- 对死亡的恐惧和种族主义的经历是这种偏好的主要驱动因素.
- 增加种族一致的产科护理机会是实现公平护理的潜在策略.
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