"我被对待的方式不同":母亲使用大麻的交叉风险环境
Erin E Gould1, Siddhi S Ganesh1, Rachel Carmen Ceasar1
1Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, California, USA.
Substance use & misuse
|October 6, 2025
概括
使用大麻的孕妇报告了受种族,性别和社会经济地位影响的负面医疗体验. 大麻使用的披露导致了判断,甚至从护理中删除,突出了系统性的不平等.
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:
- 了解孕妇在医疗保健中使用大麻的经历,对于改善产周护理至关重要.
- 交叉风险环境框架提供了一个透镜来分析社会和环境因素如何影响健康结果.
研究的目的:
- 探索使用大麻的孕妇的观点和医疗保健经验.
- 检查交叉的社会身份和环境因素如何影响怀孕期间的护理.
主要方法:
- 定性,构造主义基于理论的方法.
- 与加利福尼亚州的19名参与者进行的采访,他们在怀孕期间使用大麻.
- 分析的重点是社会结构背景和大麻使用和向临床医生披露的实践经验.
主要成果:
- 参与者的种族/种族,性别和社会经济地位显著影响了他们的护理经历.
- 由于保险覆盖和护理地点,人们经历了不良的产周护理.
- 披露大麻使用导致了负面的结果,包括判断,被忽视和从护理中移除.
结论:
- 患者的交叉身份 (大麻使用,保险,性别,种族,社会经济地位) 严重影响了围产期护理.
- 需要一个跨部门的风险环境框架,通过社会正义镜头来应用,以解决健康不平等问题.
- 患者-临床医生,机构和政策层面的干预是必要的,以减轻围产期护理中的耻辱和歧视.
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