重建对预防护理的信任:黑人妇女对以公平为中心的宫癌干预措施的看法
Toluwani E Adekunle1, Tiwaladeoluwa B Adekunle2, Sabena Thomas3
1Sociology and Social Work Department, Calvin University, Grand Rapids, MI, USA.
Ethnicity & health
|October 26, 2025
概括
黑人妇女经历更高的宫癌率,由于系统的不平等和不信任. 改善护理需要以社区为中心的方法,加强提供者培训和系统性改革,以建立信任并实现健康公平.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 生殖健康 生殖健康
背景情况:
- 在美国,黑人女性面临着不成比例的高宫癌发病率和死亡率.
- 结构性种族主义,对医生的不信任以及缺乏对文化有反应的护理,都导致了这些差异.
- 现有的干预措施往往无法解决医疗保健不平等的系统根源.
研究的目的:
- 探索黑人女性对医疗保健不信任的概念.
- 确定改善宫癌查所需的多层次变化.
- 为黑人妇女推进以公平为中心的预防性护理.
主要方法:
- 对21-65岁的黑人女性进行了17次深入的半结构面试.
- 采用一个综合的理论框架 (生态系统理论,生态社会理论,交叉性,黑人女权主义思想).
- 利用主题分析来识别障碍和建议,实现主题和.
主要成果:
- 四个主要主题出现了:增加对负担得起的,以社区为中心的护理的机会;扩大生殖健康知识;加强对文化敏感护理的提供者培训;以及重建信任的系统性改革.
- 参与者强调了社区参与,代际知识转移和创伤信息化的护理.
- 信任被确定为一个核心决定因素,受歧视和排斥的影响.
结论:
- 黑人妇女预防性护理的系统转型迫切需要.
- 优先考虑信任,公平和社区领导力的多层次战略对于改善宫癌的结果至关重要.
- 调查结果为政策,提供者培训和结构改革提供信息,以推进健康正义.
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