低收入和中等收入国家的尊重产妇护理和交叉身份:系统审查
Victor Abiola Adepoju1, Chioma Odueniyi2, Abdulrakib Abdulrahim3
1Jhpiego, Affiliate of Johns Hopkins University, Abuja, 900918, Nigeria. schrodinga05@yahoo.com.
BMC pregnancy and childbirth
|December 8, 2025
概括
在低收入和中等收入国家,面临包括贫困和歧视在内的多种不利条件的妇女在分娩期间更容易遭受不尊重和虐待. 解决这些跨界不平等问题对于改善尊重产妇护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 卫生社会学 卫生社会学
背景情况:
- 在机构分娩期间的不尊重和虐待 (D&A) 不成比例地影响了低收入和中等收入国家 (LMICs) 的边缘化妇女.
- 尊重产妇护理 (RMC) 是人权和优质护理的必要条件,但经验因交叉的社会身份而有所不同.
- 种姓,阶级,种族,年龄,残疾和移民身份等社会因素显著影响RMC体验.
研究的目的:
- 量化和比较LMIC中各个社会子组的D&A患病率.
- 确定影响妇女获得产妇护理经验的社会和系统决定因素.
- 综合有关交叉身份如何塑造分娩经验的定性数据,并开发不平等的概念模型.
主要方法:
- 按照PRISMA指导方针进行系统审查,综合LMIC中交叉RMC和D&A经验的文献.
- 搜索包括五个数据库和关键的灰色文献来源,数据提取将于2025年4月完成.
- 包括同行评审的初级研究和高质量的评论 (2014-2025年) 与身份分类的证据,使用主题叙事合成.
主要成果:
- 来自15个低收入国家和中小国家的17项研究表明,与脆弱性相交的女性 (例如年轻人,贫困者,残疾人,少数民族) 面临更高的忽视,未经同意的照顾和虐待率.
- 系统性不公正,社会耻辱,提供者偏见和沟通障碍被确定为推动这些不平等的关键机制.
- 尽管与歧视有联系,但残疾,移民状况,社会经济地位和宗教状况尚未得到充分探索.
结论:
- 交叉不平等在LMIC中显著影响妇女在尊重产妇护理的经验.
- 研究的异质性和身份因素的不均表示限制了因果推理.
- 解决系统性不公正和提供者偏见对于实现公平的RMC至关重要.
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