在避孕护理中的种族主义:"那种信任障碍真的很难重建,这是合法的"
Yasaman Zia1,2, Sophie Morse1,3, Alejandra Alvarez1,2
1Bixby Center for Global Reproductive Health, University of California San Francisco, San Francisco, California, USA.
Culture, health & sexuality
|December 23, 2025
概括
系统性种族主义对黑人和拉丁裔患者的性和生殖健康产生了负面影响. 这项研究揭示了医疗保健提供者的经验和行动如何延续在避孕护理中的种族不平等.
科学领域:
- 公共卫生 公共卫生
- 种族健康平等 种族健康平等
- 性和生殖健康 性和生殖健康
背景情况:
- 美国的系统性种族主义导致黑人和拉丁裔患者的性和生殖健康状况较差.
- 现有的研究强调了危害,但缺乏对避孕护理中的现代种族动态的理解.
- 在解决当代种族主义如何延续生殖健康保健中的不平等问题方面,仍然存在差距.
研究的目的:
- 评估种族主义如何在避孕护理中表现.
- 探索医疗保健提供者的种族主义和歧视经历.
- 了解提供者和系统在延续生殖健康方面的种族不公正中的作用.
主要方法:
- 对41名在美国各地提供避孕服务的医疗保健提供者进行了深入采访.
- 利用了由公共卫生关键种族实践提供信息的专题分析.
- 数据收集发生在2022年8月至2024年8月之间.
主要成果:
- 医疗服务提供者认识到医疗保健中的种族主义,但种族意识和文化谦逊在系统无所作为中变化.
- 在同事中描述了产科伤害的证据,包括知情同意违规和医疗隐.
- 提供者表现出有偏见的信念,将患者的行为和避孕决定归因于种族.
结论:
- 当代在避孕护理中的种族主义是个别提供者和医疗保健系统所延续的.
- 虽然一些服务提供者表现出反种族主义,但许多服务提供者参与了系统性的种族不公正.
- 解决种族不平等需要在生殖健康保健中面对个人偏见和系统性失败.
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