美国土著孕妇和产后人士在产周护理期间的歧视经历:一种定性研究
Jennifer L Murray1,2, Heather Tanana3, Torri D Metz2
1University of Utah Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.
BJOG : an international journal of obstetrics and gynaecology
|January 8, 2026
概括
美国土著孕妇报告说,医疗团队的歧视和文化不敏感,影响了围产期护理. 解决提供者偏见和增强文化谦卑对于减少严重的孕产妇发病率不平等至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 土著健康土著健康
背景情况:
- 与非土著群体相比,土著孕妇和产后个人面临更高的严重孕产妇发病率 (SMM) 和死亡率.
- 现有的研究突出显示了SMM的差异,需要探索美洲原住民社区内的促成因素.
研究的目的:
- 探索社区,社会因素,文化和弹性如何影响美国原住民的怀孕经历.
- 确定解决土著人口中严重孕产妇发病率 (SMM) 的不平等问题的见解.
主要方法:
- 一项使用虚拟社区焦点小组和个人访谈的定性研究.
- 与当地部落和部落组织的合作伙伴关系促进了从12名参与者收集数据,这些参与者自称是原住民或土著人,并在过去5年内在犹他州分娩.
- 对开放式问题的专题分析侧重于参与者对产前护理,社区和医疗保健系统资源的看法.
主要成果:
- 参与者报告了与医疗提供者的负面互动,包括歧视,刻板印象,文化轻视和种族主义,与他们的美洲原住民遗产有关.
- 出现了四个主要主题:歧视的经验,刻板印象,文化轻视和医疗团队的明确种族主义.
- 参与者建议加强社区支持,为提供者提供文化谦卑培训,并增加土著人民在医学中的代表性.
结论:
- 本地人描述了怀孕期间和之后的有害相互作用,这对他们的产周护理产生了负面影响.
- 减少提供者的耻辱和偏见,提高文化谦卑和意识,对于改善结果和解决中小企业的不平等至关重要.
- 社区和系统变化至关重要,以确保为土著人口提供公平和文化敏感的产周护理.
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