Husbands and maternal health matters in rural Guatemala: wives' reports on their spouses' involvement in pregnancy and birth

Husbands and maternal health matters in rural Guatemala: wives' reports on their spouses' involvement in pregnancy and birth
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DOI:
10.1016/s0277-9536(01)00175-7
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发表时间:
2002-08-01
影响因子:
5.4
通讯作者:
Carter, M
Carter, M
中科院分区:
医学2区
文献类型:
--
作者:
Carter, M

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本文探讨了丈夫参与妻子产妇保健两个方面的内容、流行程度和决定因素:(1)在怀孕期间提供咨询和护理,(2)参加分娩。从危地马拉农村家庭样本的定性和调查数据中,我主要使用妇女对其配偶参与的报告,我发现与一些预期相比,丈夫的参与相对较高,而男性参与的动态在这两个方面有所不同。对怀孕期间接受丈夫的建议或护理的分析(只对怀孕期间出现并发症的妇女进行的分析)表明,所寻求的产前护理的类型以及家庭和婚姻关系的质量是重要因素。另一方面,丈夫在分娩时的陪伴似乎更多地受到男性的可用性和分娩机会的驱动。总之,这些数据表明,“男性参与”并不是一种单一的行为,并指出了将其复杂性概念化的方法。(C) 2002 Elsevier Science Ltd.版权所有。
This paper explores the content, prevalence, and determinants of husbands' involvement in two aspects of their wives' maternal health: (1) providing advice and care during pregnancy and (2) attending birth. Using primarily women's reports of their spouses' involvement taken from qualitative and survey data from a sample of rural Guatemalan households, I find that husband participation is relatively high compared to some expectations and that the dynamics of male involvement differ between the two aspects. The analysis of receiving advice or care from husbands during pregnancy, an analysis done only among women who experienced a complication during pregnancy, suggests that the type of prenatal care sought and the quality of the familial and marital relationships are important factors. On the other hand, husbands' attendance at birth seems driven more by men's availability and access to birth. Together, the data show that "male involvement" is not a singular behavior and point to ways to conceptualize its complexity. (C) 2002 Elsevier Science Ltd. All rights reserved.