"I just want us to be heard": A qualitative study of perinatal experiences among women of color.
"I just want us to be heard": A qualitative study of perinatal experiences among women of color.
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DOI：
10.1177/17455057221123439
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发表时间：
2022-01
期刊：
影响因子：
2.4
通讯作者：
Chisolm, Deena J.
中科院分区：
文献类型：
--
作者：
Barnett, Kierra S.;Banks, Ashley R.;Morton, Tiffany;Sander, Christine;Stapleton, Maureen;Chisolm, Deena J.
长期存在的种族差异，特别是白人和黑人妇女之间在产妇和生育结果方面的差异，需要对影响这些差异的因素进行审查。这项研究旨在了解有色人种妇女在怀孕和/或分娩并发症方面的经历，以便为减少种族和民族健康差距的政策和战略提供信息。对被确认为有色人种女性、年龄在18岁或以上、自认为在2016年后经历过怀孕或分娩并发症、会说英语的女性(n = 31)进行了六个焦点小组的调查。利用与研究团队、社区合作伙伴和来自当地社区的同行研究人员共同创建的焦点小组指南，引发关于在整个围产期向家庭提供公平护理和服务的障碍、成功和现有机会的讨论。采用归纳和迭代的方法对焦点小组的记录进行定性分析，以确定关键主题。确定的七个主题包括：缺乏知识、精神健康、与提供者的沟通、支助系统、代表性、健康的社会决定因素以及歧视和耻辱。女性分享了从孕前到产后的各种保健经验，揭示了现有系统需要改进的许多领域。纳入受健康差距影响最深的人群的声音，对于了解如何改善所提供的护理和服务至关重要。这一分析表明，需要在医疗保健和社会服务系统的多个层面上进行改革。这些经历为有色人种妇女在怀孕期间及以后面临的许多斗争和障碍提供了宝贵的见解。
Long-standing racial disparities, particularly between White and Black women, in maternal and birth outcomes necessitate an examination of the factors influencing these disparities. This study aimed to understand the experiences of women of color as they relate to pregnancy and/or birth complications to inform policy and strategy to decrease racial and ethnic health disparities. Six focus groups were conducted with women (n = 31) who were identified as a woman of color, were 18 years or older, self-identified as having experienced pregnancy or birth complications after 2016, and who spoke English. A focus group guide co-created with the research team, community partners, and peer researchers from the local community was utilized to elicit discussions related to barriers, successes, and existing opportunities to provide equitable care and services to families throughout the perinatal period. An inductive and iterative approach to qualitative analyses of the focus group transcripts was used to identify key themes. The seven themes identified include: lack of knowledge, mental health, communication with providers, support systems, representation, social determinants of health, and discrimination and stigma. Women shared a variety of experiences related to their health care from before pregnancy into their post-partum period, revealing many areas for improvement to extant systems. The inclusion of voices of the populations most deeply affected by health disparities is crucial to understanding how care and services provided can be improved. This analysis suggests the need for change at multiple levels of the health care and social services systems. These experiences provide valuable insight into some of the many struggles and barriers that women of color face during pregnancy and beyond.
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影响因子：
1.5
作者：
Shahul S;Tung A;Minhaj M;Nizamuddin J;Wenger J;Mahmood E;Mueller A;Shaefi S;Scavone B;Kociol RD;Talmor D;Rana S
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5.4
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影响因子：
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5.4
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影响因子：
4.2
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通讯作者：
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