Aboriginal women's experiences of accessing health care when state apprehension of children is being threatened
Aboriginal women's experiences of accessing health care when state apprehension of children is being threatened
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DOI：
10.1111/jan.12271
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发表时间：
2014-05-01
影响因子：
3.8
通讯作者：
Browne, Annette J.
中科院分区：
文献类型：
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作者：
Denison, Jacqueline;Varcoe, Colleen;Browne, Annette J.
AimsTo报告的结果，从一项研究的影响，土著妇女的经验访问的医疗保健services.BackgroundA丰富的数据突出的土著儿童在加拿大政府照顾的比例较高，与非土著儿童的威胁去除。土著妇女的健康状况比非土著妇女差，在获得保健服务方面面临重大障碍。本研究分两个阶段进行：（1）对原住民妇女和医疗服务提供者（n=7）的访谈进行二次分析，这些访谈是为一个更大的研究收集的;和（2）与土著妇女（n=9）和保健提供者（n=8）的初步访谈，方法后殖民女性主义视角和探索性、定性研究的原则指导本民族志研究。数据进行了分析，使用主题分析和解释性的description. FindingsThe土著妇女的孩子参与儿童保护系统的原则，往往会遇到复杂的社会政治和经济挑战，这与恐惧的威胁。这种威胁并没有影响妇女的决定，寻求为自己的孩子的医疗服务，但在主流医疗机构的种族主义，偏见和歧视的经验和儿童恐惧的恐惧影响了他们的决定，为自己获得医疗保健的方式，阻止access.ConclusionRacism，判断和歧视土著母亲在医疗机构必须加以解决。教育保健提供者了解文化上安全的护理方法，对于减轻殖民主义的持续影响及其对土著人民健康的影响至关重要。
AimsTo report findings from a study examining the impact of the threat of child removal on Aboriginal women's experiences accessing of healthcare services.BackgroundA wealth of data highlights the higher proportion of Aboriginal children in government care in Canada compared with non-Aboriginal children. Aboriginal women experience poorer health outcomes than non-Aboriginal women and face significant barriers to healthcare access. However, little is known about how these phenomena may intersect.DesignThe study was conducted in two phases: (1) a secondary analysis of interviews with Aboriginal women and healthcare providers (n=7) that were collected for a larger study; and (2) primary interviews with Aboriginal women (n=9) and healthcare providers (n=8), conducted between July-October 2011.MethodsPostcolonial feminist perspectives and the principles of exploratory, qualitative research guided this ethnographic study. Data were analysed using principles of thematic analysis and interpretive description.FindingsAboriginal women whose children are involved with the child protection system often experience complex sociopolitical and economic challenges, which intersect with the threat of apprehension. Such threat did not impact women's decisions to seek healthcare services for their children, but experiences of racism, prejudice and discrimination in mainstream healthcare agencies and the fear of child apprehension influenced their decisions to access health care for themselves in ways that deterred access.ConclusionRacism, judgment and discrimination towards Aboriginal mothers in healthcare agencies must be addressed. Educating healthcare providers about culturally safe approaches to care is critical to mitigating the ongoing impact of colonialism and its effects on health of Aboriginal people.