Interventions to Address Reproductive Health Disparities among African-American Women in a Small Urban Community: the Communicative Construction of a "Field of Health Action"
Interventions to Address Reproductive Health Disparities among African-American Women in a Small Urban Community: the Communicative Construction of a "Field of Health Action"
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DOI：
10.1080/00909882.2015.1019546
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发表时间：
2015-04-03
影响因子：
2.3
通讯作者：
Golden, Annis G.
中科院分区：
文献类型：
--
作者：
Matsaganis, Matthew D.;Golden, Annis G.
这项混合方法研究以通信基础设施理论(CIT)为指导，并基于对作为四年干预措施一部分收集的多个数据来源的分析，该干预措施旨在解决美国东北部一个小而不利的城市社区中非裔美国妇女的生殖保健差距问题，这项混合方法研究增进了对此类卫生干预措施在较小城市环境中面临的挑战的理解。研究结果表明，居民物质环境中的因素和他们对该环境的社会结构相互作用，产生了一个“健康行动领域”，在这个领域内，寻求健康的行为被允许和限制。突出的四个因素是：保健资源的实际可获得性和可获得性、交通选择、有助于寻求保健的通信资源(包括人际、媒体和组织)，以及与寻求生殖保健有关的隐私问题。讨论了这些研究结果对促进小城市社区寻求生殖保健的未来研究和健康交流干预措施的影响。
Guided by communication infrastructure theory (CIT) and based on analyses of multiple sources of data gathered as part of a four-year intervention to address reproductive health-care disparities among African-American women in a small, disadvantaged urban community in the northeastern USA, this mixed-methods study advances understanding of challenges that such health interventions face in smaller urban settings. Findings suggest that factors in residents' material environment and their social construction of that environment interact to produce a "field of health action," within which health-care seeking behavior is enabled and constrained. Four factors emerged as salient: actual availability of and perceptions of access to health-care resources, transportation options, communication resources (including interpersonal, media, and organizational) that aid health-care seeking, and privacy concerns around reproductive health-care seeking. The findings are discussed with regard to their implications for future research and health communication interventions that promote reproductive health-care seeking in small urban communities.