Poverty as Context for the Parenting Experience of Low-Income Lumbee Indian Mothers with a Medically Fragile Infant

Poverty as Context for the Parenting Experience of Low-Income Lumbee Indian Mothers with a Medically Fragile Infant
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DOI:
10.1891/0730-0832.26.6.361
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发表时间:
2007-11-01
期刊:
影响因子:
0.7
通讯作者:
Miles, Margaret Shandor
Miles, Margaret Shandor
中科院分区:
其他
文献类型:
--
作者:
Docherty, Sharron L.;Lowry, Candace;Miles, Margaret Shandor

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目的:为了探讨贫困对父母的经验和母亲的发展轨迹的Lumbee母亲与医学上脆弱的infants.Design的影响:一个多案例研究设计,使用二级数据从一个较大的纵向研究的父母角色的实现与医学上脆弱的infants.Sample:五例涉及母亲谁是Lumbee印第安人和谁有医学上脆弱的infants.Results:的母亲谈论他们的育儿经验的主要特点被组织成类别,适合五个归纳得出的主题相关的贫穷。影响:卫生保健专业人员需要知道如何生活在贫困的背景下影响母亲的高危婴儿谁是在三级医疗单位住院。特别是,低收入母亲,特别是生活在高贫困地区的美洲印第安人,迫切需要改善社区资源,如获得节育;早期产前护理;帮助减少怀孕期间和怀孕后毒品,酒精和烟草使用的计划;以及婴儿的后续健康和发育服务。
Purpose: To explore the influence of poverty on the parenting experience and maternal developmental trajectory of Lumbee mothers with medically fragile infants.Design: A multiple-case study design using secondary data from a larger longitudinal study of parental role attainment with medically fragile infants.Sample: Five cases involving mothers who were Lumbee Indians and who had medically fragile infants.Results: The key features of the mothers' talk about their parenting experiences were organized into categories that fit into five inductively derived themes related to poverty.Implications: Health care professionals need to be aware of how the context of living in poverty affects mothers of high-risk infants who are hospitalized in tertiary care units. In particular, low-income mothers, especially American Indians living in high-poverty areas, urgently need improved community resources such as access to birth control; early prenatal care; programs to help reduce drug, alcohol, and tobacco use both during and following pregnancy; and follow-up health and developmental services for their infants.