Smoking during pregnancy, stigma and secrets: Visual methods exploration in the UK
Smoking during pregnancy, stigma and secrets: Visual methods exploration in the UK
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DOI：
10.1016/j.wombi.2018.11.012
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发表时间：
2020-02-01
期刊：
影响因子：
3.8
通讯作者：
Mannay, Dawn
中科院分区：
文献类型：
--
作者：
Grant, Aimee;Morgan, Melanie;Mannay, Dawn
背景资料：道德判断通常是针对母亲通过参考健康行为在怀孕期间，工薪阶层的母亲特别受到这种道德gaze.Aim：为了深入了解影响10个低收入孕妇从贫困地区的南威尔士，英国。方法：参与者完成视觉活动（时间表，拼贴或思想气泡和二进制沙箱）之前，每次采访的健康问题。参与者的视觉表示被用来代替主题指南，以指导采访。在女权主义原则的指导下，对10名妇女进行了28次访谈。数据进行了专题分析。结果：吸烟在采访中进行了详细讨论，本文只关注这个问题。其中五名参与者在怀孕期间吸烟。对在公共场所吸烟的孕妇有负面反应，导致孕妇在私下吸烟。参与者还报告了与助产士和其他卫生专业人员的尴尬关系，包括以评判的口吻接受公共卫生建议。讨论：怀孕期间吸烟是一种特别妖魔化和污名化的活动。这种耻辱并不总是与胎儿的风险程度有关，相反，可以被视为对妇女的道德判断。我们迫切需要从个人化的新自由主义话语的失败，个别吸烟者，以更多的社会生态学的观点，避免受害者blocking.Conclusion：耻辱从朋友，家人，陌生人和卫生专业人员可能会导致隐藏的吸烟。这是妇女获得基于证据的戒烟支持的障碍。(C)2018作者由Elsevier Ltd代表澳大利亚助产士学院出版。
Background: Moral judgements are commonly directed towards mothers through reference to health behaviour in pregnancy, and working-class mothers are particularly subject to this moral gaze.Aim: To gain an in-depth understanding of the health issues affecting 10 low income pregnant women from deprived areas of south Wales, UK.Methods: Participants completed visual activities (timelines, collaging or thought bubbles and dyad sandboxing) prior to each interview. Participants' visual representations were used in place of a topic guide, to direct the interview. Guided by feminist principles, 28 interviews were completed with 10 women. Data were analysed thematically.Findings: Smoking was discussed at length during interviews, and this paper focuses on this issue alone. Five of the participants had smoked during pregnancy. Negative reactions were directed towards pregnant women who smoked in public, resulting in maternal smoking being undertaken in private. Participants also reported awkward relationships with midwives and other health professionals, including receipt of public health advice in a judgemental tone.Discussion: Smoking during pregnancy is a particularly demonised and stigmatised activity. This stigma is not always related to the level of risk to the foetus, and instead can be seen as a moral judgement about women. We urgently need to move from individualised neo-liberal discourses about the failure of individual smokers, to a more socio-ecological view which avoids victim blaming.Conclusion: Stigma from friends, family, strangers and health professionals may lead to hidden smoking. This is a barrier to women obtaining evidence based stop smoking support. (C) 2018 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives.