I Wouldn't Let it Get to Me: Pregnant Black Women's Experiences of Discrimination.
I Wouldn't Let it Get to Me: Pregnant Black Women's Experiences of Discrimination.
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DOI：
10.1097/nmc.0000000000000707
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发表时间：
2021-05-01
期刊：
影响因子：
--
通讯作者：
Giurgescu C
中科院分区：
文献类型：
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作者：
Dove-Medows E;Thompson L;McCracken L;Kavanaugh K;Misra DP;Giurgescu C
与白色妇女相比，美国非西班牙裔黑人妇女的不良出生结局（包括早产和低出生体重儿）发生率高得不成比例。种族歧视与这些不良后果有关。然而，并非所有黑人妇女都以同样的方式受到歧视。报告种族歧视与产妇健康之间关系的大多数研究都采用了定量方法，这可能对这种关系有一个统一的理解。定性方法，特别是那些纳入交叉性，可以照亮黑人妇女的歧视经验的细微差别。我们提出了一个定性分析黑人妇女的种族歧视和怀孕的经验，揭示了这些复杂性。定性访谈，解决种族歧视和怀孕进行了一个更大的研究，研究社会支持，邻里关系障碍，和种族歧视的黑人孕妇的一部分。对访谈进行了编码，以描述种族歧视情况，并进行了个案内和个案间分析。妇女描述了不同背景下遭受种族歧视的不同经历。屏蔽成为妇女在怀孕期间处理种族歧视的叙述中反复出现的主题。从事产妇护理的护士需要了解黑人孕妇如何以不同的方式经历种族歧视。黑人妇女由于直接遭受歧视，可能要承担管理怀孕期间与歧视有关的压力的个人责任。护士可以通过认识到不同的种族歧视经历来支持黑人孕妇，并且不将经历或潜在的结果归咎于她们。
Non-Hispanic Black women in the United States experience disproportionately higher rates of adverse birth outcomes including preterm birth and low birth weight infants compared with White women. Racial discrimination has been associated with these adverse outcomes. However, not all Black women experience discrimination in the same way. The majority of studies that report on the relationship between racial discrimination and maternal health have used quantitative methods which may present a monolithic understanding of this relationship. Qualitative methods, specifically those that incorporate intersectionality, may illuminate the nuances in Black women’s experiences of discrimination. We present a qualitative analysis of Black women’s experiences of racial discrimination and pregnancy to shed light on some of these complexities. Qualitative interviews that addressed racial discrimination and pregnancy were conducted as part of a larger study of Black pregnant women that examined social support, neighborhood disorder, and racial discrimination. Interviews were coded for descriptions of racial discrimination and within and across case analysis was conducted. Women described varying experiences of racial discrimination in different contexts. Shielding emerged as a recurring theme in women’s accounts of dealing with racial discrimination during pregnancy. Nurses engaged in maternity care need an understanding of how Black pregnant women experience racial discrimination in different ways. Black women may be likely to take personal responsibility for managing discrimination-related stress in pregnancy as a consequence of direct experiences of discrimination. Nurses can support Black pregnant women by recognizing varied experiences of racial discrimination, and by not blaming them for experiences or potential resultant outcomes.