Black women's perspectives on bladder health: Social-ecological and life course contexts.
Black women's perspectives on bladder health: Social-ecological and life course contexts.
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黑人女性对膀胱健康的看法：社会生态和生命历程背景。
DOI：
10.1002/nau.25437
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发表时间：
2024
影响因子：
2
通讯作者：
PreventionofLowerUrinaryTractSymptoms(PLUS)Resear
中科院分区：
文献类型：
--
作者：
Williams,BeverlyR;Brady,SonyaS;Levin,EliseC;Brown,Oluwateniola;Lipman,TerriH;Klusaritz,Heather;Nodora,Jesse;Coyne-Beasley,Tamera;Putnam,Sara;Gahagan,Sheila;Burgio,KathrynL;PreventionofLowerUrinaryTractSymptoms(PLUS)Resear
目的探讨黑人女性膀胱健康的社会生态概念框架和生命历程视角。方法我们对来自习惯、态度、现实和经验研究（SHARE）的数据进行了定向内容分析，这是一项由下尿路症状预防研究联盟（PLUS）开展的焦点小组研究。对来自五个焦点小组和一个成员检查会议的数据进行了分析，所有参与者都自认为是黑人或非裔美国人。结果42名11-14岁或45岁以上的参与者报告了膀胱的生命历程经历。种族和性别的交集是参与者观察膀胱健康的视角。参与者对膀胱健康的观点的叙述明确和含蓄地揭示了结构性种族主义作为一个解释性的总体主题。与会者描述了(a)历史上根深蒂固且仍然普遍存在的歧视和隔离做法，造成获得优质医疗服务和公共设施的不公平机会；(b)在教育和职业环境中妨碍自主如厕的体制障碍，助长了不健康的排尿习惯；(c)对黑人妇女作为家庭照顾者的陈规定型角色的内化期望，损害了照顾者的健康；(d)缺乏关于膀胱健康的可靠信息。导致不健康的膀胱行为，以及(e)潜在的与压力相关的共病慢性疾病和相关的药物使用，导致或加剧膀胱问题。结论膀胱健康促进干预措施应解决影响黑人妇女膀胱健康的社会生态和生命过程因素，包括获得公平健康信息和医疗保健的社会和结构性障碍。
AimsThis paper explores Black women's perspectives on bladder health using a social‐ecological conceptual framework and life course perspective.MethodsWe conducted a directed content analysis of data from the Study of Habits, Attitudes, Realities, and Experiences (SHARE), a focus group study by the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium. Analysis was conducted on data from five focus groups and a member‐checking session where all participants self‐identified as Black or African American.ResultsForty‐two participants aged 11–14 or 45+ years reported life course experiences with their bladder. The intersection of race and gender was the lens through which participants viewed bladder health. Participants' accounts of their perspectives on bladder health explicitly and implicitly revealed structural racism as an explanatory overarching theme. Participants described (a) historically‐rooted and still pervasive practices of discrimination and segregation, engendering inequitable access to quality medical care and public facilities, (b) institutional barriers to toileting autonomy in educational and occupational settings, promoting unhealthy voiding habits, (c) internalized expectations of Black women's stereotyped role as family caregiver, compromising caregiver health, (d) lack of reliable information on bladder health, leading to unhealthy bladder behaviors, and (e) potentially stress‐related comorbid chronic conditions and associated medication use, causing or exacerbating bladder problems.ConclusionsBladder health promotion interventions should address social‐ecological and life course factors shaping Black women's bladder health, including social and structural barriers to accessing equitable health information and medical care.