Alternative prenatal care interventions to alleviate Black-White maternal/infant health disparities
Alternative prenatal care interventions to alleviate Black-White maternal/infant health disparities
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DOI：
10.1111/soc4.12549
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发表时间：
2018-01-01
影响因子：
2.7
通讯作者：
Thomas, Shameka Poetry
中科院分区：
文献类型：
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作者：
Adams, Crystal;Thomas, Shameka Poetry
本文试图通过借鉴交叉性、医学化和基本因果关系理论，提出批评美国标准产前护理的孕产妇健康文献。我们认为，这些理论加深了我们对黑人妇女产妇健康经历的理解，并有助于解释为什么替代产前护理干预措施对黑人孕妇有价值。替代的产前护理模式，包括使用助产士、助产士和集体产前护理，与美国的标准产前护理模式相比，与婴儿和母亲的健康结局相同或更好。我们首先利用这些社会学观点来找出产妇健康文献中批评标准生物医学产妇保健方法的空白。然后，我们继续描述选定的替代产前护理方法，然后提供流行病学文献的摘要，因为它涉及使用的社会人口学趋势以及替代模式与标准护理相比的相对有效性。我们的结论是，这三个理论的联合关键应用可以帮助学者解释非裔美国人母婴健康替代干预措施的效用，并可以为旨在缓解黑人-白人母婴健康差距的政策提供参考。
This paper attempts to forward the maternal health literature that critiques standard prenatal care in the United States by drawing on intersectionality, medicalization, and fundamental causation theories. We argue that these theories deepen our understanding of the maternal health experiences of Black women and can help explain why alternative prenatal care interventions have value for Black pregnant women. Alternative models of prenatal care, which include the use of midwives, doulas, and group prenatal care, are associated with equal or better health outcomes for infants and mothers compared to the standard prenatal model in the United States. We begin by drawing on these sociological perspectives to identify gaps in the maternal health literature that is critical of standard biomedical maternal health approaches. We then go on to describe select alternative methods of prenatal care and then provide a summary of the epidemiological literature as it relates to sociodemographic trends in usage and the relative effectiveness of alternative models compared to standard care. We conclude by arguing that a joint, critical application of these three theories can help scholars explain the utility of alternative interventions for African American maternal/infant health and can inform policies that aim to alleviate Black-White maternal/infant health disparities.