Enduring to Gain New Perspective: A Grounded Theory Study of the Experience of Perinatal Bereavement in Black Adolescents
Enduring to Gain New Perspective: A Grounded Theory Study of the Experience of Perinatal Bereavement in Black Adolescents
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DOI：
10.1002/nur.21586
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发表时间：
2014-04-01
影响因子：
2
通讯作者：
Garcia, Carolyn M.
中科院分区：
文献类型：
--
作者：
Eisenberg, Marla E.;Lust, Katherine A.;Garcia, Carolyn M.
性危险行为在大学生中很常见，但二年级和四年级学生之间的差异还没有明确的测试。对明尼苏达州9,748名未婚性行为活跃的大学生（2010年或2011年）的调查数据使用多水平逻辑回归模型来检验两年制和四年制大学学生在八种高危性健康行为和结果上的差异。在调整人口统计协变量后，四年级学生发生无安全套性行为、无可靠避孕措施性行为、意外怀孕和性传播感染的几率明显低于二年级学生。可能需要针对二年级或四年级学生的健康促进方法。例如，鼓励使用避孕套的信息和推广工作可能对两年制大学的性健康项目特别有益。(c) 2014年Wiley期刊公司。本研究的目的是探讨在迈阿密-戴德县一个以古巴裔美国人为主的社区中，人们对约会关系和青少年约会暴力预防的看法。采用内容分析法对西班牙裔青少年（n = 29）、其父母（n = 29）和学校工作人员（n = 16）进行了8个焦点小组（n = 74名参与者）。四个主题描述了西班牙裔青少年约会关系的性质和背景：YOLO-You Only Live Once，文化统一但社会分裂，约会是不出去的，以及社会环境对健康关系的挑战。从这项研究中产生的信息可以用来制定针对西班牙裔青少年的文化量身定制的青少年约会暴力预防计划。(c) 2014年Wiley期刊公司。美国黑人青少年的围产期丧失率高于其他种族和族裔。本文采用扎根理论对8名城市黑人青少年围产期丧失后前3个月的经历进行了研究。“坚持获得新的视角”的过程始于意外怀孕时的“否认和犹豫”，但最终“为全新的生活做好准备”，随后是“遭受损失”的震惊，“所有的痛苦都是徒劳的”，“到处都是复杂的情绪”。随着时间的推移，青少年开始“寻求支持”，最终“保留记忆，维持关系”，“寻找意义，问为什么”，“获得新的生活视角”。现存的丧亲理论也有相似之处。(c) 2014 Wiley期刊公司
Sexual risk behaviors are common among college students, but differences between 2- and 4-year students have not been explicitly tested. Survey data from 9,748 unmarried sexually active Minnesota college students (in 2010 or 2011) were used multilevel logistic regression models to test differences in eight high risk sexual health behaviors and outcomes between students attending 2- vs. 4-year colleges. Odds of sex without a condom, sex without reliable birth control, unplanned pregnancy, and STIs were significantly lower among 4-year students than 2-year students, after adjusting for demographic covariates. Health promotion approaches targeted to the needs of 2- or 4-year students may be needed. For example, messaging and outreach efforts encouraging condom use may be especially beneficial for sexual health programs at 2-year colleges. (c) 2014 Wiley Periodicals, Inc.The purpose of this study was to explore perceptions of dating relationships and teen dating violence prevention within a predominantly Cuban American community in Miami-Dade County. Eight focus groups (n = 74 participants) with adolescents of Hispanic origin (n = 29), their parents (n = 29), and school personnel (n = 16) were conducted and analyzed using content analysis. Four themes characterized the nature and context of dating relationships among adolescents of Hispanic origin: YOLO-You Only Live Once, cultural unity but social division, dating is not going out, and the social environment challenges healthy relationships. The information generated from this study can be used to develop culturally tailored teen dating violence prevention programs targeting youth of Hispanic origin. (c) 2014 Wiley Periodicals, Inc.Black adolescents in the US experience perinatal loss at a higher rate than other races and ethnicities. The experience of eight Black urban adolescents through the first 3 months after perinatal loss was studied using grounded theory. The process of "enduring to gain new perspective" began with "denying and hesitating" when surprised by unplanned pregnancy but led to "getting ready for this whole new life," followed by shock of "suffering through the loss," "all that pain for nothing," and "mixed emotions going everywhere." Over time, the adolescents began "reaching out for support" and eventually "preserving the memory and maintaining relationship," "searching for meaning and asking why," and "gaining new perspective on life." Parallels are noted to extant bereavement theory. (c) 2014 Wiley Periodicals, Inc.