"We Kind of Met In-Between": A Qualitative Analysis of Young Couples' Relationship Dynamics and Negotiations About Pregnancy Intentions.
"We Kind of Met In-Between": A Qualitative Analysis of Young Couples' Relationship Dynamics and Negotiations About Pregnancy Intentions.
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DOI：
10.1363/psrh.12136
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发表时间：
2020-07
影响因子：
5.8
通讯作者：
Gómez AM
中科院分区：
文献类型：
--
作者：
Arteaga S;Downey MM;Freihart B;Gómez AM
审查生育决策的大量文献往往只关注妇女，忽视了男子的作用和关系背景的重要性。对夫妇的研究对于理解关于生育的共同决策（或缺乏决策）至关重要，特别是在关系的不同阶段和生命历程的不同发展阶段。我们在2015- 2016年对北方加州的50名年轻女性及其男性伴侣（n=100）进行了深入的个人访谈，采用理论抽样方法来产生社会经济和种族/民族多样化的样本。我们采用了一个二元的，主题分析的方法来研究是否以及如何在夫妇层面的未来怀孕的意图和当前怀孕的愿望进行谈判，以及如何关系动态影响谈判和决策过程。23对夫妇描述了联合怀孕决策过程，这需要有目的的沟通，对一些人来说，谈判涉及妥协和接受。对于22对夫妇来说，这些过程导致了一致的预期怀孕意图，即使当前的愿望不同。剩下的27对夫妇描述了个人的怀孕决策过程;许多伴侣的意图是偶然的，而其他人则避免向伴侣传达他们的真实愿望。值得注意的是，其中一些夫妇面临关系困难，包括沟通不畅，导致一些参与者误解或不知道伴侣的怀孕意图和愿望。这些研究结果突出了关系背景的重要性，为制定未来怀孕的意图在年轻人。需要针对影响年轻夫妇怀孕计算的复杂因素制定咨询方案、干预措施和政策，以更好地支持夫妇实现其生殖目标。
The robust body of literature examining reproductive decision-making often focuses solely on women, neglecting men’s roles and the importance of relationship context. Research with couples is vital to understanding joint decision-making—or lack thereof—about reproduction, particularly at various stages of relationships and during different developmental stages of the life course. We conducted in-depth, individual interviews with 50 young women and their male partners (n=100) in Northern California in 2015-16, employing a theoretical sampling approach to yield a socioeconomically and racially/ethnically diverse sample. We utilized a dyadic, thematic analytic approach to examine if and how prospective pregnancy intentions and current pregnancy desires are negotiated at the couple-level, and how relationship dynamics influence negotiation and decision-making processes. Twenty-three couples described joint pregnancy decision-making processes, which required purposeful communication and, for some, negotiations involving compromise, and acceptance. For 22 couples, these processes led to aligned prospective pregnancy intentions, even when current desires differed. The remaining 27 couples described individual pregnancy decision-making processes; many partners’ intentions aligned by happenstance, while others avoided communicating their true desires to partners. Notably, some of these couples faced relationship difficulties, including poor communication, leading some participants to misinterpret or be unaware of their partner’s pregnancy intentions and desires. These findings highlight the importance of the relationship context for the formulation of prospective pregnancy intentions among young people. Counseling protocols, interventions, and policies attending to the complex factors influencing young couples’ pregnancy calculus are needed to better support couples in attaining their reproductive goals.
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