"How did that happen?" Public responses to women with mobility disability during pregnancy.
"How did that happen?" Public responses to women with mobility disability during pregnancy.
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DOI：
10.1016/j.dhjo.2015.02.002
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发表时间：
2015-07
影响因子：
4.5
通讯作者：
Ecker JL
中科院分区：
文献类型：
--
作者：
Iezzoni LI;Wint AJ;Smeltzer SC;Ecker JL
目前社会对明显怀孕的行动不便妇女的态度知之甚少。使用定性描述性分析方法来检查有明显行动障碍的女性对陌生人对她们怀孕的反应的看法。2013年底，我们对22名在过去10年内分娩过的有严重行动困难的妇女进行了2小时的电话采访。半结构化、开放式的访谈协议涉及与怀孕有关的广泛话题，包括陌生人的陈述。大多数参与者是通过社交网络招募的，来自全国17个州。我们使用NVivo对文本进行分类以进行内容分析。女性平均（标准差）年龄为34.8（5.3）岁；大多数是受过良好教育的白人，收入较高，尽管有一半在怀孕期间有医疗补助；18人使用轮式辅助工具。18位女性描述了她们与陌生人在怀孕或新生儿时难忘的互动。陌生人的陈述可以分为六类：(1)好奇；(2)侵入性的、持续好奇的；(3)敌意，包括担心纳税人最终会支持母亲和孩子；(4)质疑女性作为潜在父母的能力；（五）认不出可见的怀孕或者母性的；(6)正的。许多妇女报告说，有陌生人问她们是怎么怀孕的。这些女性怀疑，没有残疾的明显怀孕的女性会引起陌生人的同样反应。明显怀孕的行动不便的妇女可能会感觉到陌生人的反应似乎是侵入性的。提前计划如何处理这样的遭遇可以减少这些互动的压力。
Little is known about current societal attitudes toward women with significant mobility disability who are visibly pregnant. To use qualitative descriptive analysis methods to examine perceptions of women with significant mobility disability about how strangers reacted to their visible pregnancies. In late 2013, we conducted 2-h telephone interviews with 22 women with significant mobility difficulties who had delivered babies within the prior 10 years. The semi-structured, open-ended interview protocol addressed wide-ranging pregnancy-related topics, including statements from strangers. Most participants were recruited through social networks, coming from 17 states nationwide. We used NVivo to sort the texts for content analysis. The women’s mean (standard deviation) age was 34.8 (5.3) years; most were white, well-educated, and higher income, although half had Medicaid during their pregnancies; and 18 used wheeled mobility aids. Eighteen women described memorable interactions with strangers relating to their pregnancies or newborn babies. Strangers’ statements fell into six categories: (1) curious; (2) intrusively and persistently curious; (3) hostile, including concerns that taxpayers would end up supporting the mother and child; (4) questioning woman’s competence as a potential parent; (5) oblivious, not recognizing visible pregnancy or motherhood; and (6) positive. Many women reported strangers asking how their pregnancy had happened. The women doubted that visibly pregnant women without disabilities evoke the same reactions from strangers. Women with mobility disability who are visibly pregnant may perceive reactions from strangers that appear intrusive. Planning ahead for handling such encounters could reduce the stresses of these interactions.