Doctoral Dissertation Research: Navigating reproductive care in times of uncertainty

博士论文研究：不确定时期的生殖保健

• 批准号: 2116477
• 负责人: Jennifer Hirsch
• 金额: $ 2.39万
• 依托单位: Columbia University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-15 至 2023-01-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2116477&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Navigating; reproductive

This award is funded in whole or in part under the American Rescue Plan Act of 2021 (Public Law 117-2).Social and economic inequality are known to have impacts on well-being. Yet, the pathways leading to this relationship remain poorly understood. This doctoral dissertation project examines how inequality intersects with individual attributes to affect access to care and reproductive decision-making. It does so in a context in which policies shaping reproductive care are changing rapidly, affecting not only what types of support are available at a given time, but knowledge of these changes, and the channels through which knowledge is gained and support offered. Leveraging this context offers a new synthesis of theories of policy, reproductive care, and economic inequality to better understand how these factors shape women’s reproductive decisions. The research supports a doctoral student’s training. Results will be disseminated widely, including to academic and non-academic audiences, reproductive health practitioners, and organizations involved in health policy. Specifically, this project examines how a variety of stakeholders interpret and navigate the changing landscapes affecting reproductive care. It has three primary aims: (1) characterizing the association between social and economic inequality and the experiences of women seeking reproductive care; (2) how policies shape the ways that women understand and navigate care options; and (3) how women’s experiences affect understanding of the ethical dimensions associated with the provision of reproductive care. To achieve these aims, the investigators use a suite of mixed methods such as participant-observation, policy and discourse analysis, semi-structured interviews, and life histories in a context where policies shaping reproductive care are changing rapidly. The results contribute to scientific understandings about the relationships between social and economic inequality and healthcare access and policy, and innovative solutions that arise to adapt to policy changes.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

该奖项是根据2021年《美国救援计划法》的全部或部分资助（公共法117-2）。社会和经济不平等对幸福感有影响。然而，导致这种关系的途径仍然知之甚少。该博士学位论文项目考试不平等如何与各个属性相交以影响获得护理和生殖决策的机会。在塑造生殖护理的政策正在迅速变化的情况下，它不仅影响了给定时间可用的支持，还影响了这些变化的知识以及获得和支持知识的渠道。利用这种情况提供了政策，生殖护理和经济不平等理论的新综合，以更好地理解这些因素如何塑造妇女的生殖决定。该研究支持博士生的培训。结果将被广泛传播，包括学术和非学术受众，生殖健康从业人员以及参与卫生政策的组织。具体而言，该项目考试如何解释和导航影响生殖护理的不断变化的景观。它具有三个主要目的：（1）表征社会和经济不平等与寻求生殖护理的妇女经历之间的关联； （2）政策如何塑造女性理解和导航护理选择的方式； （3）妇女的经历如何影响对提供与生殖护理相关的道德维度的理解。为了实现这些目的，研究人员使用一系列混合方法，例如参与观察，政策和话语分析，半结构化访谈以及在塑造生殖护理的政策正在迅速变化的背景下进行的生活历史。该结果有助于科学理解对社会和经济不平等与医疗保健访问和政策之间的关系，以及为了适应政策变化而产生的创新解决方案。该奖项反映了NSF的法定使命，并被认为是通过基金会的知识分子优点和更广泛的影响来评估的，以评估来获得支持。