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.

该奖项全部或部分由2021年美国救援计划法案（公法117-2）资助。众所周知，社会和经济不平等会对福祉产生影响。然而，导致这种关系的途径仍然知之甚少。这个博士论文项目探讨了不平等如何与个人属性相交，以影响获得护理和生殖决策。它这样做的背景是，影响生殖保健的政策正在迅速变化，不仅影响到在某一特定时间可提供的支助类型，而且影响到对这些变化的了解，以及获得知识和提供支助的渠道。利用这一背景提供了一个新的综合理论的政策，生殖保健和经济不平等，以更好地了解这些因素如何塑造妇女的生育决定。该研究支持博士生的培训。结果将广泛传播，包括向学术和非学术受众、生殖健康从业人员和参与卫生政策的组织传播。具体而言，该项目探讨了各种利益相关者如何解释和导航影响生殖保健的不断变化的景观。它有三个主要目标：（1）描述社会和经济不平等与寻求生殖保健的妇女的经历之间的关联;（2）政策如何塑造妇女理解和导航护理选择的方式;（3）妇女的经历如何影响对与提供生殖保健相关的道德层面的理解。为了实现这些目标，研究人员使用了一套混合的方法，如参与者观察，政策和话语分析，半结构化访谈，生活史的背景下，政策塑造生殖保健正在迅速变化。研究结果有助于科学地理解社会和经济不平等与医疗保健获取和政策之间的关系，以及为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，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。