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Infertility in Low-Income Latinos

低收入拉丁裔的不孕症

基本信息

批准号：
7035365
负责人：
ROBERT David NACHTIGALL
金额：
$ 58.82万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-05-01 至 2008-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7035365
关键词：
Hispanic Americans behavioral /social science research tag clinical research coping culture family planning fertility health care service availability health disparity health services research tag human subject interview low socioeconomic status medically underserved population

项目摘要

DESCRIPTION (provided by applicant): The overall aim of this qualitative, anthropological research is to examine the experiences of low-income Latinos of Mexican American and Central American descent who experience infertility. The specific aims are: 1) to examine the experience of infertility, including cultural meanings associated with gender and fertility, and cultural values about family and parenthood; 2) to examine access to the health care system for infertility treatment and use; 3) to explore the process of seeking and undergoing treatment for infertility; and 4) to examine the ways in which women and men seek to resolve fertility problems in the face of scarce resources, including efforts to become parents through non-medical means. The specific aims will be carried out by studying 120 women and 120 men who are their partners, age 21 and up, using qualitative methods. There will be three interviews at 6-month intervals: an initial couple interview will be followed six months later by solo interviews with each partner, and a final couple interview on year after the initial interview. In cases where it is not possible to include the male partner, women will be followed for all three interviews. The sample will be drawn in approximately equal numbers from 1) the community itself, and 2) a low-income infertility clinic geographically situated within the community that serves this population. Qualitative analysis will be undertaken in a systematic progress of steps.

描述（由申请人提供）：这项定性人类学研究的总体目标是调查墨西哥裔美国人和中美洲裔低收入拉丁美洲人不孕不育的经历。具体目标是：1）研究不孕不育的经历，包括与性别和生育相关的文化意义，以及关于家庭和养育子女的文化价值观； 2) 检查不孕症治疗和使用医疗保健系统的情况； 3）探索寻求和接受不孕不育治疗的过程； 4) 研究女性和男性在资源稀缺的情况下寻求解决生育问题的方式，包括通过非医疗手段成为父母的努力。具体目标将通过使用定性方法对 120 名年龄在 21 岁及以上的女性和 120 名男性伴侣进行研究来实现。每隔 6 个月将进行 3 次访谈：初次夫妇访谈将在六个月后对每位伴侣进行单独访谈，并在初次访谈后的一年内进行最终夫妇访谈。如果无法包括男性伴侣，则将跟踪女性参加所有三场访谈。样本将从 1) 社区本身和 2) 地理位置上位于社区内为该人群提供服务的低收入不孕不育诊所中抽取，数量大致相等。定性分析将按系统的步骤进行。