HEALTH CARE CHOICE DURING PREGNANCY AND CHILD ILLNESS

这是一份竞争延续NICHD赠款的申请， 我们一直在研究家庭对健康的选择 危地马拉的服务及其对儿童健康的影响。在 续行期我们建议收集新的和相当多的 使用人种学和抽样调查方法的详细数据，在农村 危地马拉的一些地区。这项研究的目的是：(10)描述 家庭和个人应对儿童疾病和 在一种环境中怀孕，在这种环境中，各种不同形式的 经常提供治疗；(20审查家庭的作用和 社区特征，包括种族认同、社会支持 系统、现代和非现代保健服务的提供情况、社会服务 家庭中的阶级和经济资源；在治疗期间的选择 怀孕和儿童疾病；以及(30)调查 妇女和儿童健康后果的治疗选择。这个 危地马拉社会的结构提供了一个独特的机会 种族认同、健康信念、社会 支持，贫困，社会阶层，关于使用医疗保健的选择和 健康结果，如下所述。这些问题对健康至关重要。 以及美国和其他国家的社会政策。这个 中美洲人和墨西哥人的大规模移民团结在一起 统计数据也使了解医疗保健环境变得重要 移民的来源地和他们习惯的方式 在抵达美国之前做出治疗选择。

This is an application for a competing continuation of an NICHD grant, in which we have been examining family choices about the use of health services and their consequences for children's health in Guatemala. In the continuation period we propose to collect new and considerably more detailed data using both ethnographic and sample survey methods, in rural areas of Guatemala. The objectives of the study are: (10 to describe the process by which families and individuals cope with childhood illness and pregnancy in an environment in which a variety of different forms of treatment are often available; (20 to examine the role of family and community characteristics, including ethnic identity, social support systems, availability of modern and non-modern health services, social class, and financial resources, in families; choices about treatment during pregnancy and childhood illnesses; and (30 to investigate the effects of treatment choices for women's and children's health outcomes. The structure of Guatemalan society provides a unique opportunity to understand the complex associations among ethnic identity, health beliefs, social support, poverty an social class, choices about use of health care and health outcomes, as discussed below. These issues are central to health and social policy in the United States, as well as in other countries. The large scale immigration of Central Americans and mexicans tot he United Stats also makes it important to understand the health care environment from which immigrants come and the ways in which they have been accustomed to making treatment choices before arriving in the U.S.