美国黑人聋人和重听妇女的孕产妇健康经历。

IF 2.8 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Womens Health Issues Pub Date : 2023-11-01 DOI:10.1016/j.whi.2023.07.005
Kaila V.T. Helm BA , Tiffany L. Panko MD, MBA , Melanie Herschel CCRP , Lauren D. Smith MPH , Monika Mitra PhD , Michael M. McKee MD, MPH
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引用次数: 0

摘要

引言:聋人和重听症妇女面临着许多健康不平等问题,包括不良的怀孕和分娩结果。由于残疾和种族的交叉,DHH黑人女性的这些结果可能会加剧。本研究旨在探讨黑人DHH妇女的妊娠和分娩经历,以确定影响其妊娠结局的因素。方法:在2018年至2019年间,对过去5年中分娩的67名DHH妇女进行了半结构化访谈。本研究对67名自称黑人的女性中的8名进行了亚组分析。访谈被记录、转录,并针对新出现的主题进行分析。结果:主要主题集中在未满足的需求、障碍和促进者。障碍包括由于沟通困难和获得住宿的困难,获得健康信息的机会有限。关键的促进者包括手语翻译的可用性、家庭支持和提供者的文化理解。与会者在向提供者和DHH妇女提出的建议中强调了这些促进者。研究结果还强调了承认文化认同在提供围产期保健方面的关键作用。结论:这项研究概述了影响美国黑人DHH妇女怀孕和分娩经历的主题。研究影响包括呼吁提供者采取行动,优先考虑为所有黑人DHH妇女提供沟通便利、可获取的信息和富有同情心的护理。此外,未来的工作应该探讨患者与其医疗保健提供者和工作人员之间文化和种族和谐的影响。了解跨部门身份如何影响围产期保健的获得,对于减少黑人DHH妇女之间的差距至关重要。
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Maternal Health Experiences of Black Deaf and Hard of Hearing Women in the United States

Introduction

Deaf and hard of hearing (DHH) women are faced with numerous health inequities, including adverse pregnancy and birth outcomes. These outcomes are likely exacerbated for Black DHH women because of the intersection of disability and race. This study aimed to explore the pregnancy and birth experiences of Black DHH women to identify factors that influence their pregnancy outcomes.

Methods

Semistructured interviews were conducted between 2018 and 2019 with 67 DHH women who gave birth in the past five years. The present study represents a subgroup analysis of eight of the 67 women who self-identified as Black. Interviews were recorded, transcribed, and analyzed for emerging themes.

Results

Primary themes centered on unmet needs, barriers, and facilitators. Barriers included limited access to health information owing to communication difficulties and challenges obtaining accommodations. Key facilitators included the availability of sign language interpreters, familial support, and cultural understanding from providers. Participants emphasized these facilitators in their recommendations to providers and DHH women. Findings also underscored the critical role of recognizing cultural identity in perinatal health care delivery.

Conclusions

This study outlines themes that affect pregnancy and birthing experiences among Black DHH women in the United States. Study implications include a call to action for providers to prioritize communication accommodations, accessible information, and compassionate care for all Black DHH women. Furthermore, future work should explore the impact of cultural and racial concordance between patients and their health care providers and staff. Understanding how intersectional identities affect perinatal health care access is crucial for reducing disparities among Black DHH women.

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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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