دورية أكاديمية
أعرض في EDS

Obstetric experiences of young black mothers: An intersectional perspective.

التفاصيل البيبلوغرافية
العنوان: Obstetric experiences of young black mothers: An intersectional perspective.
المؤلفون: OjiNjideka Hemphill N; Department of Kinesiology and Nutrition, University of Illinois Chicago 1747 W Roosevelt Road, Chicago, IL, 60608, USA. Electronic address: ojinjide@uic.edu., Crooks N; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: ncrooks@uic.edu., Zhang W; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: wzhan27@uic.edu., Fitter F; College of Liberal Arts and Sciences, University of Illinois Chicago 601 S. Morgan St., 4th Floor UH, Chicago, IL, 60607, USA. Electronic address: ffitte2@uic.edu., Erbe K; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: katherbe@uic.edu., Rutherford JN; Biobehavioral Health Science Division at the University of Arizona, PO Box 210203, Tucson, AZ, 85721, USA. Electronic address: ruther4d@uic.edu., Liese KL; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: kylea3@uic.edu., Pearson P; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: ppearson@uic.edu., Stewart K; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: kstewart@bsd.uchicago.edu., Kessee N; Department of Kinesiology and Nutrition, University of Illinois Chicago 1747 W Roosevelt Road, Chicago, IL, 60608, USA. Electronic address: nkesse2@uic.edu., Reed L; NewMoms, 5317 W Chicago Ave, Chicago, IL, 606051, USA. Electronic address: luecendia.reed@yahoo.com., Tussing-Humphreys L; Department of Kinesiology and Nutrition, University of Illinois Chicago 1747 W Roosevelt Road, Chicago, IL, 60608, USA. Electronic address: ltussing@uic.edu., Koenig MD; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave. MC 802, Chicago, IL, 60612, USA. Electronic address: marydh@uic.edu.
المصدر: Social science & medicine (1982) [Soc Sci Med] 2023 Jan; Vol. 317, pp. 115604. Date of Electronic Publication: 2022 Dec 09.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford ; New York : Pergamon, c1982-
مواضيع طبية MeSH: Mothers* , Racism*, Pregnancy ; Female ; Humans ; Trust ; Black or African American ; Black People ; Parturition
مستخلص: Background: In Chicago, maternal morbidity and mortality is six times more likely among Black birthing people than white, despite policy initiatives to promote maternal health equity. Disparities in maternal morbidity and mortality reflect experiences of structural inequities - including limited quality obstetric care, implicit bias, and racism resulting patient mistrust in the health care system, inadequate social support, and financial insecurity. Although there is published literature on Black women's experiences with obstetric care, including experiences with individual and structural racism, little is known about the intersection of age and race and experiences with health care. The purpose of this study was to explore the maternal health and pregnancy experiences of young Black women utilizing an intersectional theoretical lens.
Methods: In this study, we conducted two focus groups in a sample of 11 young Black pregnant people. We conducted a thematic analysis to identify codes, themes, and subthemes of the data.
Results: We developed two overarching themes: obstetric racism and obstetric resistance. To elucidate how obstetric racism framed our participants' healthcare experiences, we identified sub-themes: intersectional identities as young Black women, medical mistrust, and pregnancy trauma. The second major theme describes ways in which participants protected themselves against obstetric racism to engender positive health experiences. These methods of resistance included identifying advocates and relying on trusted providers.
Conclusions: The current standard of obstetric care in the US is suboptimal due to individual and structural racism. This study provides unique data on the experiences with health care for young, Black pregnant individuals and delivers valuable insight into how individual and structural racism impacts obstetric care for young Black women.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
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معلومات مُعتمدة: U54 MD012523 United States MD NIMHD NIH HHS
فهرسة مساهمة: Keywords: Age discrimination; Implicit bias; Intersectionality; Obstetric care; Obstetric experiences; Obstetric racism; Pregnancy; Racism
تواريخ الأحداث: Date Created: 20221222 Date Completed: 20230110 Latest Revision: 20240102
رمز التحديث: 20240102
مُعرف محوري في PubMed: PMC9854070
DOI: 10.1016/j.socscimed.2022.115604
PMID: 36549014
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-5347
DOI:10.1016/j.socscimed.2022.115604