Abrams Laura S, Dornig Katrina, Curran Laura
Department of Social Welfare, School of Public Affairs, University of California-Los Angeles, Los Angeles, California, USA.
Qual Health Res. 2009 Apr;19(4):535-51. doi: 10.1177/1049732309332794.
The risks of untreated postpartum depression (PPD) in the United States are higher among low-income ethnic minority mothers. However, research has not adequately investigated barriers to formal help seeking for PPD symptoms among this vulnerable population. We used convenience and purposive sampling strategies to recruit mothers experiencing past-year (the year prior to interview) PPD symptoms (n=14), community key informants (n=11), and service providers (n=12) to participate in focus groups and individual interviews. A grounded theory analysis of these nested perspectives revealed individual, community, and provider-level barriers operating at various stages of the help-seeking process: thinking about symptoms, seeking advice, and rejecting formal care. Although mothers overwhelmingly recommended "talking it out" for other mothers with PPD, an array of attitudinal and instrumental barriers led mothers to choose self-help practices in lieu of formal mental health care.
在美国，低收入少数族裔母亲患产后抑郁症（PPD）且未得到治疗的风险更高。然而，研究尚未充分调查这一弱势群体在寻求针对PPD症状的正规帮助时所面临的障碍。我们采用便利抽样和目的抽样策略，招募了过去一年（访谈前一年）有PPD症状的母亲（n = 14）、社区关键信息提供者（n = 11）和服务提供者（n = 12），让他们参与焦点小组和个人访谈。对这些嵌套观点进行的扎根理论分析揭示了在寻求帮助过程的各个阶段（思考症状、寻求建议和拒绝正规护理）存在的个人、社区和提供者层面的障碍。尽管母亲们压倒性地建议其他有PPD的母亲“把问题说出来”，但一系列态度和实际障碍导致母亲们选择自助方式而非正规的心理健康护理。
