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南佛罗里达州海地孕妇的社会和临床风险评估。

Social and clinical risk assessment among pregnant Haitian women in South Florida.

出版信息

J Midwifery Womens Health. 2009 Nov-Dec;54(6):477-82. doi: 10.1016/j.jmwh.2009.07.008.

DOI:10.1016/j.jmwh.2009.07.008
PMID:19879520
Abstract

This article describes the cultural experiences of pregnant Haitian women living in South Florida and their implications for clinical risk assessment. Contemporary clinical risk evaluation during pregnancy includes an assessment of external and social sources of risk, such as domestic violence, homelessness, and socioeconomic status. The accumulating data about the birth outcomes among Haitian women living in the United States underscores their biomedical risk status. However, it is important for clinicians to also have a more nuanced understanding of the influence of contemporary Haitian culture on risk during pregnancy to accurately assess a woman's risk status. Using ethnographic methods, including participant observation and interviews with pregnant women as well as their providers, this project examines the gender, class, and sociopolitical experiences among pregnant Haitian women living in South Florida. Findings have important implications for clinical risk assessment within prenatal care.

摘要

本文描述了居住在南佛罗里达州的海地孕妇的文化体验,以及这些体验对临床风险评估的影响。当代妊娠期间的临床风险评估包括对家庭暴力、无家可归和社会经济地位等外部和社会风险源的评估。越来越多的关于居住在美国的海地妇女分娩结果的数据突显了她们的生物医学风险状况。然而,临床医生也需要更细致地了解当代海地文化对妊娠期间风险的影响,以便准确评估妇女的风险状况,这一点很重要。本项目采用人种学方法,包括对居住在南佛罗里达州的海地孕妇及其提供者进行参与式观察和访谈,研究了她们的性别、阶级和社会政治经历。研究结果对产前护理中的临床风险评估具有重要意义。

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