Department of Family Practice, University of British Columbia, Canada; Centre for Rural Health Research, 530-1501 West Broadway, Vancouver, BC V6J4Z6, Canada.
Health Place. 2010 Jul;16(4):638-45. doi: 10.1016/j.healthplace.2010.02.001. Epub 2010 Feb 10.
The number of rural hospitals offering maternity care in British Columbia has significantly declined since 2000, mirroring trends of closures and service reductions across Canada. The impact on Aboriginal women is significant, contributing to negative maternal and newborn health and social outcomes. The present qualitative case study explored the importance of local birth for Aboriginal women from a remote BC community after the closure of local maternity services. Data collection consisted of 12 interviews and 55 completed surveys. The average participant age was 32 years old at the time of the study. From the perspective of losing local services, participants expressed the importance of local birth in reinforcing the attributes that contributed to their identities, including the importance of community and kinship ties and the strength of ties to their traditional territory.
自 2000 年以来，不列颠哥伦比亚省提供产妇保健服务的农村医院数量大幅减少，这反映了加拿大各地医院关闭和服务减少的趋势。这对原住民妇女的影响是巨大的，导致母婴健康和社会结果恶化。本定性案例研究探讨了在当地产妇服务关闭后，来自不列颠哥伦比亚省偏远社区的原住民妇女对本地生育的重要性。数据收集包括 12 次访谈和 55 份完整的调查问卷。研究时，参与者的平均年龄为 32 岁。从失去当地服务的角度来看，参与者表达了本地生育的重要性，认为本地生育有助于加强其身份认同的属性，包括社区和亲属关系的重要性以及与传统领地的联系的紧密程度。
