Gentry Quinn M, Nolte Kim M, Gonzalez Ainka, Pearson Magan, Ivey Symeon
QUINN M. GENTRY is a postdoctoral fellow at Johns Hopkins School of Public Health's Urban Health Institute and serves as a program evaluator for Messages of Empowerment Productions, LLC. KIM M. NOLTE is the vice-president of training and programs for The Georgia Campaign for Adolescent Pregnancy Prevention, Inc. AINKA GONZALEZ is an evaluation coordinator for Messages of Empowerment Productions, LLC. MAGAN PEARSON is an evaluation coordinator for Messages of Empowerment Productions, LLC. SYMEON IVEY is an assistant data manager for Messages of Empowerment Productions, LLC.
J Perinat Educ. 2010 Fall;19(4):24-40. doi: 10.1624/105812410X530910.
This article presents some of the most salient qualitative results from a larger program evaluation of pregnant and parenting adolescents who participated in a community-based doula program. Using grounded theory analysis, seven problem-solving strategies emerged that doulas apply in helping pregnant and parenting adolescents navigate multiple social and health settings that often serve as barriers to positive maternal- and child-health outcomes. The ethnographic findings of this study suggest that the doulas provide valuable assistance to pregnant and parenting adolescents by addressing social-psychological issues and socio-economic disparities. "Diverse role-taking" results in doulas helping pregnant adolescents navigate more successfully through fragmented social and health service systems that are less supportive of low-income adolescents, who are often perceived to be draining scarce resources. The findings have implications for the roles of community-based doulas assigned to low-income adolescents of color seeking to overcome obstacles and attain better educational and economic opportunities.
本文展示了对参与社区导乐项目的怀孕及育有子女的青少年进行的一项规模更大的项目评估中一些最显著的定性结果。通过扎根理论分析，得出了导乐在帮助怀孕及育有子女的青少年应对多个社会和健康环境时所采用的七种解决问题的策略，这些环境往往会成为实现积极母婴健康结果的障碍。本研究的人种志研究结果表明，导乐通过解决社会心理问题和社会经济差异，为怀孕及育有子女的青少年提供了宝贵的帮助。“多样化的角色承担”使导乐能够帮助怀孕的青少年更成功地在碎片化的社会和健康服务系统中穿行，这些系统对低收入青少年的支持较少，而低收入青少年往往被视为在消耗稀缺资源。这些发现对分配给寻求克服障碍并获得更好教育和经济机会的有色人种低收入青少年的社区导乐的角色具有启示意义。
