Center for Vulnerable Populations/Health Disparities, University of California-Los Angeles School of Nursing, Los Angeles, CA 90095-1702, USA.
J Midwifery Womens Health. 2012 Sep-Oct;57(5):502-8. doi: 10.1111/j.1542-2011.2012.00165.x. Epub 2012 Aug 21.
American Indian women often have poor perinatal outcomes and are at risk for early childbearing. The purpose of this qualitative study was to understand the experience and meaning of early childbearing among American Indian women.
Employing interpretive phenomenology and a semistructured interview guide, we interviewed 30 adult American Indian women residing in a northwestern American Indian reservation about their experiences and meaning of early childbearing.
Three overarching themes were tied to their eventual positive evaluation of the experience: 1) mourning a lost childhood, 2) seeking fulfillment, and 3) embodying responsibility.
Women indicated that despite their tumultuous childhoods, early childbearing presented an opportunity to effect positive change in their lives. Women's health care providers are positioned to help women change their lives, thereby, improving health outcomes.
美国印第安女性的围产期结局往往较差,且有早育风险。本定性研究旨在了解美国印第安女性的早育体验和意义。
采用解释性现象学和半结构化访谈指南,我们访谈了 30 名居住在西北部印第安人保留地的成年美国印第安女性,了解她们早育的体验和意义。
有三个主题与她们对早育经历的最终积极评价有关:1)哀悼失去的童年,2)寻求满足,3)体现责任。
尽管这些女性的童年充满波折,但早育为她们的生活带来了积极改变的机会。女性的医疗保健提供者有能力帮助女性改变生活,从而改善健康结局。