SmithBattle Lee I
Saint Louis University, School of Nursing, St. Louis, MO, USA.
MCN Am J Matern Child Nurs. 2013 Jul-Aug;38(4):235-41; quiz 242-3. doi: 10.1097/NMC.0b013e3182836bd4.
Teen mothers are stigmatized by stereotypes that they are unmotivated, irresponsible, and incompetent parents. In spite of the pervasiveness of these stereotypes, stigma is rarely described as a contributing factor to teen mothers' difficulties and their health and social disparities. After tracing how teen mothers have been misrepresented and stereotyped over the last half century, I describe what is known about the stigma associated with teen mothering, reasons for its persistence, efforts to reduce it, and its potentially harmful effects. Stigma should be of concern to nurses because stigmatizing practices impede effective clinical care, contribute to teen mothers' many challenges, and violate the nursing ethic that patients be treated with respect and dignity. Recommendations for restoring dignity and reducing stigma in healthcare focus on developing recognition practices that are predicated on respect and concern for the teen's well-being and her capacity as a mother. Nurses are also urged to advocate for services and policies that reduce the stigmatization and marginalization of teen mothers.
青少年母亲常被刻板印象所污名化,这些刻板印象认为她们缺乏上进心、不负责任且不称职。尽管这些刻板印象普遍存在,但污名很少被描述为导致青少年母亲面临困难以及她们在健康和社会方面存在差距的一个因素。在追溯了过去半个世纪青少年母亲是如何被错误描述和刻板化之后,我阐述了关于与青少年母亲身份相关的污名、其持续存在的原因、减少污名的努力以及其潜在有害影响的已知情况。污名应引起护士的关注,因为污名化行为会阻碍有效的临床护理,加剧青少年母亲面临的诸多挑战,并违反了尊重和有尊严地对待患者的护理伦理。在医疗保健中恢复尊严和减少污名的建议侧重于制定基于对青少年福祉及其作为母亲能力的尊重和关注的认知做法。还敦促护士倡导提供减少对青少年母亲污名化和边缘化的服务及政策。