Muzik Maria, Kirk Rosalind, Alfafara Emily, Jonika Jennifer, Waddell Rachel
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Starfish Family Services, Livonia, MI, USA.
Health Expect. 2016 Apr;19(2):403-15. doi: 10.1111/hex.12364. Epub 2015 Mar 30.
In high risk, economically disadvantaged neighbourhoods, such as those primarily resident by black and minority ethnic groups (BME), teenage pregnancies are relatively more frequent. Such families often have limited access to and/or knowledge of services, including prenatal and post-partum physical and mental health support.
To explore preferences held by vulnerable young mothers of BME origin and those close to them about existing and desired perinatal health services.
DESIGN, SETTING AND PARTICIPANTS: Drawing on a community-based participatory approach, a community steering committee with local knowledge and experience of teenage parenthood shaped and managed an exploratory qualitative study. In collaboration with a local agency and academic research staff, community research assistants conducted two focus groups with 19 members and 21 individual semi-structured interviews with young mothers of BME origin and their friends or relatives. These were coded, thematically analysed, interpreted and subsequently triangulated through facilitator and participant review and discussion.
Despite perceptions of a prevalent local culture of mistrust and suspicion, a number of themes and accompanying recommendations emerged. These included a lack of awareness by mothers of BME origin about current perinatal health services, as well as programme inaccessibility and inadequacy. There was a desire to engage with a continuum of comprehensive and well-publicized, family-focused perinatal health services. Participants wanted inclusion of maternal mental health and parenting support that addressed the whole family.
It is both ethical and equitable that comprehensive perinatal services are planned and developed following consultation and participation of knowledgeable community members including young mothers of BME origin, family and friends.
在高风险、经济条件不利的社区，例如那些主要居住着黑人和少数族裔群体（BME）的社区，青少年怀孕相对更为频繁。这类家庭往往获得服务的机会有限，和/或对包括产前和产后身心健康支持在内的服务了解不足。
探讨BME族裔弱势年轻母亲及其身边的人对现有和期望的围产期保健服务的偏好。
设计、地点和参与者：采用基于社区的参与式方法，一个具有青少年父母相关本地知识和经验的社区指导委员会设计并管理了一项探索性定性研究。社区研究助理与当地机构及学术研究人员合作，对19名成员开展了两个焦点小组讨论，并对BME族裔年轻母亲及其朋友或亲属进行了21次个人半结构式访谈。对这些访谈内容进行编码、主题分析、解读，随后通过主持人及参与者的审查和讨论进行三角互证。
尽管存在对当地普遍不信任和怀疑文化的认知，但仍出现了一些主题及相应建议。这些包括BME族裔母亲对当前围产期保健服务缺乏认识，以及项目难以获得和不够完善。人们希望能参与到一系列全面且宣传良好、以家庭为重点的围产期保健服务中。参与者希望将涵盖整个家庭的孕产妇心理健康和育儿支持纳入其中。
在包括BME族裔年轻母亲、家人和朋友等有见识的社区成员参与协商后规划和发展全面的围产期服务，既符合道德规范，也公平合理。
