Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
Nell Hodgson School of Nursing, Emory University, Atlanta, GA, USA.
Cult Health Sex. 2020 Aug;22(8):920-936. doi: 10.1080/13691058.2019.1642517. Epub 2019 Aug 6.
Current measures of unintended pregnancy underestimate the co-occurring, complex set of social, cultural, economic and structural factors that influence how women interpret unintended pregnancy. The purpose of this study was to prospectively explore young adult US-born Latinas' thoughts, feelings and beliefs about pregnancy, specifically unintended pregnancies and the sociocultural factors identified as contributors to those beliefs. In-depth interviews ( = 20) were conducted with US-born, English-speaking Latinas aged 18-25 years in south Florida. Seventeen participants did not intend to get pregnant, while the remaining participants ( = 3) reported that their intentions kept changing. Participants' beliefs regarding their unintended pregnancy were influenced by social and economic hardship and cultural factors such as and . Ideas and the meaning of pregnancy differed based on the woman's pregnancy resolution decision. Many women felt the term 'unintended pregnancy' placed blame on women and was stigmatising. When discussing pregnancy planning, most participants felt that women should not plan their pregnancies and doing so was going against fate. Findings suggest that salient influences such as culture and the social determinants related to unintended pregnancy should be incorporated into measurements examining unintended pregnancy.
目前衡量意外怀孕的方法低估了一系列复杂的社会、文化、经济和结构因素,这些因素影响着女性对意外怀孕的理解。本研究旨在前瞻性地探讨美国出生的年轻拉丁裔女性对怀孕的想法、感受和信念,特别是意外怀孕以及被认为是导致这些信念的社会文化因素。在佛罗里达州南部,对 18-25 岁的讲英语的美国出生的拉丁裔女性进行了深入访谈( = 20)。17 名参与者没有打算怀孕,而其余 3 名参与者( = 3)报告说他们的意图一直在变化。参与者对意外怀孕的看法受到社会和经济困难以及文化因素的影响,如 和 。怀孕的想法和意义因女性的怀孕决定而异。许多女性觉得“意外怀孕”这个词是在指责女性,是带有污名的。在讨论怀孕计划时,大多数参与者认为女性不应该计划怀孕,这样做是违背命运的。研究结果表明,应该将文化等重要影响因素以及与意外怀孕相关的社会决定因素纳入衡量意外怀孕的指标中。