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支持母亲?印度部落社区中男性参与孕产妇保健的文化背景考察。

Supported motherhood? An examination of the cultural context of male participation in maternal health care among tribal communities in India.

机构信息

Interdiciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, Maharashtra, India.

International Institute for Population Sciences, Mumbai, India.

出版信息

J Biosoc Sci. 2020 May;52(3):452-471. doi: 10.1017/S0021932019000580. Epub 2019 Oct 10.

DOI:10.1017/S0021932019000580
PMID:31599220
Abstract

In many cultural settings worldwide, within families, men tend to be responsible for important choices relating to the allocation of household resources and care-seeking behaviour that directly impact on the health of women and newborns. This study examines the extent of male participation in antenatal care (ANC), delivery, postnatal care (PNC), household chores and providing food to wives among tribal communities in India. In addition, health care providers' views on male participation in maternal health were examined. Primary data were collected from 385 men aged 15-49 from rural Gadchiroli District in Maharashtra, India. Interviews of 385 men whose wives had delivered a child within the previous 2 years were conducted between November 2014 and March 2015. Bivariate and multivariate analyses were done. The results showed that the tribal men's participation in maternal health care was minimal. Around 22% of the men reported accompanying their wives to ANC, 25% were present at the time of delivery of their children and 25% accompanied their wives to PNC. Participation in household work, and support for wives in other ways, were slightly better. The main reason given by men for not participating in maternal health care was that they didn't think it was necessary, believing that all maternal health issues were women's concern. Health care providers among these tribal communities in India should encourage men to participate in issues related to maternal health care.

摘要

在全球许多文化背景下,在家庭中,男性往往负责与家庭资源分配和寻求护理行为相关的重要决策,这些决策直接影响妇女和新生儿的健康。本研究考察了印度部落社区中男性参与产前护理 (ANC)、分娩、产后护理 (PNC)、家务和为妻子提供食物的程度。此外,还研究了卫生保健提供者对男性参与孕产妇保健的看法。2014 年 11 月至 2015 年 3 月,从印度马哈拉施特拉邦加奇罗利区的农村地区收集了 385 名年龄在 15-49 岁的男性的主要数据。对 385 名在过去 2 年内妻子分娩的男性进行了访谈。进行了单变量和多变量分析。结果表明,男性参与孕产妇保健的程度很低。约 22%的男性表示陪同妻子接受 ANC,25%的男性在孩子出生时在场,25%的男性陪同妻子接受 PNC。参与家务劳动和以其他方式支持妻子的情况稍好一些。男性不参与孕产妇保健的主要原因是他们认为没有必要,认为所有孕产妇保健问题都是女性的问题。印度这些部落社区的卫生保健提供者应鼓励男性参与与孕产妇保健相关的问题。

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