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一个跨学科的概念框架,用于减少不良出生结局的情境化韧性。

A Transdisciplinary Conceptual Framework of Contextualized Resilience for Reducing Adverse Birth Outcomes.

机构信息

University of California, San Francisco, San Francisco, California, USA.

University of California, Berkeley, Berkeley, California, USA.

出版信息

Qual Health Res. 2020 Jan;30(1):105-118. doi: 10.1177/1049732319885369. Epub 2019 Nov 21.

DOI:10.1177/1049732319885369
PMID:31752598
Abstract

Research in preterm birth has focused on the disparate outcomes for Black, Hispanic, and Latina women as compared with White women. However, research studies have not focused on centering these women in frameworks that discuss how resilience is embodied. This article is a presentation of our transdisciplinary contextual framework of resilience, building on work that centers Black, Hispanic, and Latina women, as well as historical oppression and trauma resilience frameworks developed by transcultural psychiatry, psychology, public health, anthropology, medicine, nursing, sociology, and social work. To develop the model, we reviewed 115 articles and books (1977-2019), which were then evaluated and synthesized to develop a transdisciplinary framework of contextualized resilience to enable a better understanding of the complex interplay of medical and social conditions influencing preterm birth. The framework includes multiple ecological layers that cross the individual, familial and intimate, community, structural, policy and law, and hegemonic domains.

摘要

早产研究主要关注黑人、西班牙裔和拉丁裔女性与白人女性之间不同的结局。然而,研究并未以这些女性为中心,探讨韧性是如何体现的。本文介绍了我们跨学科的韧性背景框架,这是基于以黑人和西班牙裔及拉丁裔女性为中心的工作,以及跨文化精神病学、心理学、公共卫生、人类学、医学、护理、社会学和社会工作领域制定的历史压迫和创伤韧性框架。为了开发该模型,我们回顾了 115 篇文章和书籍(1977-2019 年),然后对其进行评估和综合,以开发一个跨学科的背景化韧性框架,从而更好地理解影响早产的医疗和社会条件的复杂相互作用。该框架包括跨越个体、家庭和亲密关系、社区、结构、政策和法律以及霸权领域的多个生态层。

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