Department of Health Research Methods, Evidence & Impact, McMaster University, Hamilton, Canada.
Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Canada.
BMC Pregnancy Childbirth. 2020 Feb 17;20(1):113. doi: 10.1186/s12884-020-2762-0.
Perinatal health-seeking behaviours are influenced by various factors, including personal beliefs. South Asian women, who often live within a wide kinship system, can be influenced by the advice and guidance of their mothers and/or mothers-in-law.
To explore the cultural health perceptions of South Asian grandmothers within this context, we used constructivist grounded theory to sample and interview 17 South Asian grandmothers who reside in Southern Ontario, Canada. Interviews were audio-recorded, transcribed verbatim, and coded/analyzed by three independent coders.
Many grandmothers emphasized that the preconception phase should focus on building healthy habits around nutrition, physical activity, and mental wellness; the pregnancy period should encompass an enriched environment (positive relationships, healthy routines, nutritional enhancement); and the postpartum phase should emphasize healing and restoration for both the mother and newborn (self-care, bonding, rebuilding healthy habits). Many of the grandmothers conceptualized these stages as a cyclical relationship where healing and restoration transitions gradually to re-establishing healthy habits before having a subsequent child. They also expressed responsibility in supporting their daughters and/or daughters-in-law with their family units and encouraging the transfer of perinatal health information.
South Asian grandmothers are involved in supporting the family units of their children and involving them in perinatal health programming can be an effective way to translate health knowledge to South Asian women. Video abstract. In order to impact a broad, diverse audience of community members, we collaborated with a South Asian film-maker to distil the research findings, write an impactful script, and produce a short digital story based on the research findings. Currently available on social media (https://www.youtube.com/watch?v=tjcNUVOwatU), the film was celebrated with a CIHR Institute for Human Development, Child and Youth Health Video Talks Prize in 2016.
围产期健康寻求行为受到多种因素的影响，包括个人信仰。南亚妇女通常生活在一个广泛的亲属体系中，她们可能会受到母亲和/或婆婆的建议和指导的影响。
为了在这种背景下探索南亚祖母的文化健康观念，我们使用建构主义扎根理论对 17 位居住在加拿大安大略省南部的南亚祖母进行了抽样和访谈。访谈进行了录音，逐字记录，并由三位独立的编码员进行编码/分析。
许多祖母强调，受孕前阶段应侧重于围绕营养、体育活动和心理健康建立健康习惯；妊娠阶段应包括丰富的环境（积极的关系、健康的常规、营养增强）；产后阶段应强调母亲和新生儿的康复和恢复（自我保健、结合、重建健康习惯）。许多祖母将这些阶段概念化为一个循环关系，在这个关系中，康复和恢复逐渐过渡到在再次生育之前重新建立健康习惯。她们还表示，有责任支持女儿和/或儿媳及其家庭单位，并鼓励传递围产期健康信息。
南亚祖母参与支持其子女的家庭单位，让他们参与围产期健康计划可以成为向南亚妇女传播健康知识的有效途径。视频摘要。为了影响广大的、多样化的社区成员群体，我们与一位南亚电影制作人合作，从研究结果中提炼出精华，撰写了一个有影响力的脚本，并根据研究结果制作了一个短篇数字故事。该电影目前可在社交媒体上观看（https://www.youtube.com/watch?v=tjcNUVOwatU），并于 2016 年获得加拿大卫生研究院人类发展、儿童和青年健康视频演讲奖。
