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加拿大黑人非洲裔新移民女性对产后心理健康服务的认知

Black African Newcomer Women's Perception of Postpartum Mental Health Services in Canada.

作者信息

Baiden Deborah, Evans Marilyn

机构信息

Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada.

出版信息

Can J Nurs Res. 2021 Sep;53(3):202-210. doi: 10.1177/0844562120934273. Epub 2020 Jun 19.

DOI:10.1177/0844562120934273
PMID:32551939
Abstract

STUDY BACKGROUND

The stress of immigrating, settling into Canada, and being a new mother, may place newcomer women at risk of mental health challenges. However, little is known on Black African newcomer women's perspectives of postpartum mental health care after experiencing childbirth in Canada.

PURPOSE

To explore sociocultural factors that impact Black African newcomer women's perception of mental health and mental health service utilization within a year after childbirth in Canada.

METHODS

This qualitative study, set in Southern Ontario, purposively sampled 10 African newcomer women who birthed a baby in Canada within the past year. Open-ended, semistructured interviews were conducted individually, transcribed and analyzed using thematic analysis.

RESULTS

Black African newcomer women rely on mental strength, nonmedical treatment preferences, spirituality, and spousal support for fostering postpartum mental health. Furthermore, cultural beliefs, racial discrimination, and temporary immigration status impact their decision making around postpartum mental health services utilization.

CONCLUSION

Our findings suggest that Black African newcomer women use mental strength to minimize maternal mental illness. Also, the spouses of Black African newcomer women are crucial in their postpartum mental health support. There is an urgent need for culturally safe interventions to meet the postpartum mental health needs of Black African newcomer mothers.

摘要

研究背景

移民、在加拿大定居以及初为人母所带来的压力,可能会使新移民女性面临心理健康挑战的风险。然而,对于在加拿大分娩后的非洲裔新移民女性对产后心理健康护理的看法,我们知之甚少。

目的

探讨影响非洲裔新移民女性在加拿大产后一年内对心理健康的认知以及心理健康服务利用情况的社会文化因素。

方法

这项定性研究在安大略省南部开展,目的抽样选取了10名在过去一年内在加拿大生育的非洲新移民女性。进行了开放式、半结构化的个体访谈,并使用主题分析法进行转录和分析。

结果

非洲裔新移民女性依靠心理力量、非医学治疗偏好、精神信仰和配偶支持来促进产后心理健康。此外,文化信仰、种族歧视和临时移民身份会影响她们在产后心理健康服务利用方面的决策。

结论

我们的研究结果表明,非洲裔新移民女性利用心理力量将产妇精神疾病降至最低。此外,非洲裔新移民女性的配偶在其产后心理健康支持方面至关重要。迫切需要开展具有文化安全性的干预措施,以满足非洲裔新移民母亲的产后心理健康需求。

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