J Pediatr Health Care. 2021 Mar-Apr;35(2):205-215. doi: 10.1016/j.pedhc.2020.10.004. Epub 2020 Dec 25.
Latinas are at an increased risk for diabetes and reproductive health (RH) complications with sexuality and pregnancy. This study explored the understanding of diabetes related to RH, pregnancy, unplanned pregnancies, preconceptioncounseling, tight-control, and family planning among Latina adolescents with diabetes and their mothers and explored converging themes.
The qualitative descriptive study used written open-ended questions (English or Spanish) with Latina mothers (n = 13) and daughters (n = 21). Responses were transcribed. Content analysis was used by four researchers who coded and discussed themes and reached consensus. Converging themes were confirmed using Atlas.ti software.
Seven themes emerged from the mother-daughter dyad: communication (awkwardness, ambivalence, styles); control (being controlled vs. controlling); consequences (fertility, complications); planning (pregnancy, being healthy, life plan, RH); support; danger, risk, and safety; and stigma.
Many mother-daughter dyads were not ready to discuss RH among themselves. Cultural and familial perspectives should be considered when providing care and preconception counseling to this population.
拉丁裔女性面临更高的糖尿病和生殖健康（RH）并发症风险，包括性行为和怀孕。本研究探讨了糖尿病与 RH、怀孕、意外怀孕、孕前咨询、严格控制和计划生育之间的关系，以及拉丁裔青少年糖尿病患者及其母亲的理解，并探讨了趋同主题。
这项定性描述性研究使用了带有拉丁裔母亲（n=13）和女儿（n=21）的书面开放式问题（英语或西班牙语）。对回答进行了转录。四位研究人员使用内容分析法对主题进行编码和讨论，并达成共识。使用 Atlas.ti 软件确认趋同主题。
从母女二人组中出现了七个主题：沟通（尴尬、矛盾、风格）；控制（被控制与控制）；后果（生育能力、并发症）；计划（怀孕、健康、生活计划、RH）；支持；危险、风险和安全；和耻辱。
许多母女二人组还没有准备好彼此之间讨论 RH。在为这一人群提供护理和孕前咨询时，应考虑文化和家庭观点。
