Fitzpatrick College of Nursing, Villanova University, 800 Lancaster Avenue, Villanova, PA, 19085, USA.
Clinical Simulation Director, Department of OB/GYN, Temple University Hospital, 3401 N. Broad Street, Philadelphia, PA, 19140, USA.
Matern Child Health J. 2021 Jun;25(6):929-937. doi: 10.1007/s10995-021-03121-7. Epub 2021 Mar 24.
The purpose of this study was to explore socio-ecological influences affecting the daily lives of urban, pregnant Puerto Rican women and factors negatively influencing their health seeking behaviors related to prenatal care.
Qualitative, descriptive methods were used including individual interviews and focus groups to obtain maximum understanding of the women's lives. The interviews and focus groups were conducted using a semi-structured interview guide based on various components of the study's conceptual framework. Content analytic strategies included rigorous and systematic processes to increase trustworthiness: training, supervision, audits, electronic technologies, and ongoing input of the research team.
Factors on all levels of the study's conceptual framework compound the effects of stressors and restrictions on the lives of urban, childbearing Puerto Rican woman. The intersectionality of issues for Puerto Rican women can either mitigate or heighten the pressure on their daily lives.
This initial research sets the groundwork for further studies, such as narrative analysis, to better understand how to build appropriate and relevant interventions. Uncovering the women's stories gives them the opportunity to be a critical part of cross-sector partnerships towards the development of sustainable interventions.
本研究旨在探讨影响城市、怀孕波多黎各妇女日常生活的社会生态影响因素，以及对其产前保健健康寻求行为产生负面影响的因素。
采用定性、描述性方法，包括个人访谈和焦点小组，以充分了解妇女的生活。访谈和焦点小组采用基于研究概念框架各个组成部分的半结构化访谈指南进行。内容分析策略包括培训、监督、审计、电子技术和研究团队的持续投入等严格而系统的流程，以提高可信度。
研究概念框架各层面的因素都加剧了城市、生育期波多黎各妇女生活中的压力源和限制因素的影响。波多黎各妇女问题的交叉性可能减轻或加剧她们日常生活的压力。
这项初步研究为进一步的研究奠定了基础，例如叙事分析，以更好地了解如何构建适当和相关的干预措施。揭示妇女的故事使她们有机会成为跨部门伙伴关系的重要组成部分，以制定可持续的干预措施。
