University of Washington Medical Center in Seattle, Seattle, WA, USA.
University of Washington Tacoma, Tacoma, WA, USA.
Public Health Nurs. 2022 Jan;39(1):238-250. doi: 10.1111/phn.12919. Epub 2021 May 10.
Inequities in maternal mortality in the United States are a form of structural violence against Black women. The concept of reproductive justice has been employed in the social sciences for almost 30 years, yet nursing has been slow to adopt this concept in promoting maternal-child health.
To analyze the concept of reproductive justice as used in peer-reviewed publications with the aim of reframing black maternal health in public health nursing scholarship, research, practice, and advocacy.
We conducted a systematic review of the social science literature. We analyzed selected articles though a principle-based concept analysis focusing on epistemological, pragmatic, linguistic, and logical principles.
Eight articles were selected from a pool of 377.
Race was identified as a source of power for understanding reproductive justice through individual knowledge, collective knowledge, and praxis. Pragmatically, reproductive justice is a social justice-oriented platform that bridges the pro-choice/pro-life divide; aids coalition building; and promotes inclusion. Linguistically, the concept is distinct from both reproductive health and reproductive rights. Reproductive justice is logically situated within intersectionality theory and the cumulative embodiment of oppressions Black women experience based on race, class, and gender.
Reproductive justice reframes public health nursing actions for Black women by focusing on uncovering systems of oppression, recognizing past historical injustices, and advancing cultural safety in health promotion. Multilevel interventions are needed to simultaneously address these injustices particularly in the areas of preconception health, maternal health, infant and child health, and Black family well-being across the reproductive lifespan.
美国产妇死亡率的不平等现象是对黑人女性的一种结构性暴力。生殖正义的概念在社会科学领域已经运用了近 30 年，但护理在促进母婴健康方面一直缓慢采用这一概念。
分析同行评议文献中生殖正义的概念，旨在重新构建公共卫生护理学术、研究、实践和宣传中的黑人产妇健康。
我们对社会科学文献进行了系统回顾。我们通过基于原则的概念分析来分析选定的文章，重点关注认识论、实用主义、语言和逻辑原则。
从 377 篇文章中选出了 8 篇文章。
种族被确定为通过个体知识、集体知识和实践来理解生殖正义的权力来源。从实用主义的角度来看，生殖正义是一个以社会正义为导向的平台，它弥合了支持选择/支持生命的分歧；有助于建立联盟；并促进包容。从语言上看，这一概念与生殖健康和生殖权利截然不同。生殖正义在理论上与交叉性理论相关，是黑人女性在种族、阶级和性别基础上所经历的各种压迫的累积体现。
生殖正义通过关注揭露压迫制度、认识过去的历史不公正以及促进健康促进中的文化安全，重新构建了针对黑人女性的公共卫生护理行动。需要采取多层次的干预措施，同时解决这些不公正现象，特别是在孕前健康、产妇健康、婴儿和儿童健康以及整个生殖生命周期中黑人家庭的福祉方面。
