Robledo-Gil Talia, Kemet Shakkaura, Pensak Meredith, Cutler Abigail, McNamara Blair, Kennedy Holly Powell, Lundsberg Lisbet, Gariepy Aileen
1501Johns Hopkins Hospital, Baltimore, MD, USA.
8785University of California, San Francisco, CA, USA.
Hisp Health Care Int. 2022 Jun;20(2):107-114. doi: 10.1177/15404153211041013. Epub 2021 Sep 14.
Research on Spanish-speaking Latina/Hispanic women's experiences during pregnancy is limited. We recruited women from urban, walk-in pregnancy testing clinics from June 2014 to June 2015. Women aged 16-44 years, at less than 24 weeks gestational age, who spoke either English or Spanish were eligible and completed an enrollment questionnaire and individual interview according to language preference. During qualitative interviews, we explored pregnancy intentions, initial reactions to a new pregnancy, and feelings about the impact of this pregnancy on relationships and daily life. Qualitative narrative content analysis was conducted using Atlas.ti software. Among interviews with 31 Spanish-speaking Latina/Hispanic pregnant women, participants' average age was 28 years old with a mean gestational age of 7 weeks. We identified social isolation as the most common theme, characterized by four interwoven and overlapping subthemes: (1) sola-the experience of feeling alone; (2) familismo cercano-the importance of close relationships; (3) familismo lejano-overcoming long distance relationships; and (4) mi patria-preserving homeland cultural connectedness. Spanish-speaking Latina/Hispanic pregnant women described experiencing multiple aspects of social isolation. Language preference may suggest risk of social isolation, necessitating provider awareness and support initiatives to improve social support and lessen social isolation among newly pregnant, Spanish-speaking Latina women.
关于讲西班牙语的拉丁裔/西班牙裔女性孕期经历的研究有限。我们于2014年6月至2015年6月从城市的即到即测孕期诊所招募女性。年龄在16 - 44岁、孕周小于24周、会说英语或西班牙语的女性符合条件，并根据语言偏好完成一份登记问卷和个人访谈。在定性访谈中，我们探讨了怀孕意向、对新怀孕的最初反应，以及对此次怀孕对人际关系和日常生活影响的感受。使用Atlas.ti软件进行定性叙事内容分析。在对31名讲西班牙语的拉丁裔/西班牙裔孕妇的访谈中，参与者的平均年龄为28岁，平均孕周为7周。我们将社会孤立确定为最常见的主题，其特点是有四个相互交织且重叠的子主题：（1）sola——孤独的感受；（2）familismo cercano——亲密关系的重要性；（3）familismo lejano——克服远距离关系；（4）mi patria——保持与祖国的文化联系。讲西班牙语的拉丁裔/西班牙裔孕妇描述了经历社会孤立的多个方面。语言偏好可能表明存在社会孤立的风险，这需要医护人员提高认识并采取支持举措，以改善社会支持并减少新怀孕的讲西班牙语的拉丁裔女性中的社会孤立现象。
