Ajayi Kobi V, Garney Whitney R
Department of Health Behavior, School of Public Health, Texas A&M University, College Station, Texas, USA.
Laboratory for Community Health Evaluation and Systems Science, Department of Health Behavior, School of Public Health, Texas A&M University, College Station, Texas, USA.
Womens Health Rep (New Rochelle). 2023 Feb 6;4(1):39-47. doi: 10.1089/whr.2022.0088. eCollection 2023.
"I think that some culturally sensitive mental health information could have been provided": What Black mothers with preterm infants want for their mental health care: A qualitative study.
In the United States, preterm birth (PTB) rates in Black women are 50% higher than in non-Hispanic White and Hispanic mothers. Existing discriminatory sociohistorical and contemporary health care practices have been linked to the alarmingly higher rates of PTB among Black families. While it is well-known that PTB is associated with increased mental health (MH) problems, Black women experience elevated MH burdens due to inequities along the care continuum in the neonatal intensive care unit (NICU). Consequently, culturally responsive MH care holds promises to achieve maternal MH equity. This study aimed to explore the available MH services and resources in the NICU for Black mothers with preterm infants. We also sought to discover potential recommendations and strategies for MH programs through a cultural lens.
Semistructured interviews were conducted with Black mothers with preterm infants using a Grounded Theory approach embedded in the Black feminist theory.
Eleven mothers who gave birth to a preterm infant between 2008 and 2021 participated in this study. Eight women reported not receiving MH services or resources in the NICU. Interestingly, of the three mothers who received MH referrals/services, two did so one-year postbirth and did not utilize the services. Three main themes emerged: stress and the NICU experience, coping mechanisms, and culturally appropriate MH care with diverse providers are needed. Overall, our finds suggest that MH care is not prioritized in the NICU.
Black mothers with preterm infants encounter numerous negative and stressful experiences that exacerbate their MH during and beyond the NICU. However, MH services in the NICU and follow-up services are scarce. Mothers in this study endorsed creating culturally appropriate MH programs that addresses their unique intersections.
“我认为本可以提供一些具有文化敏感性的心理健康信息”：早产婴儿的黑人母亲对其心理健康护理的期望：一项定性研究
在美国，黑人女性的早产率比非西班牙裔白人及西班牙裔母亲高出50%。现有的歧视性社会历史和当代医疗保健做法与黑人家庭中惊人的高早产率有关。虽然众所周知早产与心理健康问题增加有关，但由于新生儿重症监护病房（NICU）护理连续过程中的不公平现象，黑人女性承受着更高的心理健康负担。因此，具有文化响应性的心理健康护理有望实现孕产妇心理健康公平。本研究旨在探索新生儿重症监护病房为早产婴儿的黑人母亲提供的心理健康服务和资源。我们还试图通过文化视角发现心理健康项目的潜在建议和策略。
采用扎根理论方法并融入黑人女性主义理论，对早产婴儿的黑人母亲进行半结构化访谈。
11位在2008年至2021年间生下早产婴儿的母亲参与了本研究。8名女性报告在新生儿重症监护病房未获得心理健康服务或资源。有趣的是，在3名接受心理健康转诊/服务的母亲中，有2名是在产后一年才这样做的，而且并未使用这些服务。出现了三个主要主题：压力与新生儿重症监护病房经历、应对机制，以及需要与不同提供者提供的具有文化适宜性的心理健康护理。总体而言，我们的研究结果表明，心理健康护理在新生儿重症监护病房未得到优先重视。
早产婴儿的黑人母亲在新生儿重症监护病房期间及之后会遇到许多负面和压力大的经历，这会加剧她们的心理健康问题。然而，新生儿重症监护病房的心理健康服务和后续服务稀缺。本研究中的母亲们认可创建能解决她们独特交叉问题的具有文化适宜性的心理健康项目。
