Renbarger Kalyn M, Abebe Sheila, Place Jean Marie, Goldsby Elizabeth, Hall Gabe, Kroot Adam
Department of Nursing and Ball State University, Muncie, Indiana, USA.
Department of Public Health, Ball State University, Muncie, Indiana, USA.
Womens Health Rep (New Rochelle). 2023 Aug 23;4(1):423-430. doi: 10.1089/whr.2023.0017. eCollection 2023.
Infant mortality (IM) is often used to determine overall population health and well-being. Health disparities exist with African American (AA) infants having higher rates of IM than White infants. The purpose of this study was to examine the knowledge, attitudes, and perceptions of members in an AA community regarding IM, which can be used to develop interventions.
A qualitative descriptive design guided this study. A county in the state of Indiana was the setting from which the researchers enrolled participants in this study. The participants consisted of 16 AA community members who were recruited from a local agency and who had completed an educational program on IM. Through semistructured phone interviews, participants described their understanding of IM. The data analysis of the transcribed interviews was performed content analysis to yield overall themes from the data.
The analysis identified three themes describing AA Community members' perspectives on IM: (1) (2) and (3)
The findings of this study suggest that participants avoided the topic of IM, often received misinformation from family members, and believed infant death could not be prevented. Health care providers should have an open and culturally competent discussion about issues of IM, engage family members, and support community-based initiatives and education for members in AA communities.
婴儿死亡率(IM)常被用于衡量总体人口的健康与福祉。存在健康差异,非裔美国(AA)婴儿的IM率高于白人婴儿。本研究的目的是调查一个非裔美国社区成员对IM的知识、态度和看法,这些可用于制定干预措施。
本研究采用定性描述性设计。印第安纳州的一个县是研究人员招募本研究参与者的地点。参与者包括16名从当地机构招募的非裔美国社区成员,他们完成了一项关于IM的教育项目。通过半结构化电话访谈,参与者描述了他们对IM的理解。对转录访谈进行数据分析,采用内容分析法从数据中得出总体主题。
分析确定了三个描述非裔美国社区成员对IM看法的主题:(1)(2)和(3)
本研究结果表明,参与者回避IM话题,经常从家庭成员那里获得错误信息,并且认为婴儿死亡无法预防。医疗保健提供者应该就IM问题进行开放且具有文化胜任力的讨论,让家庭成员参与进来,并支持针对非裔美国社区成员的社区倡议和教育。