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有幼儿的母亲如何看待内分泌干扰化学物质?:一项探索性定性研究。

How do mothers with young children perceive endocrine-disrupting chemicals?: an exploratory qualitative study.

机构信息

Wonju College of Nursing, Yonsei University, Wonju, Korea.

College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

出版信息

Korean J Women Health Nurs. 2023 Dec;29(4):337-347. doi: 10.4069/kjwhn.2023.11.28. Epub 2023 Dec 28.

Abstract

PURPOSE

Despite the health impacts of endocrine-disrupting chemicals (EDCs) beginning in the early stages of life, there is little research on the perception of EDCs among Korean mothers, who are primarily responsible for protecting children. This study aimed to explore how mothers with young children perceived EDCs for their concerns, the issues they faced, and the way they dealt with them.

METHODS

An exploratory qualitative design was utilized. Twelve mothers who were recruited from snowball sampling participated in voluntary interviews. Individual in-depth interviews lasting approximately 47 to 60 minutes were recorded and transcribed verbatim. The data were analyzed using qualitative content analysis as suggested by Graneheim and Lundman.

RESULTS

Four categories, 10 subcategories, and 25 condensed meaning units were identified by interpreting mothers' underlying meanings. The four categories were 'Knowledgeable yet contrasting ideas regarding EDCs,' 'Negative health impact, but more so for children,' 'Inaction or trying to minimize exposure,' and 'Need for early, reliable resources and social change.' Mothers were knowledgeable about EDCs and actively needed further education and support. While they tended to focus more on the health impact of EDCs on their children and were optimistic about their health risks, paying less attention to their preventive behaviors.

CONCLUSION

Healthcare professionals must consider mothers' perceptions of EDCs in future education and interventions regarding EDCs impact on women's life stages such as puberty, pregnancy, and childrearing. Also preventive strategies that can be applied to their daily lives are needed.

摘要

目的

尽管内分泌干扰化学物质(EDCs)对生命早期阶段的健康有影响,但针对主要负责保护儿童的韩国母亲对 EDCs 的认知,研究甚少。本研究旨在探索有年幼子女的母亲如何看待 EDCs 及其担忧、面临的问题以及应对方式。

方法

采用探索性定性设计。通过滚雪球抽样,招募了 12 名母亲参与自愿性访谈。访谈时间约为 47 至 60 分钟,全程录音并逐字转录。采用 Graneheim 和 Lundman 提出的定性内容分析法分析数据。

结果

通过解释母亲的潜在含义,确定了四个类别、十个亚类别和二十五个浓缩意义单位。四个类别是“对 EDCs 的认识但存在矛盾的观点”、“对健康有负面影响,但对儿童的影响更大”、“不作为或试图尽量减少暴露”和“需要早期、可靠的资源和社会变革”。母亲对 EDCs 有一定的了解,但积极需要进一步的教育和支持。虽然她们更关注 EDCs 对孩子健康的影响,并对自身健康风险持乐观态度,但对预防行为关注较少。

结论

医疗保健专业人员在未来针对 EDCs 对女性生命阶段(如青春期、怀孕和育儿)的影响进行教育和干预时,必须考虑母亲对 EDCs 的认知。还需要制定可以应用于日常生活的预防策略。

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