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“这就像一个诅咒”。威斯康星州都市地区印第安原住民女性在代际暴力、怀孕和亲密伴侣暴力相互交织下的生活经历。

"It is like a curse". The lived experiences of the intersection of intergenerational violence, pregnancy, and intimate partner violence among urban Wisconsin Indigenous women.

机构信息

School of Nursing, University of Wisconsin-Madison, United States of America.

School of Nursing, University of Wisconsin-Madison, United States of America.

出版信息

Arch Psychiatr Nurs. 2024 Aug;51:274-281. doi: 10.1016/j.apnu.2024.06.010. Epub 2024 Jul 1.

Abstract

BACKGROUND

Intimate Partner Violence (IPV) is a significant public health concern that disproportionately impacts Indigenous American women more than any other ethnic/racial group in the United States.

PURPOSE

This study aims to inform the work of nurses and allied health professionals by providing insight into the lived realities of Indigenous women in urban areas and how IPV manifests in the lives of Indigenous women.

METHODS

Postcolonial and Indigenous feminist frameworks informed this qualitative study. Using thematic analysis, we analyzed data from semi-structured individual interviews with 34 Indigenous women in large urban areas in the upper Midwest.

FINDINGS

This manuscript discusses one broad theme: experiences of IPV during pregnancy and the devastating impacts on women and their children in the form of intergenerational trauma. Under this broad theme, we identified two sub-themes: impacts of IPV on individual pregnancy experiences and linkages to adverse pregnancy-related outcomes related to physical IPV during the childbearing years.

CONCLUSION

This Indigenous-led study informs the development of effective Indigenous-specific interventions to minimize barriers to accessing prenatal care and help-seeking when experiencing IPV to reduce the devastating consequences for Indigenous women and their families.

摘要

背景

亲密伴侣暴力(IPV)是一个重大的公共卫生问题,对美国的美洲原住民女性的影响比任何其他族裔/种族群体都更为严重。

目的

本研究旨在通过深入了解城市地区原住民女性的现实生活和 IPV 在原住民女性生活中的表现,为护士和相关健康专业人员的工作提供信息。

方法

后殖民和原住民女权主义框架为这项定性研究提供了信息。我们使用主题分析方法,对来自中西部上地区 34 名原住民女性的半结构式个人访谈数据进行了分析。

结果

本文讨论了一个广泛的主题:怀孕期间的 IPV 经历以及对女性及其子女的代际创伤的毁灭性影响。在这个广泛的主题下,我们确定了两个子主题:IPV 对个人怀孕经历的影响,以及与生育年龄期间身体 IPV 相关的不良妊娠结局之间的联系。

结论

这项由原住民主导的研究为制定有效的针对原住民的干预措施提供了信息,以减少在经历 IPV 时获得产前护理和寻求帮助的障碍,从而减少对原住民女性及其家庭的毁灭性后果。

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