Gardner Angelene, Oduola Sheri, Teague Bonnie
Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, UK.
School of Health Sciences, University of East Anglia, Norwich, UK.
Health Expect. 2024 Aug;27(4):e14160. doi: 10.1111/hex.14160.
Current research has identified how ethnic minority women experience poorer health outcomes during the perinatal period. In the United Kingdom, specialist perinatal mental health services provide mental health treatment for women throughout the perinatal period. Service users have previously highlighted that perinatal services are hard to access and lack cultural sensitivity, whereas healthcare professionals have described limited opportunities and resources for developing cultural competency.
We explored the experiences of ethnic minority women with National Health Service (NHS) specialist perinatal teams and identified what culturally sensitive perinatal mental health care means to this group.
Individual semi-structured interviews were conducted, and an interpretative phenomenological analysis framework was used to analyse the interview transcripts.
Participants were recruited from NHS specialist perinatal teams and online via social media.
Six women were interviewed. Four group experiential themes central to the experiences of participants emerged: (1) strengthening community networks and peer support; (2) valuing cultural curiosity; (3) making sense of how culture, ethnicity, race and racism impact mental health; and (4) tailoring interventions to ethnic minority women and their families.
The findings capture how ethnic minority women experience specialist perinatal teams and offer insights into practising culturally sensitive care. Perinatal mental health professionals can support ethnic minority women by strengthening their access to community resources and peer support; being curious about their culture; helping them to make sense of how culture, ethnicity, race and mental health interact; and applying cultural and practical adaptations to interventions.
A Lived Experience Advisory Group (LEAG) of women from ethnic minority groups contributed to the design and conduct of this study. The LEAG had lived experience of perinatal mental health conditions and accessing specialist perinatal teams. The LEAG chose to co-produce specific aspects of the research they felt fit with their skills and available time throughout five group sessions. These aspects included developing the interview topic guide, a structure for debriefing participants and advising on the social media recruitment strategy.
当前研究已明确少数族裔女性在围产期的健康状况较差。在英国，专业的围产期心理健康服务为女性在整个围产期提供心理健康治疗。此前，服务使用者强调围产期服务难以获得且缺乏文化敏感性，而医疗保健专业人员则表示发展文化能力的机会和资源有限。
我们探讨了少数族裔女性与国民保健服务（NHS）专业围产期团队的经历，并确定了对该群体而言具有文化敏感性的围产期心理健康护理意味着什么。
进行了个人半结构化访谈，并使用解释现象学分析框架来分析访谈记录。
参与者从NHS专业围产期团队招募，并通过社交媒体在线招募。
对六名女性进行了访谈。出现了四个对参与者经历至关重要的群体体验主题：（1）加强社区网络和同伴支持；（2）重视文化好奇心；（3）理解文化、种族、民族和种族主义如何影响心理健康；（4）为少数族裔女性及其家庭量身定制干预措施。
研究结果揭示了少数族裔女性如何体验专业围产期团队，并为实施具有文化敏感性的护理提供了见解。围产期心理健康专业人员可以通过加强少数族裔女性获得社区资源和同伴支持的机会；对她们的文化保持好奇心；帮助她们理解文化、种族、民族和心理健康如何相互作用；以及对干预措施进行文化和实际调整来支持少数族裔女性。
一个由少数族裔群体女性组成的生活经验咨询小组（LEAG）为这项研究的设计和实施做出了贡献。LEAG有围产期心理健康状况和接触专业围产期团队的生活经历。LEAG选择在五次小组会议中共同制作他们认为符合其技能和可用时间的研究特定方面。这些方面包括制定访谈主题指南、参与者汇报的结构以及就社交媒体招募策略提供建议。
