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解决加拿大非洲裔女性已知的妊娠高血压疾病(AKOMA):一项混合方法研究的方案

Addressing Known hypertensive disOrders of pregnancy in woMen of African descent in Canada (AKOMA): protocol for a mixed method study.

作者信息

Baiden Deborah, Nerenberg Kara, Hillan Edith M, Dogba Maman Joyce, Parry Monica

机构信息

Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

Departments of Medicine, Obstetrics & Gynecology, Community Health Sciences, University of Calgary, Calgary, AB, Canada.

出版信息

Front Cardiovasc Med. 2024 Dec 16;11:1471199. doi: 10.3389/fcvm.2024.1471199. eCollection 2024.

Abstract

BACKGROUND

Hypertensive disorders of pregnancy (HDP) predispose a woman to maternity-related cardiovascular morbidity and mortality. However, there is limited literature on HDP among women of African descent in Canada.

METHODS AND DESIGN

A convergent mixed-method study will be used to investigate the intersection of self-reported HDP risks in women of African descent in Canada with a history of a HDP (quantitative, cross-sectional survey) and explore the perception and experiences of women of African descent living in Canada with a history of a HDP in relation to the intersection of risk factors (critical qualitative inquiry, interviews). Quantitative analysis will use SPSS V. 27.0 and thematic analysis will be conducted using NVivo V. 12. A joint display will be used to combine the quantitative and qualitative results.

DISCUSSION

Through the lens of intersectionality, the proposed study aims to provide a comprehensive understanding of the intersection of risks for HDP among women of African descent in Canada with a history of HDP. Furthermore, results could inform future strategies to reduce cardiovascular disease risks.

TRIAL REGISTRATION NUMBER

This is registered in the Open Sciences Framework as follows: https://doi.org/10.17605/OSF.IO/R6CKY.

摘要

背景

妊娠期高血压疾病(HDP)使女性易患与孕产相关的心血管疾病,增加发病和死亡风险。然而,关于加拿大非洲裔女性患HDP的文献有限。

方法与设计

本研究将采用聚合混合方法,通过一项针对有HDP病史的加拿大非洲裔女性自我报告的HDP风险的定量横断面调查,以及一项针对有HDP病史的加拿大非洲裔女性关于风险因素交叉点的认知和经历的定性访谈(关键定性探究),来研究两者的交叉情况。定量分析将使用SPSS V. 27.0,定性分析将使用NVivo V. 12。研究将采用联合展示的方式整合定量和定性研究结果。

讨论

本研究旨在从交叉性视角全面了解有HDP病史的加拿大非洲裔女性患HDP的风险交叉情况。此外,研究结果可为未来降低心血管疾病风险的策略提供参考。

试验注册号

本研究已在开放科学框架平台注册,链接如下:https://doi.org/10.17605/OSF.IO/R6CKY。

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