Campanella K, Korbin J E, Acheson L
School of Medicine, Case Western Reserve University, Cleveland, OH 44106-7125.
Soc Sci Med. 1993 Feb;36(3):333-42. doi: 10.1016/0277-9536(93)90017-x.
This study examined Amish patterns of perinatal health care utilization from the perspective of Amish women and local health care providers in Geauga County, Ohio. Participant observation and interviews with health care providers and 15 Amish women yielded data on perinatal beliefs and utilization patterns for 76 pregnancies. While local health care providers regard the Amish as suboptimally utilizing prenatal care, this study found a consistent pattern of health seeking behavior. In the absence of symptoms perceived to be serious, Amish women initiated prenatal care earlier for first pregnancies and progressively later with increasing parity. Amish women's perinatal health care utilization must be seen within the context of barriers of transportation, cost, and child care needs. The Amish do not automatically reject medical technology, but select those aspects that are congruent with and that will support and maintain their way of life. Further, despite outward appearances of homogeneity, Amish women display individual variability in responding to pregnancy and childbirth.
本研究从俄亥俄州乔加县阿米什族女性和当地医疗服务提供者的角度，考察了阿米什族围产期保健利用模式。通过对医疗服务提供者和15名阿米什族女性进行参与观察和访谈，获得了76例妊娠的围产期信念和利用模式数据。虽然当地医疗服务提供者认为阿米什族对产前保健的利用不够理想，但本研究发现了一种一致的就医行为模式。在没有被认为是严重症状的情况下，阿米什族女性首次怀孕时更早开始产前保健，随着胎次增加开始时间逐渐推迟。阿米什族女性围产期保健的利用必须结合交通、成本和儿童保育需求等障碍来理解。阿米什族不会自动排斥医疗技术，而是选择那些与他们的生活方式相符、能够支持和维持他们生活方式的方面。此外，尽管表面上看起来同质化，但阿米什族女性在应对怀孕和分娩时表现出个体差异。
