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首页> 外文期刊>MCN: American Journal of Maternal-Child Nursing >Pregnant African American Women's Perceptions of Neighborhood, Racial Discrimination, and Psychological Distress as Influences on Birth Outcomes
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Pregnant African American Women's Perceptions of Neighborhood, Racial Discrimination, and Psychological Distress as Influences on Birth Outcomes

机译:怀孕的非洲裔美国妇女对社区,种族歧视和心理困扰的看法作为对出生结果的影响

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Background: African American women are more likely to experience preterm birth compared with White women. Social factors such as neighborhood disorder and experiences of racial discrimination, which disproportionately affect African American women, may partially explain these disparities. Purpose: The purpose of this study was to examine pregnant African American women's perceptions of neighborhood disorder, racial discrimination, and psychological distress and whether these concepts were viewed as influences on birth outcomes. Study Design and Methods: Using a mixed-methods approach, seven pregnant African American women completed questionnaires including scales for neighborhood disorder (Ross Neighborhood Disorder Scale), racial discrimination (Experiences of Discrimination), and psychological distress (Center for Epidemiological Studies Depression Scale; Psychological General Well-Being Index). All constructs were also assessed by semistructured interviews. Within- and across-case analyses were conducted to compare agreement and discordance between the data sources for each construct and to note patterns in the data. Results: The qualitative interviews provided data about women's experiences that were not captured by questionnaires alone. All of the women disclosed concerns about neighborhood conditions, experiences of discrimination, and psychological distress either reported on the questionnaires, during the qualitative interviews, or both. The mixed-methods approach provided a rich source of data that brought into focus the depth of the perceptions around these constructs. Clinical Implications: Maternal-child nurses should assess perceptions of neighborhood environment, racial discrimination, and psychological distress, as these factors may increase the risk for adverse pregnancy and birth outcomes.
机译:背景:与白人女性相比,非洲裔美国女性更有可能体验早产。社会因素,如邻里紊乱和种族歧视的经验,不成比例地影响非洲裔美国妇女,可能部分解释这些差异。目的:本研究的目的是审查怀孕的非洲裔美国女性对邻里疾病,种族歧视和心理困扰的看法以及这些概念是否被视为对出生结果的影响。研究设计和方法:使用混合方法方法,七个怀孕非洲裔美国妇女完成了调查问卷,包括邻里障碍(罗斯邻域紊乱规模),种族歧视(歧视经验)和心理窘迫(流行病学研究中心抑郁症;心理通用福祉指数)。所有构建体也被晶体化访谈评估。在和案例分析内进行,以比较每个构造的数据源与数据源之间的协议和义务,并记下数据中的模式。结果:定性访谈提供了有关妇女经验的数据,这些经历并没有被问卷捕获。所有妇女都披露了关于邻里条件,歧视和心理痛苦的经验,这些问题在质量访谈期间或两者之间都报告了问卷。混合方法方法提供了丰富的数据来源,使得焦点围绕这些构造的感知深度。临床意义:母婴护士应评估邻里环境,种族歧视和心理困扰的看护,因为这些因素可能会增加不良妊娠和出生结果的风险。

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