PDF(Pubmed)
Abstract：
UNASSIGNED: Homelessness during pregnancy contributes to adverse pregnancy and infant outcomes from birth through early childhood. Washington, DC, a microcosm of structural inequities in the United States, has persistent racial disparities in perinatal outcomes and housing insecurity.
UNASSIGNED: Grounded in a reproductive justice framework, we explored the lived experience of navigating homelessness assistance while pregnant to inform recommendations for a collaborative policy and practice change effort. We conducted 20 individual interviews with DC residents who experienced homelessness during pregnancy. We analyzed the data using thematic analysis and an action-oriented approach.
UNASSIGNED: Our analysis resulted in three main recommendation areas for policy and practice change: (1) timely and meaningful access to safe and stable housing in pregnancy; (2) care coordination for services and referrals that support physical, mental, and social well-being; and (3) access to a living wage and affordable housing.
UNASSIGNED: Access to stable housing is critical to ensure that pregnant and parenting people can have and raise children in a safe and sustainable environment-key tenets of reproductive justice. Housing support must be meaningfully accessible, including service delivery that accommodates the complex social histories and competing demands that accompany housing insecurity.
UNASSIGNED: This study informed the development of strategic recommendations, catalyzed a new model for multisector collaboration, and influenced a system-wide practice change to expand access to robust housing supports for pregnant people. Policy and practice change require sustained leveraging of political will to promote economic justice and ensure that residents can achieve safe, sustainable, and affordable housing.
UNASSIGNED: Grounded in a reproductive justice framework, we explored the lived experience of navigating homelessness assistance while pregnant to inform recommendations for a collaborative policy and practice change effort. We conducted 20 individual interviews with DC residents who experienced homelessness during pregnancy. We analyzed the data using thematic analysis and an action-oriented approach.
UNASSIGNED: Our analysis resulted in three main recommendation areas for policy and practice change: (1) timely and meaningful access to safe and stable housing in pregnancy; (2) care coordination for services and referrals that support physical, mental, and social well-being; and (3) access to a living wage and affordable housing.
UNASSIGNED: Access to stable housing is critical to ensure that pregnant and parenting people can have and raise children in a safe and sustainable environment-key tenets of reproductive justice. Housing support must be meaningfully accessible, including service delivery that accommodates the complex social histories and competing demands that accompany housing insecurity.
UNASSIGNED: This study informed the development of strategic recommendations, catalyzed a new model for multisector collaboration, and influenced a system-wide practice change to expand access to robust housing supports for pregnant people. Policy and practice change require sustained leveraging of political will to promote economic justice and ensure that residents can achieve safe, sustainable, and affordable housing.
摘要：
■怀孕期间的无家可归导致从出生到幼儿的不良妊娠和婴儿结局。华盛顿,DC,美国结构性不平等的缩影，在围产期结局和住房不安全方面存在持续的种族差异。
■基于生殖正义框架，我们探索了在怀孕期间导航无家可归援助的生活经验，为合作政策和实践变革工作提供建议。我们对怀孕期间无家可归的DC居民进行了20次个人访谈。我们使用主题分析和面向行动的方法分析了数据。
我们的分析得出了三个主要建议领域的政策和做法的变化：（1）在怀孕期间及时和有意义地获得安全和稳定的住房；（2）为支持身体，心理，和社会福祉；(3)获得生活工资和负担得起的住房。
■获得稳定的住房对于确保孕妇和育儿者能够在安全和可持续的环境中生育和抚养孩子至关重要，这是生殖正义的关键原则。住房支持必须有意义地获得，包括适应复杂的社会历史和伴随住房不安全的竞争需求的服务提供。
■这项研究为战略建议的制定提供了信息，催化了多部门合作的新模式，并影响了全系统实践的变化，以扩大孕妇获得强有力的住房支持的机会。政策和实践的改变需要持续利用政治意愿来促进经济正义，并确保居民能够实现安全，可持续,和负担得起的住房。
■基于生殖正义框架，我们探索了在怀孕期间导航无家可归援助的生活经验，为合作政策和实践变革工作提供建议。我们对怀孕期间无家可归的DC居民进行了20次个人访谈。我们使用主题分析和面向行动的方法分析了数据。
我们的分析得出了三个主要建议领域的政策和做法的变化：（1）在怀孕期间及时和有意义地获得安全和稳定的住房；（2）为支持身体，心理，和社会福祉；(3)获得生活工资和负担得起的住房。
■获得稳定的住房对于确保孕妇和育儿者能够在安全和可持续的环境中生育和抚养孩子至关重要，这是生殖正义的关键原则。住房支持必须有意义地获得，包括适应复杂的社会历史和伴随住房不安全的竞争需求的服务提供。
■这项研究为战略建议的制定提供了信息，催化了多部门合作的新模式，并影响了全系统实践的变化，以扩大孕妇获得强有力的住房支持的机会。政策和实践的改变需要持续利用政治意愿来促进经济正义，并确保居民能够实现安全，可持续,和负担得起的住房。
