PDF(Pubmed)
Abstract：
BACKGROUND: 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.
OBJECTIVE: 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.
METHODS: Individual semi-structured interviews were conducted, and an interpretative phenomenological analysis framework was used to analyse the interview transcripts.
METHODS: Participants were recruited from NHS specialist perinatal teams and online via social media.
RESULTS: 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.
CONCLUSIONS: 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.
UNASSIGNED: 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.
OBJECTIVE: 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.
METHODS: Individual semi-structured interviews were conducted, and an interpretative phenomenological analysis framework was used to analyse the interview transcripts.
METHODS: Participants were recruited from NHS specialist perinatal teams and online via social media.
RESULTS: 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.
CONCLUSIONS: 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.
UNASSIGNED: 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.
摘要：
背景：目前的研究已经确定了少数民族妇女在围产期的健康状况如何较差。在英国,专科围产期心理健康服务为妇女提供整个围产期的心理健康治疗。服务使用者此前曾强调，围产期服务难以获得，缺乏文化敏感性，而医疗保健专业人员描述了发展文化能力的有限机会和资源。
目的：我们在国家卫生服务（NHS）围产期专家团队中探索了少数民族妇女的经验，并确定了文化敏感的围产期心理保健对该群体的意义。
方法：进行个人半结构化访谈，并采用解释性现象学分析框架对访谈笔录进行分析。
方法：参与者从NHS围产期专家团队招募，并通过社交媒体在线招募。
结果：采访了6名女性。出现了四个小组体验主题，这些主题是参与者体验的核心：（1）加强社区网络和同伴支持；（2）重视文化好奇心；（3）了解文化，种族,种族和种族主义影响心理健康；（4）为少数民族妇女及其家庭量身定制干预措施。
结论：研究结果捕获了少数民族妇女如何体验围产期专家团队，并提供了对实践文化敏感护理的见解。围产期心理健康专业人员可以通过加强获得社区资源和同伴支持的机会来支持少数民族妇女；对他们的文化感到好奇；帮助他们理解文化，种族,种族和心理健康相互作用；并将文化和实践适应应用于干预措施。
■由少数民族妇女组成的生活经验咨询小组（LEAG）为本研究的设计和实施做出了贡献。LEAG有过围产期心理健康状况的经历，并进入了围产期专家团队。LEAG选择共同制作他们认为符合他们的技能和可用时间的研究的具体方面在整个五个小组会议。这些方面包括制定面试主题指南，向参与者汇报和就社交媒体招聘策略提供建议的结构。
目的：我们在国家卫生服务（NHS）围产期专家团队中探索了少数民族妇女的经验，并确定了文化敏感的围产期心理保健对该群体的意义。
方法：进行个人半结构化访谈，并采用解释性现象学分析框架对访谈笔录进行分析。
方法：参与者从NHS围产期专家团队招募，并通过社交媒体在线招募。
结果：采访了6名女性。出现了四个小组体验主题，这些主题是参与者体验的核心：（1）加强社区网络和同伴支持；（2）重视文化好奇心；（3）了解文化，种族,种族和种族主义影响心理健康；（4）为少数民族妇女及其家庭量身定制干预措施。
结论：研究结果捕获了少数民族妇女如何体验围产期专家团队，并提供了对实践文化敏感护理的见解。围产期心理健康专业人员可以通过加强获得社区资源和同伴支持的机会来支持少数民族妇女；对他们的文化感到好奇；帮助他们理解文化，种族,种族和心理健康相互作用；并将文化和实践适应应用于干预措施。
■由少数民族妇女组成的生活经验咨询小组（LEAG）为本研究的设计和实施做出了贡献。LEAG有过围产期心理健康状况的经历，并进入了围产期专家团队。LEAG选择共同制作他们认为符合他们的技能和可用时间的研究的具体方面在整个五个小组会议。这些方面包括制定面试主题指南，向参与者汇报和就社交媒体招聘策略提供建议的结构。
