■卫生机构是指一个人形成健康相关目标的能力,经验控制,并拥有追求它们的手段。低社会经济地位(SES)与健康机构受损和不良妊娠结局风险增加有关。可能是由于寻求护理的倾向减少。更好的医疗保健可用性可能不会改善他们的妊娠结局,因此,提高对孕产妇保健机构的了解至关重要。
■对15名有孩子或想要孩子的参与者进行了半结构化访谈。SES较低是由邻里收入中位数和受教育程度决定的。进行了专题内容分析。
■出现了两个主题:1)个人目标的起源和发展,2)意识和能力。参与者的目标源于文化规范,个人叙述,和直觉。综合目标是那些高度重视的参与者,意识到,并争取。在目标意识和能力方面确定了四个次主题。由于目标和行为之间的差异,内部冲突导致需要平衡行为改变的负担和收益。
■孕产妇健康机构是一个可改变的结果,取决于目标意识和各种因素。受损的机构似乎源于缺乏目标意识,而不是无法满足既定的支柱。
UNASSIGNED: Health agency refers to one\'s capacity to form health-related goals, experience control, and possess the means to pursue them. Low socioeconomic status (SES) is linked to impaired health agency and increased risk of adverse pregnancy outcomes, potentially due to a reduced tendency to seek care. Better healthcare availability may not improve their pregnancy outcomes, and therefore improved understanding of maternal health agency is paramount.
UNASSIGNED: Semi-structured interviews were conducted with 15 participants who either had children or desired to have them. Low SES was determined by neighborhood median income and educational attainment. A thematic content analyses was conducted.
UNASSIGNED: Two themes emerged: 1) Origin and development of personal goals, and 2) Awareness and competence. Participant\'s goals stemmed from cultural norms, personal narratives, and intuition. Integrated goals were those participants valued highly, were aware of, and strived for. Four subthemes were identified in goal-awareness and competence. Internal conflict due to discrepancies between goals and behavior resulted in the need to balance the burdens and benefits of behavior change.
UNASSIGNED: Maternal health agency is a modifiable outcome dependent on goal-awareness and various factors. Impaired agency seemed to stem from lack of goal-awareness rather than an inability to meet established pillars.