motherhood

母性
  • 文章类型: Journal Article
    在SARS-CoV-2大流行的到来和持续时间内,对孕妇和产后(围产期)妇女的医疗保健服务进行了重大重新配置,尽管英国在2021年7月19日宣布“自由日”(此后所有与法律封锁相关的限制都被取消),对产妇的限制(产前,产时,和产后)服务仍然存在。这项研究提供了来自八名围产期妇女的数据,这些数据涉及她们在“自由日”之后的社会心理健康和产妇护理经历。
    虚拟地进行了半结构化访谈,记录数据,转录,用手分析。扎根理论分析与最终理论一起使用,评估大流行“自由日”的生殖不公正现象。
    迭代和归纳分析导致了四个紧急主题:\'失败的系统,失败的妇女\';\'由差异状态造成的伤害\';\'生殖自治的特权(而不是权利),Agency,和倡导;和“担心的妇女和边缘化的母亲”。一起,这些主题形成了一些人的自由理论,但不是为了妈妈。
    女性经历了关于这场大流行的高质量可靠信息的缺乏,针对病毒的疫苗接种,和变化,和决策周围,他们的围产期护理。妇女认识到医疗保健专业人员和产妇服务已经捉襟见肘,产妇服务正在失败,但经常报告工作人员的敌意和有时在他们不确定如何进行护理时被遗弃。最独特的不公正现象是妇女在接受产妇护理的同时不得不接受对其自由的持续限制与公众颁布的(鲁莽的)自由之间的差距。
    UNASSIGNED: Healthcare services for pregnant and postpartum (\'perinatal\') women were reconfigured significantly at the advent and for the duration of the SARS-CoV-2 pandemic, and despite the United Kingdom announcing \'Freedom Day\' on 19 July 2021 (whereafter all legal lockdown-related restrictions were lifted), restrictions to maternity (antenatal, intrapartum, and postnatal) services remained. This study presents data from eight perinatal women about their experiences of psychosocial wellbeing and maternity care in the post-\'Freedom Day\' epoch.
    UNASSIGNED: Semi-structured interviews were conducted virtually, with data recorded, transcribed, and analysed by hand. Grounded theory analysis was employed with the final theory assessing the reproductive injustice of the pandemic \'Freedom Day\'.
    UNASSIGNED: Analysing iteratively and inductively led to four emergent themes: \'A Failing System, Failing Women\'; \'Harm Caused by a State of Difference\'; \'The Privileges (Not Rights) of Reproductive Autonomy, Agency, and Advocacy\'; and \'Worried Women and Marginalised Mothers\'. Together, these themes form the theory of \'Freedom for some, but not for Mum\'.
    UNASSIGNED: Women experienced a lack of high-quality reliable information about the pandemic, vaccination against the virus, and the changes to, and decision-making surrounding, their perinatal care. Women recognised healthcare professionals and maternity services were stretched and that maternity services were failing but often reported hostility from staff and abandonment at times when they were unsure about how to navigate their care. The most singular injustice was the disparity between women having to accept continuing restrictions to their freedom whilst receiving maternity care and the (reckless) freedom being enacted by the general public.
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  • 文章类型: Editorial
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  • 文章类型: English Abstract
    青春期怀孕的开始给身体带来了剧变,身份,家庭和社会。这种特殊的环境会使一些青少年在心理上变得脆弱,而其他人则完全适应。当这些准妈妈得到支持时,他们对怀孕的调整似乎得到了促进。目前,青少年似乎很容易保持联系,因此可以从数字社交网络上的某种形式的支持中受益。最近在文献中讨论,后者可以代表这种类型怀孕的社会支持来源,也支持成为母亲的身份过程。
    The onset of pregnancy during adolescence brings with it upheavals for the body, identity, family and society. This particular context can make some teenagers psychopathologically fragile, while others adapt perfectly. When these mothers-to-be receive support, their adjustment to pregnancy seems to be facilitated. At present, it seems easy for teenagers to maintain contacts and thus benefit from a form of support on digital social networks. Recently discussed in the literature, the latter could represent a source of social support in this type of pregnancy, but also of support for the identity process of becoming a mother.
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  • 文章类型: English Abstract
    在法国,几十年来,少女怀孕一直是一个相对温和和稳定的现象。关于年轻人的性行为和少女怀孕问题的公开讨论主要集中在两个主题上:避孕和自愿终止妊娠,在阴影中留下这些年轻未成年母亲的现实经历。因此,支持产妇中心的主要挑战之一是确保与青少年重组相关的心理运动和与母亲出生相关的心理运动共存。考虑到这一点,我们已经能够强调护理结构对这些母亲的重要性,充当这些年轻人的替代家庭形象。这种支持似乎促进了在这些最初非常不稳定的心理环境中建立第一个母婴纽带的创造更适当的条件。
    In France, teenage pregnancy has remained a relatively moderate and stable phenomenon for several decades. Public discourse on young people\'s sexuality and the issue of teenage pregnancies focuses overwhelmingly on two themes: contraception and voluntary termination of pregnancy, leaving in the shadows the reality of the experiences of these young under-age mothers. Thus, one of the major challenges of support in maternity centers is to ensure the coexistence of psychic movements linked to adolescent reorganization and those linked to the birth of motherhood. With this in mind, we have been able to highlight the importance of care structures for these mothers, acting as a substitute family figure for these young people. This support seems to have fostered the creation of more appropriate conditions for the establishment of the first mother-baby bonds in these initially very precarious psychological contexts.
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  • 文章类型: Journal Article
    在西开普省,帮派对青少年和青壮年的流行和影响仍然令人关切,南非--特别是因为他们是最大的帮派之一。虽然对年轻女性的关注较少,有必要阐明帮派暴露与健康行为之间的关系,这种物质的使用,除了了解成为照顾者是否会影响这种关系。这项研究使用了496名参与者的基线数据,这些参与者参加了NIDA资助的R01试验,该试验招募了16至19岁的年轻女性,她们失学并报告了最近的酒精或其他药物使用以及性风险行为。在入学时,进行了风险行为调查,并进行尿液药物筛选。进行了多变量逻辑回归分析,以检查分娩之间的基线关联,基于八个项目的帮派暴露指数,和西开普省最常见药物的阳性药物筛选(大麻,甲喹酮,和甲基苯丙胺)。在入学时,大约39%的样本尿液中大麻筛查呈阳性,甲喹酮的17%,和11%的甲基苯丙胺。此外,28%曾经生育过。虽然只有6%的人报告说曾经是帮派成员,大多数人报告通过他们的物理和社会环境接触到帮派。对于所有三种药物,帮派暴露与统计学上显著较高的阳性筛查几率相关.帮派暴露指数每增加1分,大麻筛查阳性的几率就会增加31%(p<.001),甲喹酮增加26%(p=0.005),甲基苯丙胺筛查阳性的几率增加37%(p<.001)。曾经分娩与使用大麻的几率较低相关(调整后的优势比[AOR]:0.63;95%CI:0.42-0.96),但与甲喹酮或甲基苯丙胺的使用无关。研究结果表明,通过年轻女性的社会和物理环境接触帮派与吸毒呈正相关。分娩对使用大麻也有保护作用,表明这种药物可能有一些独特之处,比如一个人更容易停止使用的能力。尽管很少有年轻女性报告成为帮派成员,大多数人报告了一些暴露,这表明需要解决这种暴露的普遍性和潜在风险。
    The prevalence and influence of gangs on adolescents and young adults remain a concern in Western Cape, South Africa-particularly as they have one of the largest gang presence. While less attention has been focused on young women, there is a need to elucidate the relationship between gang exposure and health behaviors, such substance use, in addition to understanding whether becoming a caregiver impacts this relationship. This study uses baseline data from 496 participants enrolled in a NIDA-funded R01 trial that recruited young women aged 16 to 19 who were out of school and reported recent alcohol or other drug use and sexual risk behavior. At enrollment, a risk behavior survey was administered, and urine drug screening was conducted. Multivariable logistic regression analyses were conducted to examine baseline associations between childbirth, a gang exposure index based on eight items, and positive drug screens of the most prevalent drugs in the Western Cape (marijuana, methaqualone, and methamphetamine). At enrollment, approximately 39% of the sample had a positive urine screen for marijuana, 17% for methaqualone, and 11% for methamphetamine. Additionally, 28% had ever given birth. While only 6% reported ever being a member of a gang, most reported exposure to gangs through their physical and social environments. For all three drugs, gang exposure was associated with statistically significantly higher odds of a positive screen. Every one-point increase in the gang exposure index was associated with a 31% increase in the odds of a positive marijuana screen (p < .001), a 26% increase for methaqualone (p = 0.005) and a 37% increase in the odds of a positive methamphetamine screen (p < .001). Ever given birth was associated with lower odds of marijuana use (adjusted odds ratio [AOR]: 0.63; 95% CI: 0.42-0.96), but it was not associated with methaqualone or methamphetamine use. The findings suggest that exposure to gangs through young women\'s social and physical environment is positively associated with drug use. Childbirth was also protective for marijuana use, indicating there may be something unique about this type of drug, such as one\'s ability to more easily stop use. Although very few young women reported gang membership, a majority reported some exposure, indicating the need to address how pervasive this exposure is and the potential risk.
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  • 文章类型: Journal Article
    背景:在污名和心理健康研究的背景下,有限的实证研究通过个体在面试环境中的定位来考察污名。这项研究通过调查与患有精神疾病的母亲的访谈中的定位过程来解决这一差距,特别关注使用对比设备作为通过分析确定的策略。通过分析母亲如何通过对比装置定位自己,以及他们引用的话语,这项研究提供了有关污名化话语在患有精神疾病的母亲的叙述中如何明显的见解。
    方法:这项研究基于对参加“乡村项目”(为蒂罗尔州患有精神疾病的父母的孩子共同创建的试点项目,奥地利)。我们的分析重点是通过检查在其帐户中使用对比设备来识别与母亲和精神疾病有关的污名化话语。
    结果:分析显示了对母亲努力与“坏母亲”等标签保持距离的见解,“不正常/疯狂的女人”和“弱者”。这些职位通常带有性别维度,随着母性成为一个中心位置。我们的研究强调了患有精神疾病的母亲在研究访谈中导航与母亲有关的社会规范和期望所面临的挑战。
    结论:这项研究有助于更深入地了解母亲背景下的心理健康污名,强调在心理健康研究中考虑性别动态和社会期望的重要性。
    BACKGROUND: In the context of stigma and mental health research, limited empirical studies examine stigma through the positioning of individuals within interview contexts. This study addresses this gap by investigating the positioning processes in interviews with mothers with a mental illness, with a specific focus on the use of contrast devices as a strategy identified through analysis. By analysing how mothers position themselves through contrast devices and to which discourses they refer, this study provides insights into how stigmatising discourses are evident in the narratives of mothers with a mental illness.
    METHODS: This study is based on 20 semi-narrative interviews with mothers with a mental illness who participated in the Village Project (a pilot project co-created for children of parents with mental illness in Tyrol, Austria). Our analysis focuses on identifying stigmatising discourses related to motherhood and mental illness by examining the use of contrast devices in their accounts.
    RESULTS: The analysis shows insights into mothers\' efforts to distance themselves from labels such as \'bad mother\', \'not normal/crazy women\' and \'weak person\'. These positions often carry a gendered dimension, with motherhood emerging as a central position. Our study highlights the challenges mothers with a mental illness face in navigating societal norms and expectations related to motherhood during research interviews.
    CONCLUSIONS: The research contributes to a deeper understanding of mental health stigma in the context of motherhood, emphasising the importance of considering gendered dynamics and societal expectations in mental health research.
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  • 文章类型: Journal Article
    儿童成长的经济环境因其一生中与幸福的紧密联系而引起了学术界的广泛关注。虽然有充分的证据表明,儿童越来越多地在家庭中长大,他们的主要经济支持来自母亲,不管她是搭档还是单身,对家庭经济福祉的影响尚不清楚。我们使用2014年收入和计划参与调查来量化母亲向主要收入者身份的转变如何影响其家庭的经济福祉,以及这种影响是否因其关系状况而有所不同。平均而言,一旦母亲成为主要收入者,家庭收入下降,更多的家庭无法满足他们的经济需求。然而,收入的下降主要集中在一年中从伴侣过渡到单身的伴侣母亲家庭和母亲中。同时,尽管许多单身母亲看到家庭收入增加,这些家庭中的大多数仍然无法满足他们的经济需求。这些发现表明,向需要就业的福利制度的转变以及劳动力市场的结构性变化给大多数家庭带来了财务困难。
    The economic circumstances in which children grow up have garnered much scholarly attention due to their close associations with well-being over the life course. While it has been well-documented that children are increasingly growing up in households where their primary financial support comes from their mother, regardless of whether she is partnered or single, the consequences for household economic well-being are unclear. We use the 2014 Survey of Income and Program Participation to quantify how a mother\'s transition into primary earner status affects the economic well-being of her household and if the effects differ based on her relationship status. On average, household income declines and more households are unable to meet their economic needs once the mother becomes the primary earner. However, these declines in income are concentrated among partnered-mother households and mothers who transition from partnered to single during the year. At the same time, although many single mothers see an increase in household income, the majority of these households are still unable to meet their economic needs. These findings suggest that the shift to a welfare system that requires employment coupled with structural changes in the labor market have created financial hardship for most families.
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  • 文章类型: Journal Article
    最近,人们越来越认识到我们微生物亲属的生产和保护特征以及“共生”微生物在支持和维持健康中的关键作用。当前的微生物学和药理学文献越来越强调母体肠道微生物在母亲和儿童长期健康中的作用。根据从受孕到孩子生命最初几年针对澳大利亚父母的信息和建议,我们认为它关于确保胎儿/未来儿童安全的必要性的信息是持久的,通过管理母体微生物组实现最佳健康状态。我们认为,这种巴斯德主义后的趋势导致了护理关系,立刻,新的集体和比人类更多的,但也有纪律的方式,将产妇微生物组定位为一个新的审查地点,不成比例地负责和负担母亲。我们注意到微生物组研究如何用于将母性重新构建为一种微观(微生物)管理形式,并将母性维持为医学过程。这项研究可以提供的女权主义和超越人类的潜力在这些资源提供给父母的方式中缺失。
    Recently there has been growing recognition of the productive and protective features of our microbial kin and the crucial role of \'commensal\' microbes in supporting and sustaining health. Current microbiological and pharmacological literature is increasingly highlighting the role of maternal gut microbiomes in the long-term health of both mothers and children. Drawing on the information and advice directed towards Australian parents from conception through the first years of a child\'s life, we consider its messaging about the need to secure for the foetus/future-child an enduring, optimal state of health by managing the maternal microbiome. We argue that this post-Pasteurian trend gives rise to relations of care that are, at once, newly collective and more-than-human-but also disciplinary in ways that position the maternal microbiome as a new site of scrutiny that disproportionately responsibilises and burdens mothers. We notice how microbiome research is used both to reframe motherhood as a form of micro(bial)-management and to maintain motherhood as a medicalised process. The feminist and more-than-human potential that this research can provide is missing in the way these resources are presented to parents.
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  • 文章类型: Journal Article
    福岛第一核事故后的国家治理创造了一种围绕辐射风险的沉默和容忍文化,并故意助长了一种普遍的理解,即对与辐射有关的关切采取行动与国家和区域经济复苏背道而驰。日本领导人直截了当地否认危险,配合宽松的安全标准和国家通过指导和补偿对受影响居民的有限支持,导致辐射风险管理私有化,将减少暴露的责任交给家庭,同时也限制了他们的行动。借鉴深入访谈和参与者观察,这篇文章探讨了这种动态是如何最严重地落在关心母亲身上的,由于根深蒂固的性别劳动和公民身份规范,他们更有可能承担家庭劳动和护理工作的额外领域。然而,这种产妇劳动并没有被称赞为宝贵的社会贡献。相反,忧心忡忡的母亲发现自己陷入了双重困境,在这种困境中,通过警惕地避免潜在风险来照顾家人就是背叛国家。风险缓解需要大量的情绪工作,不要显得过于焦虑或偏执,不断评估他人的风险认知,有时抑制担忧并在风险承受能力上妥协。这项研究的结果表明,环境风险管理的新自由主义模型,特别是在围绕风险的高度不确定性时刻,不仅可以创造内部,人际关系,和社区冲突,但也加剧了现有的性别不平等。
    State governance after the Fukushima Daiichi nuclear accident created a culture of silence and tolerance surrounding radiation risk, and deliberately fueled the popular understanding that acting upon radiation-related concern was antithetical to national and regional economic recovery. Outright denial of danger by Japanese leaders, paired with loosened safety standards and limited state support for affected residents by way of guidance and compensation, led to a privatization of radiation risk management that placed responsibility for exposure reduction onto families while also constraining their action. Drawing on in-depth interviews and participant observation, this article explores how such dynamics fell most heavily on concerned mothers, who were far more likely to take on this additional realm of domestic labor and care work due to deeply ingrained norms of gendered labor and citizenship. Yet such maternal labor was not lauded as a valuable social contribution. Rather, concerned mothers found themselves in a double bind in which to care for their families through vigilant avoidance of potential risk was to betray the state. Risk mitigation came to require a significant amount of emotion work associated with not appearing overly anxious or paranoid, constantly assessing the risk perception of others, and at times suppressing concern and compromising on risk tolerance. The results of this study suggest that neoliberal models of environmental risk management, particularly in moments of high uncertainty surrounding the risk in question, can not only create internal, interpersonal, and community conflict but also exacerbate existing gender inequalities.
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  • 文章类型: Journal Article
    自杀是年轻妇女死亡的主要原因,也是围产期母亲。本文探讨了对母亲的期望如何在年轻女性自杀死亡中发挥作用。我质疑母亲是防止自杀的“保护”因素的观点。使用“密集母性”的概念,“我询问母亲的期望如何变得致命。通过对31名自杀死亡的澳大利亚年轻母亲的分析,探索了三个关键主题,以“失败的母亲”为主题:没有父亲的母亲,患有精神疾病的母亲,以及失去对孩子的照顾。
    Suicide is a leading cause of death among young women and perinatal mothers. This paper explores how expectations of motherhood played a role in young women\'s deaths by suicide. I question the notion that motherhood is a \"protective\" factor against suicide. Using the concept of \"intensive motherhood,\" I interrogate how expectations of mothers became fatal. Through analysis of 31 young Australian mothers who died by suicide, three key themes are explored, centered upon the theme of \"failing motherhood\": mothering without a father, mothering with mental illness, and the loss of care of children.
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