MEANINGS OF PREGNANCY FOR HOMELESS PREGNANT ADOLESCENTS

怀孕对于无家可归的怀孕青少年的意义

基本信息

批准号：
2891343
负责人：
Elizabeth Marie Saewyc
金额：
$ 1.67万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-04-16 至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/2891343
关键词：
adolescence (12-20) behavioral /social science research tag clinical research decision making experience female homeless human pregnant subject human subject interview life cycle outcomes research postpartum pregnancy racial /ethnic difference

项目摘要

Homeless adolescent women face increased risk of sexual and reproductive health problems, including sexual abuse, violence, complications of pregnancy, and poor outcomes of birth and parenting. Although the reasons adolescent women become pregnant, why they decide to parent, and outcomes of their choices have been studied over the past several decades, little is known about the meanings of pregnancy and parenting for homeless young women, the trajectory of their pregnancy and parenting experiences, or their self-care beliefs and practices. Effective nursing interventions to improve health outcomes for homeless adolescent women and their babies require greater understanding of these meanings, beliefs, and experiences. Therefore, the current study proposes to explore the meanings attributed to pregnancy and parenting by a multi-ethnic sample of homeless pregnant young women in Seattle during the course of pregnancy and up to the first few weeks post- partum. This study will focus around two research questions: 1) How do homeless young women describe becoming pregnant and deciding to carry to term, and how (if at all) does this narrative change during the pregnancy? and 2) What elements of their life histories do the young women consider important influences on their pregnancy and parenting decisions? Using participant observation and ethnographic interviewing methods, the investigator will gather data from 15-30 pregnant homeless adolescents over several months; participants will be recruited from day shelters, free clinics for homeless youth, and through snowball sampling. The resulting field notes and transcriptions will be analyzed for patterns, themes, and differences, both between participants and across the course of each participants pregnancy, using accepted ethnographic and narrative analytical techniques.

无家可归的少女面临更大的性和生殖风险健康问题，包括性虐待、暴力、并发症怀孕、分娩和育儿结果不佳。虽然青春期女性怀孕的原因，她们决定养育孩子的原因，以及在过去的几年里，人们对他们的选择的结果进行了研究几十年来，人们对怀孕和养育孩子的意义知之甚少对于无家可归的年轻女性来说，她们的怀孕轨迹和养育经历，或他们的自我照顾信念和实践。有效的护理干预措施可改善无家可归者的健康状况青春期妇女及其婴儿需要更多地了解这些意义、信仰和经历。因此，目前的研究提议探索怀孕和养育子女的意义根据西雅图无家可归的年轻怀孕妇女的多种族样本在怀孕期间以及怀孕后的最初几周产妇。本研究将围绕两个研究问题：1）如何无家可归的年轻女性描述自己怀孕并决定怀孕到术语，以及这种叙述在怀孕？ 2) 年轻人对他们生活史的哪些要素感兴趣女性认为对其怀孕和养育子女有重要影响决定？使用参与观察和民族志访谈方法，调查员将从 15-30 名怀孕的无家可归者收集数据几个月以上的青少年；将从即日起招募参与者庇护所、为无家可归的青少年提供免费诊所以及通过滚雪球采样。将分析由此产生的现场笔记和转录参与者之间的模式、主题和差异在每个参与者怀孕的过程中，使用公认的民族志和叙事分析技术。