"It's different here" Afghan refugee maternal health experiences in the United States.

Autor: Worabo HJ; School of Nursing, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive. Mail Code 7951, San Antonio, Texas, 78229‑3900, USA. Worabo@uthscsa.edu., Safi F; HCA Medical City Consortium, 3301 Matlock Road, Arlington, Texas, 76015, USA., Gill SL; School of Nursing, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive. Mail Code 7951, San Antonio, Texas, 78229‑3900, USA., Farokhi M; School of Nursing, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive. Mail Code 7951, San Antonio, Texas, 78229‑3900, USA.; School of Dentistry, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive. Mail Code 7914, San Antonio, Texas, USA.
Jazyk: angličtina
Zdroj: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2024 Jul 16; Vol. 24 (1), pp. 479. Date of Electronic Publication: 2024 Jul 16.
DOI: 10.1186/s12884-024-06678-7
Abstrakt: Background: The number of Afghan families in the US has grown over the past two decades, yet there is a paucity of research focused on their maternal healthcare experiences. Afghan families have one of the highest fertility rates in the world and typically have large families. As the US faces rising maternal mortality rates, it is crucial to understand factors that affect health outcomes for culturally distinct groups. We aimed to better understand Afghan women's maternal health experiences in South Texas as a step toward designing culturally sensitive care.
Methods: Using a qualitative descriptive design, twenty Afghan women who gave birth in the US within the past 2 years participated in audio-recorded interviews. The first and second authors conducted each interview using a semi-structured interview guide. The authors used an in vivo coding method and qualitative content analysis of the transcribed narrative data.
Results: We identified three broad categories with corresponding sub-categories: 1) Maternal Healthcare Experiences: pregnancy, birthing, and postpartum, 2) Communication: language barrier, relationship with husband, and health information seeking, 3) Access to Care: transportation and financing healthcare. The participants expressed perspectives of gratefulness and positive experiences, yet some described stories of poor birth outcomes that led to attitudes of mistrust and disappointment. Distinct cultural preferences were shared, providing invaluable insights for healthcare providers.
Conclusions: The fact that the Afghan culture is strikingly different than the US mainstream culture can lead to stereotypical assumptions, poor communication, and poor health outcomes. The voices of Afghan women should guide healthcare providers in delivering patient-centered, culturally sensitive maternity care that promotes healthy families and communities.
(© 2024. The Author(s).)
Databáze: MEDLINE
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