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“Nobody Ever Asks Me:” A Reproductive Justice Approach to Rural Health Disparities
Analyses of Social Issues and Public Policy ( IF 1.375 ) Pub Date : 2019-03-25 , DOI: 10.1111/asap.12174
Ellie Smith 1 , Beth Sundstrom 2 , Andrea L. DeMaria 3
Affiliation  

Rural women within the southern United States face complex challenges when attempting to access reproductive health care. A reproductive justice framework provides an intersectional approach to understanding the experiences of women from varying backgrounds. Researchers conducted 52 in‐depth interviews with women aged 18–44 years in rural South Carolina to understand perceived reproductive health care barriers through a reproductive justice framework. Interviews were analyzed using a constant‐comparative method with qualitative data analysis software HyperRESEARCH 3.7.2. Reproductive justice served as the conceptual lens. Participants noted barriers to reproductive health care including cost, poor quality of care, and long wait times. Participants described confidentiality concerns and lack of facilities. Insufficient access to health care for women in conjunction with racial and cultural norms revealed intersectionality between gender and race. Participants reported limited autonomy over health decisions due to generational habits of not seeking care and predetermined attitudes toward health, influencing social capital and access to care. Findings suggest the need for grassroots organizing to shift the focus from reproductive rights to reproductive justice, facilitating autonomous health decisions and supportive environments to exercise decision making. Robust understandings of women's lived experiences offer insights to addressing health barriers in rural communities.

中文翻译:

“没有人问过我:”针对农村卫生差距的生殖正义方法

美国南部的农村妇女在尝试获得生殖保健服务时面临着复杂的挑战。生殖司法框架为了解不同背景的妇女的经历提供了一种相互交叉的方法。研究人员在南卡罗来纳州农村地区对年龄在18-44岁之间的女性进行了52次深度访谈,以了解通过生殖司法框架感知到的生殖健康保健障碍。访谈采用定性数据分析软件HyperRESEARCH 3.7.2,采用恒定比较法进行分析。生殖正义是概念上的镜头。与会者指出,生殖保健的障碍包括费用,保健质量差和等待时间长。与会者描述了对保密性的关注和缺乏便利。妇女与种族和文化规范结合使用的机会不足,这表明性别与种族之间存在相互关系。与会者报告说,由于不寻求保健的世代习惯和对保健的预定态度,影响了社会资本和获得保健的机会,因此他们在保健决定方面的自主权有限。研究结果表明,基层组织需要将重点从生殖权利转移到生殖正义,促进自主卫生决策和支持性环境以行使决策权。对妇女生活经验的深刻理解为解决农村社区的健康障碍提供了见识。与会者报告说,由于不寻求保健的世代习惯和对保健的预定态度,影响了社会资本和获得保健的机会,因此他们在保健决定方面的自主权有限。研究结果表明,基层组织需要将重点从生殖权利转移到生殖正义,促进自主卫生决策和支持性环境以行使决策权。对妇女生活经验的深刻理解为解决农村社区的健康障碍提供了见识。与会者报告说,由于不寻求保健的世代习惯和对保健的预定态度,影响了社会资本和获得保健的机会,因此他们在保健决定方面的自主权有限。研究结果表明,基层组织需要将重点从生殖权利转移到生殖正义,促进自主卫生决策和支持性环境以行使决策权。对妇女生活经验的深刻理解为解决农村社区的健康障碍提供了见识。促进自主健康决策和支持性环境以进行决策。对妇女生活经验的深刻理解为解决农村社区的健康障碍提供了见识。促进自主健康决策和支持性环境以进行决策。对妇女生活经验的深刻理解为解决农村社区的健康障碍提供了见识。
更新日期:2019-03-25
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