Introduction

Latinas are at an increased risk for diabetes and reproductive health (RH) complications with sexuality and pregnancy. This study explored the understanding of diabetes related to RH, pregnancy, unplanned pregnancies, preconceptioncounseling, tight-control, and family planning among Latina adolescents with diabetes and their mothers and explored converging themes.

Method

The qualitative descriptive study used written open-ended questions (English or Spanish) with Latina mothers (n = 13) and daughters (n = 21). Responses were transcribed. Content analysis was used by four researchers who coded and discussed themes and reached consensus. Converging themes were confirmed using Atlas.ti software.

Results

Seven themes emerged from the mother–daughter dyad: communication (awkwardness, ambivalence, styles); control (being controlled vs. controlling); consequences (fertility, complications); planning (pregnancy, being healthy, life plan, RH); support; danger, risk, and safety; and stigma.

Discussion

Many mother–daughter dyads were not ready to discuss RH among themselves. Cultural and familial perspectives should be considered when providing care and preconception counseling to this population.

中文翻译：

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患有糖尿病的青少年拉丁裔及其母亲对糖尿病和生殖健康的理解：融合主题以告知文化敏感的孕前咨询计划

介绍

拉丁裔因性行为和怀孕而患糖尿病和生殖健康 (RH) 并发症的风险增加。本研究探讨了患有糖尿病的拉丁裔青少年及其母亲对与 RH、怀孕、意外怀孕、孕前咨询、严格控制和计划生育相关的糖尿病的理解，并探讨了趋同的主题。

方法

定性描述性研究使用书面开放式问题（英语或西班牙语）与拉丁裔母亲 ( n  = 13) 和女儿 ( n  = 21)。响应被转录。四名研究人员使用了内容分析，他们对主题进行了编码和讨论并达成了共识。使用 Atlas.ti 软件确认了融合主题。

结果

母女二人组出现了七个主题：交流（尴尬、矛盾、风格）；控制（被控制与控制）；后果（生育、并发症）；计划（怀孕、健康、生活计划、RH）；支持; 危险、风险和安全；和耻辱。

讨论

许多母女二人还没有准备好在他们之间讨论 RH。在向该人群提供护理和孕前咨询时，应考虑文化和家庭的观点。