困在迷宫中妇女孕期饮酒经历的元民族志

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-09-13 DOI:10.1016/j.socscimed.2024.117337

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引用次数: 0

摘要

导言尽管产前饮酒与各种先天性畸形之间的联系已得到公认，对妇女自身健康和家庭健康造成了负面影响，医疗保健部门也在努力预防孕期饮酒，但在世界各地的许多社区，人们仍然接受孕期饮酒。了解妇女在怀孕期间饮酒的情况，以及这与她们所处的社会和文化背景之间的关系，对于帮助和支持妇女在怀孕期间戒酒非常重要。本元人种学研究旨在通过综合现有定性研究的见解，对孕期饮酒女性的经历提供新的解释和概念性理解。方法在七个电子数据库进行系统文献检索的基础上，选择了解释性元人种学设计，并在 2023 年进行了人工检索。结果在综述中，我们使用了 "陷入迷宫 "这一比喻来说明孕妇孕期饮酒经历的复杂性。怀孕期间饮酒的妇女在相互冲突的信息和知识的旋风中穿梭于迷宫之中。研究结果表明，社会文化规范是如何在迷宫中形成僵化的路径的。根据其社会文化背景，妇女利用多种动机来证明在迷宫中所选择的路线是正确的。在妇女的社会文化背景中，相互竞争的信息、知识和相互冲突的规范使妇女只能在迷宫中独自前行。结论需要将妊娠期饮酒问题视为社会科学和医疗保健交叉领域的一个问题，并通过跨学科研究、早期预防以及在医疗保健和更广泛的社会中采取多模式干预措施来加以解决。这些干预措施将得益于对妇女孕期饮酒经历的了解。

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Trapped in a maze: A meta-ethnography of women's experiences of alcohol use in pregnancy

Introduction

Despite the recognized link between prenatal alcohol consumption and various congenital anomalies, the negative consequences for women's own health and family health, as well as the work done in healthcare to prevent alcohol in pregnancy, the acceptance of alcohol use during pregnancy persists in numerous communities around the world. Knowledge about women's alcohol use in pregnancy and how it relates to the social and cultural context they are part of is important to help and support women in abstaining during pregnancy. This meta-ethnography aims to offer a novel interpretation and conceptual understanding of the experiences of women who consume alcohol during pregnancy by synthesizing insights from existing qualitative studies.

Methods

An interpretative meta-ethnographic design was chosen based on a systematic literature search in seven electronic databases, and manual searches were conducted in 2023. The CASP checklist was used to assess the 18 included articles.

Results

In the synthesis, we use the metaphor of being trapped in a maze to illustrate the complexity of pregnant women's experiences of drinking during pregnancy. Women who drink alcohol during pregnancy are navigating the maze in a whirlwind of conflicting information and knowledge. The findings show how sociocultural norms form rigid pathways within the maze. In relation to their sociocultural context, women use several motives to justify the routes chosen within the maze. The competing information, knowledge and clashing norms within women's sociocultural contexts leave women to navigate alone in the maze.

Conclusions

Alcohol in pregnancy needs to be conceptualized as an issue positioned at the intersection of social sciences and healthcare and needs to be handled accordingly, both through transdisciplinary research, by early prevention and multimodal interventions in healthcare and the broader society. Such interventions would benefit from drawing on knowledge about women's experiences with alcohol in pregnancy.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.