“我该怎么做呢?”理解照顾母亲在监禁期间出生的孩子的挑战。

IF 2.6 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Equity Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI:10.1089/heq.2024.0098
Bethany Kotlar, Kate Dawson, Varshini Odayar, Ellen Mason, Henning Tiemeier
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引用次数: 0

摘要

目标:大规模监禁妇女有系统地针对少数群体。每年约有1 000名囚犯分娩;而且大多数孩子必须由母亲以外的人照顾。在母亲被监禁的情况下,对婴儿的照顾知之甚少。本研究的目的是描述照顾者照顾被监禁母亲的新生儿的经验,以确定挑战并提供政策建议。材料和方法:本研究的数据来自于对乔治亚州被监禁母亲所生孩子的照顾者的定性访谈,该研究参与了“出生在监狱之外”研究,这是一项正在进行的出生队列研究,研究对象是三个州产前暴露于监禁的儿童。这些访谈的主要研究问题之一是照顾者如何处理对婴儿的照顾。在2020年8月至2023年1月期间,一个为在押孕妇和产后妇女及其家人提供支持的非营利组织的工作人员联系了所有监禁妇女所生孩子的照顾者(n = 48),要求他们加入该研究。我们使用专题分析来分析36名护理人员的数据。结果:照顾者主要是老年人(45%在46 - 71岁之间),女性亲属(89%),经常贫困(30%)。照料者在法律上承担照顾婴儿的责任、维持工作、确保儿童保育、参加社会服务以及管理其健康方面面临挑战。他们主要依靠家庭的支持。讨论:被监禁母亲的婴儿的照顾者是需要加强支持的弱势群体。有针对性的支持可以减轻承担这一角色的负面后果。卫生公平影响:为促进卫生公平,国家社会服务机构应以照顾者为目标并协助他们参加社会服务。最重要的是,各州应该通过立法,优先考虑以社区为基础的监禁,而不是监禁怀孕和育儿的母亲。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"How Am I Going to Do It?" Understanding the Challenges of Assuming Care of a Child Born During their Mothers' Incarceration.

Objectives: Mass incarceration of women systematically targets minoritized groups. Approximately 1,000 births occur from prison annually; and most children must be cared for by someone other than their mother. Little is known about caregiving for infants in the context of maternal incarceration. The purpose of this study was to describe the experiences of caregivers assuming care of newborns of incarcerated mothers to identify challenges and provide policy recommendations.

Materials and methods: Data from this study were drawn from qualitative intake interviews with caregivers of children born to incarcerated mothers in Georgia participating in the Birth Beyond Bars Study, an ongoing birth cohort of children exposed prenatally to incarceration in three states. One of the primary research questions for these interviews was how caregivers were coping with assuming care for the infant. All caregivers of children born to incarcerated women from August 2020 to January 2023 (n = 48) were approached for enrollment into the study by staff at a nonprofit providing support to incarcerated pregnant and postpartum women and their families. We used thematic analysis to analyze data from 36 caregivers.

Results: Caregivers were primarily older (45% were between 46 and 71), female kin (89%), who were frequently impoverished (30%). Caregivers faced challenges in legally assuming care of the infant, maintaining work, securing childcare, enrolling in social services, and managing their health. They primarily relied on their families for support.

Discussion: Caregivers of infants of incarcerated mothers are a vulnerable population requiring enhanced support. Targeted support may ameliorate negative consequences of assuming this role.

Health equity implications: To promote health equity, state social service agencies should target and assist caregivers in enrolling in social services. Most importantly, states should pass legislation prioritizing community-based alternatives to incarceration for pregnant and parenting mothers.

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来源期刊
Health Equity
Health Equity Social Sciences-Health (social science)
CiteScore
3.80
自引率
3.70%
发文量
97
审稿时长
24 weeks
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