对孕前健康信息和责任的认识:在南非健康生活轨迹倡议试验中与“健康助手”接触。

IF 1.5 3区 社会学 Q2 DEMOGRAPHY
Caitlin Victoria Gardiner, Lerato Mohlomi, Catherine E Draper, Tsakani Hlungwani, Stephen J Lye, Shane A Norris, Noreth Muller-Kluits, Neusa Torres, Daniella Watson, Michelle Pentecost
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引用次数: 0

摘要

根据健康和疾病的发展起源理论和产前干预措施的有限效力,正在进行孕前期干预措施,以潜在地改善代际健康和非传染性疾病负担。健康生活轨迹倡议(HeLTI)是一个国际健康研究联盟,主要研究行为干预对肥胖的代际影响,通过一个复杂的四阶段干预,从孕前开始,从怀孕到幼儿。HeLTI与世界卫生组织合作,旨在产生证据,以形成侧重于孕前的卫生政策,作为人口健康的生命历程办法的一部分。有必要确保重新将公共卫生重点放在先入为主的观念上,在其框架中优先考虑正义和公平。本文介绍了与南非helti合作的跨学科工作。它采用了一种女权主义生物伦理学方法,这种方法是经验性的、定位的、交叉的,从根本上与正义有关,以调查提供复杂行为干预的南非HeLTI社区卫生工作者或“健康助手”对先期健康和责任的看法。与HeLTI-SA健康助手进行了七次半结构化访谈,并使用反思性主题分析对数据进行了分析。我们的研究结果显示,健康帮助者对孕前健康和相关责任的看法显著地性别化、异性恋化,并与生育意图和欲望有关。这些主题受到健康助手关于责任归因如何受文化影响的看法的影响,证明了认识论的处境性质。他们的观点还强调了先入为主的健康知识如何不公平地分配责任。了解责任周围价值观的背景影响和相关性对于前瞻性地设计促进公平和公平的孕前卫生干预措施至关重要。然后,这种理解可以用于有效的政策翻译,其目标是公共卫生政策建立在对其所服务的公众的情境响应和正义的基础上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceptions of preconception health messaging and responsibility: engaging with 'health helpers' in the Healthy Life Trajectories Initiative-South Africa trial.

Premised on the Developmental Origins of Health and Disease theory and on the limited effectiveness of antenatal interventions, interventions in the preconception period are being conducted to potentially improve intergenerational health and non-communicable disease burdens. The Healthy Life Trajectories Initiative (HeLTI) is an international health research consortium primarily investigating the intergenerational effects of behavioural interventions on obesity via a complex four-phase intervention initiated preconceptionally, through pregnancy, and into early childhood. HeLTI, in partnership with the World Health Organization, aims to generate evidence that will shape health policy focused on preconception as part of a life course approach to population health. It is necessary to ensure that a renewed public health focus on preconception prioritises justice and equity in its framing. This article presents collaborative interdisciplinary work with HeLTI-South Africa. It applies a feminist bioethics methodology, which is empirical, situated, intersectional, and fundamentally concerned with justice, to investigate what South African HeLTI community health workers, or 'Health Helpers', who deliver the complex behavioural intervention, think about preconception health and responsibility. Seven semi-structured interviews were conducted with HeLTI-SA Health Helpers, and data were analysed using reflexive thematic analysis. Our findings show that Health Helpers' perceptions of preconception health and related responsibility were significantly gendered, heteronormative, and concerned with child-bearing intentionality and desires. These themes were inflected with Health Helpers' perceptions about how attributions of responsibility are shaped by culture, demonstrating the situated nature of epistemologies. Their ideas also highlight how preconception health knowledge can distribute responsibility unjustly. Understanding the contextual impact and relevance of values around responsibility is critical to prospectively design preconception health interventions that promote equity and fairness. This understanding can then be used for effective policy translation, with the goal that public health policy is founded upon contextual responsivity and justice for the public it aims to serve.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
108
期刊介绍: Journal of Biosocial Science is a leading interdisciplinary and international journal in the field of biosocial science, the common ground between biology and sociology. It acts as an essential reference guide for all biological and social scientists working in these interdisciplinary areas, including social and biological aspects of reproduction and its control, gerontology, ecology, genetics, applied psychology, sociology, education, criminology, demography, health and epidemiology. Publishing original research papers, short reports, reviews, lectures and book reviews, the journal also includes a Debate section that encourages readers" comments on specific articles, with subsequent response from the original author.
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