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瑞典南部有移民背景的母亲产后抑郁和生活经历

Postpartum depression and life experiences of mothers with an immigrant background living in the south of Sweden.

机构信息

Department of Psychology, Linnaeus University, Växjö, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2023 Dec;18(1):2187333. doi: 10.1080/17482631.2023.2187333.

Abstract

PURPOSE

Postpartum Depression (PPD) -a common health problem for mothers' postpartum increases the risk of negative interaction between mothers and infants as it reduces the former's ability to respond to the latter's needs appropriately. Migrant mothers exhibit a higher prevalence of risk factors for PPD. Hence, this study aimed to investigate migrant mothers' life experiences pertaining to motherhood and PPD.

METHODS

Qualitative interviews were conducted with 10 immigrant mothers in the south of Sweden during 2021.

RESULTS

The qualitative content analysis revealed the following main themes: 1) PPD (two sub themes-psychosomatic symptoms and burden of responsibility due to feelings of loneliness); 2) mistrust of social services (one sub-theme-afraid of losing their children and Swedish social services' lack of understanding); 3) inadequate healthcare (two sub-themes-limited healthcare literacy for migrant mothers and language barrier; 4) women's coping strategy for well-being (two sub-themes-better awareness and understanding of the Swedish system and society, and freedom and independence in the new country).

CONCLUSIONS

PPD, mistrust of social services, and inadequate healthcare lacking personal continuity were common among immigrant women, thus precipitating discrimination-including lack of access to services because of limited health literacy, cultural differences, language barriers, and insufficient support.

摘要

目的

产后抑郁症(PPD)——产妇产后常见的健康问题,增加了母亲和婴儿之间消极互动的风险,因为它降低了母亲适当回应婴儿需求的能力。移民母亲表现出更高的 PPD 风险因素的流行。因此,本研究旨在调查移民母亲与母性和 PPD 相关的生活经历。

方法

2021 年在瑞典南部对 10 名移民母亲进行了定性访谈。

结果

定性内容分析揭示了以下主要主题:1)PPD(两个子主题-身心症状和由于孤独感而产生的责任负担);2)对社会服务的不信任(一个子主题-害怕失去孩子和瑞典社会服务缺乏理解);3)医疗保健不足(两个子主题-移民母亲的医疗保健知识有限和语言障碍;4)妇女的幸福应对策略(两个子主题-对瑞典系统和社会的更好认识和理解,以及在新国家的自由和独立)。

结论

PPD、对社会服务的不信任以及缺乏个人连续性的医疗保健在移民妇女中很常见,从而导致歧视,包括由于健康素养有限、文化差异、语言障碍和支持不足而无法获得服务。

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