4.5 Article

Experiences of racial Trauma among perinatal women of color in seeking healthcare services

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GENERAL HOSPITAL PSYCHIATRY
卷 84, 期 -, 页码 60-66

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ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2023.06.015

关键词

Healthcare interactions; perinatal BIPOC women; racial trauma; racial discrimination; perinatal mental health; anti -Black bias

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The objective of this study was to explore the experiences of perinatal Black, Indigenous, and other People of Color (BIPOC) women in healthcare interactions. Virtual focus groups were conducted with perinatal BIPOC women across the USA, and qualitative data was analyzed using reflexive thematic analysis. The study identified three themes related to racial trauma in healthcare interactions, including experiences of bias, dismissal of pain, and a lack of bodily autonomy. Recommendations from participants included transparent communication and addressing anti-Black bias in healthcare treatment.
Objective: To describe the experiences of perinatal Black, Indigenous, and other People of Color (BIPOC) women in healthcare interactions.Methods: We conducted eight virtual focus groups with perinatal BIPOC women across the USA from November 2021 to March 2022. A semi-structured interview protocol was used, and focus groups were audio recorded and transcribed verbatim. Our team used reflexive thematic analysis to analyze the qualitative data and describe our findings.Results: Three latent themes emerged related to racial trauma in healthcare interactions: (1) observations and experiences of anti-Black bias, (2) experiences of dismissal of pain and withholding of care, particularly among Black and Latinx patients, and (3) common race-based traumatic experiences across all BIPOC women, including a consistent lack of bodily autonomy and deferral to White people for decision-making. Recommendations from participants included more transparent communication and greater empathic care for all patients, with calls to specifically address anti-Black bias in healthcare treatment.Conclusion: The study's findings suggest that perinatal healthcare needs to reduce mental stress and exposure to racial trauma for perinatal BIPOC women. This study offers a discussion of implications for future training for healthcare providers and implications for addressing systemic racial disparities in perinatal mental health.

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