24: A Qualitative Study Examining the Health Care Experience of Pregnancy and Parenting Youth in a Community Sample
Notice bibliographique
Résumé
The importance of positive healthcare interactions, including labour and delivery experiences, has been well documented. Positively engaging with care providers is perhaps even more important for adolescents, who tend to avoid seeking health care for a number of reasons. Pregnant and parenting youth (PPY) are a subgroup of adolescents whose health care access has historically been suboptimal. As a group, teen mothers and their children are at increased risk for poor medical and mental health outcomes and therefore require health care engagement for both their children and themselves. Negative health care interactions may lead to disengagement of this already vulnerable group. The purpose of this qualitative study was to explore influences that shaped PPY's views about health and well-being, and whether their perceptions informed their social and health behaviours. Five semi-structured focus groups were conducted at two urban community centres known to service PPY. A convenience sample of 26 participants was recruited across both sites. Focus groups were audio recorded and transcribed verbatim; transcripts were analyzed thematically. Participants were a mean age of 18.7 years. While many PPY described positive healthcare encounters, almost every participant could recount at least one healthcare event they perceived as negative and detrimental. Positive health care encounters tended to feature mutual respect, support, open dialogue, and non-judgmental attitudes. Descriptions of negative encounters featured a fear of judgment; the presence of remarks that questioned the capacity and ability to raise a child; the expression of assumptions about drug abuse and the teen parent lifestyle; and the use of language implying that early childbearing was necessarily a mistake. Many of the young parents expressed a sense of heightened surveillance by healthcare providers when attending appointments for their children; others felt their responses to routine questions were faced with skepticism. For some, perceptions of negative interactions contributed to a general sense of mistrust and hesitance to access health care, and several reported delaying care because of fear of judgment by their providers. Participants felt strongly that physicians should provide unbiased, supportive, and non-judgmental care. Engaging PPY as partners in their care and introducing discussions about their prior health care experiences could help identify potential issues with mistrust or fear that may have developed. Establishing this dialogue could also clarify their expectations and goals of the health care relationship. Learning from their experiences will help inform youth friendly and patient-centered health care practices.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,009 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,013 | 0,007 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,002 | 0,004 |
| Intégrité de la recherche | 0,002 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».