Hopes and dreams: poverty, motherhood and health care

  • Authors

    • Bonnie Pope University of North Florida
    • Kathaleen Bloom University of North Florida
    2016-08-17
    https://doi.org/10.14419/ijans.v5i2.6535
  • Qualitative, Health Care, Race, Racism, African Americans, Focus Groups, and Photovoice.

  • Abstract

    Racial and ethnic differences in health outcomes exist in all areas of health care even when factors related to income; insurance status and access to care are controlled. The importance of the social environment versus biological influences a person’s health status are explored in this study. Healthy People 2020 identified maternal health status to pregnancy-related health outcomes and African American women are at greater risk for poor pregnancy outcomes including increased rates of maternal, perinatal, neonatal, and infant mortality.

    Study Purpose: To understand the meaning of being and African-American woman living in poverty and their experiences with the health care system. Research Design: Exploratory qualitative, community-based participatory action research study used oral and digital storytelling. Participants and Setting: African American mothers residing in government subsidized housing.

    Data Collection and Analysis: Focus groups, storytelling, and photovoice for data collection. Thematic analysis the focus groups’ transcriptions and storyboard findings was conducted. Results: Common themes from the transcripts were “respect me…don’t stereotype me†and “be safe.†Themes from storyboards were “love of family,†“love of community,†and “hope for the future.†Courage, family, and community are the foundation of their lives. Limitation: Sample size does not allow generalization to larger populations. 

  • References

    1. [1] Banks-Wallace J (2002). Talk that talk: Storytelling and analysis rooted in African American oral tradition. Qualitative Health Research, 12, 410-426. http://dx.doi.org/10.1177/104973202129119892.

      [2] Catalani C & Minkler M. (2010). Photovoice: A review of the literature in health and public health. Health Education & Behavior, 37, 424–451. http://dx.doi.org/10.1177/1090198109342084.

      [3] Cherrington A, Williams JH, Foster PP, Coley HL, Kohler C, Allison, JJ, … Houston TK (2015). Narratives to enhance smoking cessation interventions among African-American smokers, the ACCE project. Biomed Central Research Notes. 8, 567. http://dx.doi.org/10.1186/s13104-015-1513-1.

      [4] Chinn P (2004). Peace and power: Creative leadership for building community (6th ed.). Boston, MA: Jones and Bartlett.

      [5] Cohen MZ, Kahn D, & Steeves RH, (2000). Hermeneutic phenomenological research: A practical guide for nurse investigators. Thousand Oaks, CA: California: Sage.

      [6] Diekelmann NL & Allen DG (1989). A hermeneutic analysis of the NLN criteria for the appraisal of baccalaureate programs. In N. Diekelmann, D. Allen & C. Tanner the NLN criteria for appraisal of baccalaureate programs: A critical hermeneutic analysis. New York: National League for Nursing.

      [7] Gilliam M, Orzalli S, Heathcock S, Sutherland E, Jagoda P, Menendez A, Ojengbede O (2012). From intervention to invitation: reshaping adolescent sexual health through story telling and games. African Journal of Reproductive Health, 16, 189-196. Retrieved from http://www.ajrh.info/home/index.php.

      [8] Giscombé CL & Lobel M (2005). Explaining disproportionately high rates of adverse birth outcomes among African Americans: The impact of stress, racism, and related factors in pregnancy. Psychological Bulletin, 131, 662-683. http://dx.doi.org/10.1037/0033-2909.131.5.662.

      [9] Halcomb EJ, Gholizadeh L, DiGiacomo M, Phillips J, & Davidson PM (2007). Literature review: Considerations in undertaking focus group research with culturally and linguistically diverse groups. Journal of Clinical Nursing, 16, 1000-1011. http://dx.doi.org/10.1111/j.1365-2702.2006.01760.x.

      [10] Hall JM & Powell J (2011). Understanding the person through narrative. Nursing Research and Practice, 2011(Art. No. 293837). http://dx.doi.org/10.1155/2011/293837.

      [11] Healthy People 2020 (2012, June 20). HealthyPeople.gov. Retrieved from http://www.healthypeople.gov/2020/default.aspx.

      [12] Israel BA, Farquhar S, James SA, Schulz AM, & Parker EA (2002). The relationship between social support, stress and health among women on Detroit’s east side. Health Education & Behavior, 29, 342-360. http://dx.doi.org/10.1177/109019810202900306.

      [13] Koch T, Turner R, Smith P, & Hutnik N (2010). Storytelling reveals the active, positive lives of centenarians. Nursing Older People, 22(8), 31-36. http://dx.doi.org/10.7748/nop2010.10.22.8.31.c7995.

      [14] Kowitt S, Woods-Jaeger B, Lomas J, Taggart T, Thayer L, Sutton S, Lightfoot AF (2015). Using photovoice to understand barriers to and facilitators of cardiovascular health among African American adults and adolescents, North Carolina, 2011–2012. Preventing Chronic Disease, 12,150062. http://dx.doi.org/10.5888/pcd12.150062.

      [15] Lee B (2015). Storytelling to enhance the value of research. American Journal of Public Health, 105(4). http://dx.doi.org/10.2105/AJPH.2014.302548.

      [16] Lu MC & Halfon N (2003). Racial and ethnic disparities in birth outcomes: A life-course perspective. Maternal and Child Health Journal, 17, 13-30. Retrieved from http://link.springer.com/journal/10995. http://dx.doi.org/10.1023/A:1022537516969.

      [17] Matthews MS & MacDorman MF (2013). Infant mortality statistics from the 2010 period linked birth/infant death data set. National Vital Statistics Reports, 62(8). Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs

      [18] Powers BA (2015). Critically appraising qualitative evidence for clinical decision making. In Melnyk B & E Fineout-Overholt (eds.), Evidence-based practice in nursing and health care: A guide to best practice (3rd ed., pp. 139-168). Philadelphia, PA: Wolters Klewer Health.

      [19] National Institutes of Health (2011). NIH policy on reporting race and ethnicity data: Subjects in clinical research. Bethesda, MD: Author. Retrieved from http://grants.nih.govgrantsguidenotice-filesNOT-OD-01-053.html

      [20] Owen CM, Goldstein, EH Clayton, JA & Segars, JH (2013). Racial and ethnic health disparities in reproductive medicine: An evidence-based overview. Seminars in Reproductive Medicine, 31, 317-324. http://dx.doi.org/10.1055/s-0033-1348889.

      [21] Satcher D (2010). Include a social determinants of health approach to reduce health disparities. Public Health Reports, 125(Suppl. 4) 6-7. Retrieved from http://www.publichealthreports.org/

      [22] Schulz AJ, Israel BA, Zenk SN, Parker EA, Lichtenstein R, Shellman-Weir S, & Klem AB (2006). Psychosocial stress and social support as mediators of relationships between income, length of residence and depressive symptoms among African American women on Detroit's eastside. Social Science & Medicine, 62, 510-522. http://dx.doi.org/10.1016/j.socscimed.2005.06.028.

      [23] Shelby A, & Ernst K (2013). Story and science: How providers and parents can utilize storytelling to combat anti-vaccine misinformation. Human Vaccines & Immunotherapies, 9, 1795-1801. http://dx.doi.org/10.4161/hv.24828.

      [24] [24] United States Department of Health and Human Services (2012). Healthy People 2020. Retrieved from www.healthypeople.gov

      [25] Woods-Giscombé CL & Lobel M (2005). Race and gender matter: A multidimensional approach to conceptualizing and measuring stress in African American women. Cultural Diversity & Ethnic Minority Psychology, 14, 173-182. http://dx.doi.org/10.1037/1099-9809.14.3.173.

      [26] World Health Organization (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Report from the Commission on Social Determinants of Health. Geneva, Switzerland: Author. Retrieved from http://www.who.int/social_determinants/thecommission/finalreport/en/index.html.

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  • How to Cite

    Pope, B., & Bloom, K. (2016). Hopes and dreams: poverty, motherhood and health care. International Journal of Advanced Nursing Studies, 5(2), 163-166. https://doi.org/10.14419/ijans.v5i2.6535

    Received date: 2016-07-27

    Accepted date: 2016-08-15

    Published date: 2016-08-17