Housing instability: Exploring socioecological influences on the health of birthing people.
Study Aim: To describe how socioecological influences of housing instability affect pregnancy health among birthing and postpartum people. Design: We used the socioecological framework to guide this exploratory descriptive study using semi‐structured, in‐depth interviews. Methods: We purposively rec...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 79; no. 11; pp. 4255 - 4268 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172894643&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172894643 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Nov2023 vid: 79 iid: 11 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 172894643 164268603 172894643 172894643 10.1111/jan.15684 172894643 ppf: 4255 ppct: 13 formats: tig: atl: Housing instability: Exploring socioecological influences on the health of birthing people. aug: au: Robinson, Kelley N. Gresh, Ashley Russell, Niarah Jeffers, Noelene K. Alexander, Kamila A. affil: Johns Hopkins School of Nursing, Baltimore Maryland,, USA sug: subj: Housing Instability Psychosocial Factors Social Determinants of Health In Pregnancy Health Impact Assessment In Pregnancy Human Exploratory Research Descriptive Research Semi-Structured Interview Purposive Sample Multimethod Studies Data Analysis Software Descriptive Statistics Support, Psychosocial Pregnancy Female Adult Funding Source Adult: 19-44 years Female ab: Study Aim: To describe how socioecological influences of housing instability affect pregnancy health among birthing and postpartum people. Design: We used the socioecological framework to guide this exploratory descriptive study using semi‐structured, in‐depth interviews. Methods: We purposively recruited birthing people in the southern mid‐Atlantic region. Seventeen one‐time, semi‐structured interviews were conducted between February 2020 and December 2021 with English‐speaking unstably housed participants ≥18 years old, currently pregnant, or recently postpartum. Qualitative and quantitative content approaches were used to analyse transcribed interviews. Dedoose software was used to identify code patterns and refine the codebook until group consensus. The team examined code patterns, explored meaning in text and codified code‐generated categories to describe experiences. Results: Majority (82.4%) of participants were African Americans between 22 and 41 years, and most were postpartum (76.5%). Participants described multiple forms of housing instability, reasons for losing housing, challenges with finding housing and strategies for finding housing. Participants did not describe housing instability as a barrier to receiving prenatal care. Building and sustaining individual relationships and social support were prominent factors affecting their housing challenges. Participants also reported a lack of obstetric provider inquiry about housing status during pregnancy. Many reported that challenges with housing triggered mental health issues, especially depression. Conclusion: Nurses and other obstetric providers are key points of contact in the prenatal care setting for assessing housing stability. Additionally, refining social structures and funding support services within communities and prenatal health systems should be a strategy for future programme and policy planning improvement. Impact: This study highlights critical areas for consideration when addressing social determinants for birthing people and reinforces the need for more comprehensive assessment in the prenatal setting. Patient or Public Contribution: Members of the public participated in this study as key informants for study interviews. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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