ABSTRACT
Objetivo: Explorar el rol de los profesionales de la salud en el proceso del trabajo de parto y nacimiento en el fenómeno de las series médicas televisivas entre 2017 y 2022. Materiales y método: Estudio cualitativo de tipo fenomenográfico hermenéutico. Se utilizaron como fuentes documentales series médicas disponibles en plataformas de vídeo en demanda. El muestreo fue de tipo propositivo de criterio, seleccionando las series médicas New Amsterdam, Bajo presión, The Good Doctor y Grey's Anatomy. Las unidades de análisis corresponden a las escenas de trabajo de parto y nacimiento de las series. Se establecieron tres categorías a priori: paradigmas de la atención del trabajo de parto y nacimiento, estándar según la Confederación Internacional de Matronas (ICM), y la relevancia de los profesionales de la salud en el trabajo de parto y nacimiento. Durante el análisis de contenido emerge una cuarta categoría identificada como representación social del nacimiento. Resultados: Se analizaron 32 escenas, de 14 temporadas, resultando en 150,44 minutos de visionado por cada una de las investigadoras. De las categorías establecidas se observó: persistencia del modelo biomédico en el tiempo, sobrerrepresentación de los profesionales de medicina en diversos roles, subrepresentación de otros profesionales de la salud, ausencia de profesionales de obstetricia y escaso cumplimiento de los estándares de atención propuestos por la ICM. Conclusiones: Es necesario reenfocar las series médicas, ya que hoy en día existen cambios que consisten en nuevos criterios, paradigmas y modelos de atención en los procesos de trabajo de parto y nacimiento que podrían informar mejor a las mujeres y a las personas gestantes. (AU)
Objective: To explore the role of healthcare professionals in the process of labor and birth in the phenomenon of medical series between 2017-2022. Materials and method: Qualitative hermeneutic phenomenographic study. Medical series available on video-on-demand platforms were used as documentary sources. Propositive criterion sampling was used, selecting the medical series New Amsterdam, Bajo Presión, The Good Doctor, and Grey's Anatomy. The units of analysis correspond to labor and birth scenes from the series. Three a priori categories were established: labor and birth care paradigms, standards according to the International Confederation of Midwives (ICM), and the relevance of healthcare professionals in labor and delivery. During content analysis, a fourth category emerged: the social representation of birth. Results: 32 scenes from 14 seasons were analyzed, resulting in 150.44 minutes of viewing by each of the researchers. From the established categories, the persistence of the biomedical model over time was observed, with over-representation of doctors in various roles, under-representation of non-medical professionals, absence of obstetrics professionals, and poor compliance with the ICM's proposed standards of care. Conclusions: It is necessary to refocus medical series as there are changes today consisting of new criteria, paradigms, and care models in labor and delivery processes that could better inform women and childbearing people. (AU)
Subject(s)
Humans , Television , Health Personnel , Professional Role , Hermeneutics , Labor, Obstetric , Medicine in the ArtsABSTRACT
Vasectomy is used less often than female sterilization, and many men who do not want more children may lack accurate information about vasectomy. Between May and June 2018, we used a nationally representative online panel to survey U.S. men between 25 and 55 years of age who did not want more children about their vasectomy knowledge. We also asked about interest in undergoing the procedure if it were free or low cost and explored whether a paragraph addressing common misperceptions was associated with interest. We assessed characteristics associated with high vasectomy knowledge (≥3 accurate responses to four questions about vasectomy's effect on sexual functioning and method efficacy) and vasectomy interest, using chi-square tests and multivariable-adjusted Poisson regression. Of 620 men surveyed, 564 had complete data on the outcomes and covariates of interest. Overall, 51% of respondents demonstrated high vasectomy knowledge. Men who knew someone who had a vasectomy were more likely to have high knowledge (prevalence ratio [PR]: 1.50; 95% CI [1.22, 1.85]). One-third of the sample (35%) said they would consider getting a vasectomy. Men with high (vs. moderate/low) knowledge were more likely (PR: 1.36; 95% CI [1.04, 1.77]) to consider getting a vasectomy. Race/ethnicity, income level, and receiving the informational paragraph were not associated with vasectomy interest. Greater vasectomy knowledge affects men's interest in the procedure. Given that many U.S. men lack accurate knowledge, efforts are needed to address misinformation and increase awareness about vasectomy to ensure men have the information they need to meet or contribute to reproductive goals.
Subject(s)
Vasectomy , Child , Ethnicity , Family Planning Services , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Men , Surveys and QuestionnairesABSTRACT
Background: Female sex workers (FSW) are socially and economically marginalized, and this vulnerability can be exacerbated when they hold the intersectional identity of also being an immigrant, such as in the case of Haitian FSWs in the Dominican Republic. Objective: Considering that half of migratory young women and girls relocating across the Latin American and Caribbean region do so without their families, increasing the likelihood of experiencing abuses, our primary objective was to test the hypothesis that Haitian FSWs in the Dominican Republic have higher odds of being physically abused by sexual partners compared to Haitian FSWs in Haiti. Methods: We conducted bivariate analyses and multivariate analyses on 2014 Hispaniola Sex Workers Study (N = 232). Findings: Approximately 80% of Haitian FSWs in the Dominican Republic reported experiencing violence by a regular partner (80.3%), compared with 60.0% of Haitian FSWs in Haiti (χ2 = 11.34, p < 0.001). Controlling for socio-demographics, substance use, childhood abuse, and sexual behaviors, Haitian FSWs in Haiti maintained lower odds of experiencing violence by a regular partner (OR:0.37, p < 0.01) and higher odds of experiencing violence from a coworker (OR:6.38, p < 0.001) compared to FSWs in the Dominican Republic. Using sex to avoid arrest is associated with higher odds of experiencing violence by a client and violence by a coworker (OR:2.18, p < 0.05; OR:3.74, p < 0.001; respectively). Accepting payment in the form of drugs/alcohol is associated with higher odds of experiencing physical violence by a regular partner but lower odds of experiencing violence by a client (OR:3.99, p < 0.05; OR:0.43, p < 0.05; respectively). Conclusions: Assuming health is a human right, then practitioners and scholars must actively collaborate to fortify vulnerable populations against injurious structural and sociocultural forces examining the intersectionality and compound effects of multiple stigmatized identities, in this study being an FSW and an immigrant, that moderate the potential positive effects of public health interventions.
