Adolescent Latinas’ with Diabetes and Their Mothers’ Understanding of Diabetes and Reproductive Health: Converging Themes to Inform a Culturally Sensitive Preconception Counseling Program
Latinas are at an increased risk for diabetes and reproductive health (RH) complications with sexuality and pregnancy. This study explored the understanding of diabetes related to RH, pregnancy, unplanned pregnancies, preconceptioncounseling, tight-control, and family planning among Latina adolescen...
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| Published in | Journal of pediatric health care Vol. 35; no. 2; pp. 205 - 215 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.03.2021
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| Abstract | Latinas are at an increased risk for diabetes and reproductive health (RH) complications with sexuality and pregnancy. This study explored the understanding of diabetes related to RH, pregnancy, unplanned pregnancies, preconceptioncounseling, tight-control, and family planning among Latina adolescents with diabetes and their mothers and explored converging themes.
The qualitative descriptive study used written open-ended questions (English or Spanish) with Latina mothers (n = 13) and daughters (n = 21). Responses were transcribed. Content analysis was used by four researchers who coded and discussed themes and reached consensus. Converging themes were confirmed using Atlas.ti software.
Seven themes emerged from the mother–daughter dyad: communication (awkwardness, ambivalence, styles); control (being controlled vs. controlling); consequences (fertility, complications); planning (pregnancy, being healthy, life plan, RH); support; danger, risk, and safety; and stigma.
Many mother–daughter dyads were not ready to discuss RH among themselves. Cultural and familial perspectives should be considered when providing care and preconception counseling to this population. |
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| AbstractList | INTRODUCTIONLatinas are at an increased risk for diabetes and reproductive health (RH) complications with sexuality and pregnancy. This study explored the understanding of diabetes related to RH, pregnancy, unplanned pregnancies, preconceptioncounseling, tight-control, and family planning among Latina adolescents with diabetes and their mothers and explored converging themes. METHODThe qualitative descriptive study used written open-ended questions (English or Spanish) with Latina mothers (n = 13) and daughters (n = 21). Responses were transcribed. Content analysis was used by four researchers who coded and discussed themes and reached consensus. Converging themes were confirmed using Atlas.ti software. RESULTSSeven themes emerged from the mother-daughter dyad: communication (awkwardness, ambivalence, styles); control (being controlled vs. controlling); consequences (fertility, complications); planning (pregnancy, being healthy, life plan, RH); support; danger, risk, and safety; and stigma. DISCUSSIONMany mother-daughter dyads were not ready to discuss RH among themselves. Cultural and familial perspectives should be considered when providing care and preconception counseling to this population. Latinas are at an increased risk for diabetes and reproductive health (RH) complications with sexuality and pregnancy. This study explored the understanding of diabetes related to RH, pregnancy, unplanned pregnancies, preconceptioncounseling, tight-control, and family planning among Latina adolescents with diabetes and their mothers and explored converging themes. The qualitative descriptive study used written open-ended questions (English or Spanish) with Latina mothers (n = 13) and daughters (n = 21). Responses were transcribed. Content analysis was used by four researchers who coded and discussed themes and reached consensus. Converging themes were confirmed using Atlas.ti software. Seven themes emerged from the mother-daughter dyad: communication (awkwardness, ambivalence, styles); control (being controlled vs. controlling); consequences (fertility, complications); planning (pregnancy, being healthy, life plan, RH); support; danger, risk, and safety; and stigma. Many mother-daughter dyads were not ready to discuss RH among themselves. Cultural and familial perspectives should be considered when providing care and preconception counseling to this population. |
| Author | Sorkin, Dara H. Montgomery, Keirsten Abujaradeh, Hiba Charron-Prochownik, Denise Peterson-Burch, Frances Zender, Robynn Olshansky, Ellen |
| Author_xml | – sequence: 1 givenname: Hiba surname: Abujaradeh fullname: Abujaradeh, Hiba – sequence: 2 givenname: Ellen surname: Olshansky fullname: Olshansky, Ellen – sequence: 3 givenname: Frances surname: Peterson-Burch fullname: Peterson-Burch, Frances – sequence: 4 givenname: Keirsten surname: Montgomery fullname: Montgomery, Keirsten – sequence: 5 givenname: Robynn surname: Zender fullname: Zender, Robynn – sequence: 6 givenname: Dara H. surname: Sorkin fullname: Sorkin, Dara H. – sequence: 7 givenname: Denise surname: Charron-Prochownik fullname: Charron-Prochownik, Denise email: dcpro@pitt.edu |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33358477$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_pec_2023_107739 crossref_primary_10_1111_pedi_13408 crossref_primary_10_1111_dme_15060 crossref_primary_10_55267_iadt_07_14508 |
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| Keywords | mother–daughter Preconception counseling adolescents Latinas diabetes |
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| Title | Adolescent Latinas’ with Diabetes and Their Mothers’ Understanding of Diabetes and Reproductive Health: Converging Themes to Inform a Culturally Sensitive Preconception Counseling Program |
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