000 02652nab a22003377a 4500
999 _c7004
_d7004
005 20250625151543.0
008 210125s2020 -nz|| |||| 00| 0 eng d
040 _aAFVC
100 _aNeely, Eva
_99706
245 _a“Ashamed, silent and stuck in a system” :
_bApplying a structural violence lens to midwives’ stories on social disadvantage in pregnancy
_cEva Neely, Briony Raven, Lesley Dixon, Carol Bartle and Carmen Timu-Parata
260 _bMDPI,
_c2020
500 _aInternational Journal of Environmental Research and Public Health, 2020, 17(24): 9355
520 _aHistorical and enduring maternal health inequities and injustices continue to grow in Aotearoa New Zealand, despite attempts to address the problem. Pregnancy increases vulnerability to poverty through a variety of mechanisms. This project qualitatively analysed an open survey response from midwives about their experiences of providing maternity care to women living with social disadvantage. We used a structural violence lens to examine the effects of social disadvantage on pregnant women. The analysis of midwives’ narratives exposed three mechanisms by which women were exposed to structural violence, these included structural disempowerment, inequitable risk and the neoliberal system. Women were structurally disempowered through reduced access to agency, lack of opportunities and inadequate meeting of basic human needs. Disadvantage exacerbated risks inequitably by increasing barriers to care, exacerbating the impact of adverse life circumstances and causing chronic stress. Lastly, the neoliberal system emphasised individual responsibility that perpetuated inequities. Despite the stated aim of equitable access to health care for all in policy documents, the current system and social structure continues to perpetuate systemic disadvantage. (Authors' abstract). Record #7004
650 _aFAMILY VIOLENCE
_9252
650 _aHEALTH SERVICES
_9290
650 4 _9384
_aMIDWIVES
650 _aPOVERTY
_9453
650 _aPREGNANCY
_9455
650 _aRACISM
_93087
650 _aREPRODUCTIVE HEALTH
_93274
650 4 _9568
_aSOCIOECONOMIC FACTORS
651 4 _aNEW ZEALAND
_92588
700 _dRaven, Briony
_99707
700 _aDixon, Lesley
_99708
700 _aBartle, Carol
_99709
700 _aTimu-Parata, Carmen
_99710
773 0 _tInternational Journal of Environmental Research and Public Health, 2020, 17: 9355
830 _aInternational Journal of Environmental Research and Public Health
_99711
856 _uhttps://dx.doi.org/10.3390%2Fijerph17249355
_zDOI: 10.3390%2Fijerph17249355 (Open access)
942 _2ddc
_cARTICLE