An ecological approach to understanding Women’s reproductive health and pregnancy decision making in Greenland

Rink, Elizabeth; Anastario, Michael; Reimer, Gitte Adler; Peterson, Malory

doi:10.1016/j.healthplace.2022.102868

Cited by 3 publications

(8 citation statements)

References 48 publications

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“…Allowing mixed marriages was a way to prevent extramarital sexual relations as well as to control the colonial population [41]. The Christian missionaries imposed Christian morality on Inuit communities affecting marital practices and gender roles [42]. A study of syphilis from the mid-twentieth century estimated that 90% of young women and men had premarital sex, while extramarital sex was regarded as rather uncommon.…”

Section: Sexuality In Greenland-taboo or Not Taboo?mentioning

confidence: 99%

Let’s Talk About Sex! Perspectives from People with Intellectual and Developmental Disabilities and Caregivers in Residential Institutions in Greenland

Nørtoft,

Rubin

2024

Sex Disabil

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This study explores how attitudes toward talking about sex and sexual matters influence practices regarding sexuality, sexual rights, and sexual abuse in residential institutions for people with disabilities in Greenland. 16 residents aged 17–62 and 29 managers and staff from 8 residential institutions have been interviewed about the ways sexual needs and rights are treated and discussed as well as how sexual harassment and violations are prevented or handled. The results of the study show that there are great variations between the residential institutions regarding meeting residents’ sexual needs, talking about sex, sex education, and knowledge of rules and policies in the area. While some managers and staff are quite comfortable talking to residents and each other about sex, boundaries, and the body, others find it extremely difficult and some even reject the thought of sex as a relevant topic for the residents. Regardless of the level of openness about sexual matters in the residential institutions, staff and managers express a need for more sex education with a focus on how they can best help, guide, and protect residents, but guidance about sex is much more available for residents when staff feel comfortable talking about sex. Sexual violations and illegal sexual contact might take place in residential institutions regardless of the local practices regarding sex and sex education. However, openness about sexual matters might help detect overstepped sexual boundaries and stop sexual harassment and violations earlier.

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Section: Sexuality In Greenland-taboo or Not Taboo?mentioning

confidence: 99%

Let’s Talk About Sex! Perspectives from People with Intellectual and Developmental Disabilities and Caregivers in Residential Institutions in Greenland

Nørtoft,

Rubin

2024

Sex Disabil

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“…An ecological systems approach to SRH programs allows practitioners to address the unique cultural, economic, historical, and geographic factors that contribute to SRH disparities in Greenland. People in Greenland benefit from SRH programs that are designed to proactively intervene upon STI transmission and poor pregnancy outcomes through improved sexuality education for individuals, families, healthcare providers, and community leaders (Gesink et al 2010;Rink et al 2014;Rink et al 2022). We assert that use of an ecological systems framework will align with a contemporary movement towards strengths-based public health programs that capitalize upon kinship networks, connection to land, and other core components of Greenlandic life (Berliner et al 2012;Cueva et al 2021;Rink & Adler Reimer 2020;.…”

Section: Ecological Systems Theory To Guide Holistic Sexual Health Pr...mentioning

confidence: 99%

“…While there are many adaptations of ecological models for health research, studies examining ecological systems related to SRH typically include the intrapersonal, interpersonal, familial, community, institutional, and societal systems (Campbell et al 2009;DiClemente et al 2007;Salazar et al 2010). Above, we provide an example of how an ecological systems model can be constructed to identify and organize key determinants of SRH that are specific to the Greenlandic sociocultural, physical, and historical context Rink et al 2022).…”

Section: Overview Of Ecological Systems Theory In Health Programmingmentioning

confidence: 99%

“…Ecological systems models can serve as conceptual tools to retrospectively explain SRH phenomena and to prospectively identify intervention points to improve SRH outcomes for a population (Rink et al 2022;Salazar et al 2010;Stokols 1996). An ecological systems approach to health poses that incremental health behavior change is dependent on the nature of interaction between the individual and the proximate systems in their environment (Bronfenbrenner 1999).…”

Section: Strengths Of the Ecological Systems Model In Sexual And Repr...mentioning

confidence: 99%

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Envisioning an ecological systems theoretical approach to sexual and reproductive health programs in GreenlandMalory

Peterson,

Reimer,

Rink

2024

gksf

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People in Greenland experience disparate sexual and reproductive health (SRH) outcomes relative to populations in other circumpolar countries and Denmark. SRH in Greenland is intrinsically linked to multiple levels of an individual’s life, including family, partner relationship, healthcare access, and unique sociocultural factors. In this article we advocate for the use of ecological systems theory to design SRH programs in Greenland that incorporate the many interrelated systems that affect individual health outcomes. We introduce key concepts and strengths of ecological systems models for SRH programs, and we elucidate specific constructs of ecological systems theory that complement the existing Greenlandic health environment. We suggest that ecological systems theory is culturally congruent with how people in Greenland understand the interconnectedness of individuals, families, communities, and the natural and built environment. Incorporating ecological systems theory in SRH program design may promote interorganizational collaboration of SRH services, and integrate SRH education across family, school, and healthcare settings.

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“…Childbirth is one of the most challenging psychological transitions in a woman's life, with short-and long-term consequences [13,14]. A recent study highlights the need to identify pathways through research and health care practice that can support women to make informed decisions about pregnancy that resonate with their cultural beliefs as well as the realities of their everyday lives [15].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Role of Birth Environment on Italian Mothers’ Emotional Experience during Childbirth

Migliorini,

Setola,

Naldi

et al. 2023

IJERPH

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The physical environment is one of the factors that affect mother’s experience of childbirth and psychological health. A woman’s childbirth experience has been found to influence not only the mother’s own health and future births but also the well-being of her child and family. The present study’s objective was to investigate mothers’ perceptions of spatial-physical humanization, affective quality of place, and emotions during childbirth. To achieve this goal, the first part of our work was dedicated to selecting two birth environments (hospital and birth center) with different degrees of humanization. The methods include observations and field survey which mainly concerned the environmental quality of the spaces and the layout of the birth unit, and self-report questionnaire about perceived environment, affective quality attributed to place, and delivery experience. Participants are 66 low-risk women, choosing hospital or birth center. The findings indicate an enhanced perception of both the spatial-physical aspects and the social and functional aspects of the care unit among mothers who give birth at the birth center. These same mothers also report a more positive perception of the childbirth experience. In conclusion, this study contributes to the understanding of the role of birth environments in shaping mothers’ emotional experiences during childbirth.

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An ecological approach to understanding Women’s reproductive health and pregnancy decision making in Greenland

Cited by 3 publications

References 48 publications

Let’s Talk About Sex! Perspectives from People with Intellectual and Developmental Disabilities and Caregivers in Residential Institutions in Greenland

Let’s Talk About Sex! Perspectives from People with Intellectual and Developmental Disabilities and Caregivers in Residential Institutions in Greenland

Envisioning an ecological systems theoretical approach to sexual and reproductive health programs in GreenlandMalory

Exploring the Role of Birth Environment on Italian Mothers’ Emotional Experience during Childbirth

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