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Open Access An Exploration of the Relationships Between Health Promotion Practices, Health Work, and Felt Stigma in Families Headed by Adolescent Mothers Une exploration de la relation entre les pratiques de promotion de la santé, le travail lié aux soins de santé et le stigmate ressenti chez les familles dirigées par une mère adolescente

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Abstract:

The purpose of this study was to examine the relationship between stigma and health promotion in families with preschool children headed by adolescent mothers, by: (a) testing hypotheses derived from the Developmental Model of Health and Nursing, and (b) descriptively exploring the experience of stigma in a community sample of 63 adolescent mothers in southwestern Ontario, Canada. The mothers verbally responded to established measures of felt stigma, family health work, healthy lifestyle practices, and a demographic questionnaire during a structured interview. Then their experiences of stigma were explored during a brief dialogic interview. Consistent with the theory, a moderate positive relationship was observed between family health work and mothers' healthy lifestyle ( = .52, < .001). Felt stigma was not related to either health work or global healthy lifestyle. Stigma did not appear to affect family health promotion efforts directly but influenced other aspects of the participants' lives in both positive and negative ways. Implications for practice and future research are identified.

French
Cette étude à pour objectif d'examiner les liens entre le stigmate et la promotion de la santé chez les familles composées d'enfants d'âge préscolaire et dirigées par une mère adolescente, en testant les hypothèses issues du Developmental Model of Health and Nursing [modèle développemental de la santé et des soins infirmiers] et en explorant, de façon descriptive, l'expérience du stigmate auprès d'un échantillon de 63 mères adolescentes vivant dans des communautés du SudOuest de l'Ontario, au Canada. Les mères ont répondu verbalement à des questions portant sur le stigmate ressenti selon une gradation établie, le travail liés aux soins de santé familiale, les pratiques de vie saines et à un questionnaire démographique au cours d'une entrevue structurée. Leurs expériences de stigmate ont ensuite été explorées lors d'une brève entrevue dialogique. Conformément à la théorie, la recherche a révélé une relation modérément positive entre le travail lié à la santé familiale et le mode de vie sain des mères (r = 0,52, p < 0,001). Le stigmate ressenti ne portait pas sur le travail liés aux soins de santé ni sur la présence d'un mode de vie sain dans l'ensemble. Le stigmate ne semblait pas non plus avoir d'effets directs sur les efforts de promotion de la santé familiale mais influait sur d'autres aspects de la vie des participantes, de façons positives et négatives. Des implications relativement à la pratique et aux futures recherches ont été identifiées.

Keywords: ADOLESCENT MOTHERS; DEVELOPMENTAL MODEL OF HEALTH AND NURSING; FAMILY HEALTH PROMOTION; STIGMA

Document Type: Research Article

Publication date: 2004-12-01

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