CONTEXT
Native
Hawaiians experience the highest reported rate of unintended pregnancy of any
ethnic group in Hawaii. Understanding the context in which they make decisions
that influence pregnancy and pregnancy planning is essential to reducing this
rate.
METHODS
A
qualitative study was carried out in partnership with a community health center
serving a large Native Hawaiian population to explore how Native Hawaiians
conceptualize pregnancy and pregnancy planning. Between August and October
2013, semistructured interviews were conducted with 10 diverse key informants
from the Hawaiian community. Content analysis was used to identify themes and
patterns that emerged from the interviews.
RESULTS
Core
Hawaiian values of children and family strongly affect how Native Hawaiians
view pregnancy, pregnancy planning and unintended pregnancies. ‘Ohana (families) are
large and characterized by tremendous support, which is perceived to lessen the
burden of an unintended pregnancy. Pregnancies, whether planned or not, are
seen as blessings because children are highly valued. Because of these
concepts, there is an expectation for women to continue unplanned pregnancies.
Although Hawaiians ascribe value to planning pregnancies and hope that children
are born under what they identify as ideal circumstances, they acknowledge that
these circumstances are not necessary and often do not occur.
CONCLUSION
The
concepts of family and children serve as core values to Native Hawaiians and
are linked to the ways in which they view pregnancy and pregnancy planning.
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