Ethnic notions and healthy paranoias: understanding of the context of experience and interpretations of healthcare encounters among older Black women.

Ethnic notions and healthy paranoias: understanding of the context of experience and interpretations of healthcare encounters among older Black women.
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DOI:
10.1080/13557858.2010.491541
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发表时间:
2010-10
期刊:
影响因子:
3.1
通讯作者:
Sims CM
Sims CM
中科院分区:
医学3区
文献类型:
--
作者:
Sims CM

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To report the firsthand perspectives of older Black women within healthcare encounters that impact the trajectories of health seeking behavior; to examine their perceptions, expectations, and beliefs about the role of cultural difference within predominantly White (US) health care settings; and to explore how sharing personal experiences (theirs and others’) as a fund of knowledge influences ethnic notions. This research is aimed at the development of community resource partnerships and effective healthcare service delivery with intervention and promotion efforts targeting older Black women. Ethnographic data collected over a twenty-four month period (2003 – 2005) from fifty older Black women in Tucson, Arizona is discussed on three levels: (1) expectations and beliefs, (2) the use of ethnic notions in the form of healthy paranoias as part of individual and communal health advocacy, and (3) perceptions of interethnic communication within healthcare settings, including feeling uncared for by healthcare providers and support staff. Disparities in older Black women's health and well-being are often constructed and filtered through "non-clinical" influences, such as cultural differences, individual experiences, and beliefs about "race" or "being" a Black female. Unfamiliarity with ethnic notions may cause misinterpretations and misunderstandings and may influence interactions between older Black women and healthcare providers.
DOI: 10.1525/aa.2001.103.4.1114
发表时间: 2001-12-01
影响因子: 3.5
作者:
Chavez, LR;McMullin, JM;Hubbell, FA
通讯作者: Hubbell, FA
DOI: 10.2105/ajph.92.4.611
发表时间: 2002-04-01
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影响因子: 3.4
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