Influence of Culture and Discrimination on Care-Seeking Behavior of Elderly African Americans: A Qualitative Study

Influence of Culture and Discrimination on Care-Seeking Behavior of Elderly African Americans: A Qualitative Study
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DOI:
10.1080/19371910903240753
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发表时间:
2010-01-01
影响因子:
2.5
通讯作者:
Knapp, Matthew
Knapp, Matthew
中科院分区:
医学4区
文献类型:
--
作者:
Martin, Shadi S.;Trask, Jacqueline;Knapp, Matthew

文献摘要

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在这项研究中,探讨了文化和歧视对老年非裔美国人寻求护理行为的影响。这是一项定性现象学研究,对阿拉巴马州 15 名 60 岁及以上的非裔美国男性和女性进行了深入访谈。 15 个样本量对于本研究的现象学方法来说是足够的。虽然这是一项小型探索性研究,无意进行任何概括,但它确实提供了一个独特的机会来聆听老年非裔美国人的声音、担忧和故事,而这些在文献中经常被忽视。数据分析得出以下主题:(1) 将健康视为积极活动的能力,(2) 不愿意使用处方药,(3) 对医生缺乏信任,(4) 避免坏消息,(5) 医生的种族,(6) 使用家庭疗法,以及 (7) 上帝和灵性对健康、疾病和治疗的重要性。
In this study, the influence of culture and discrimination on care-seeking behavior of elderly African Americans was explored. This was a qualitative phenomenological study that involved in-depth interviews with 15 African American men and women aged 60 and older in Alabama. The sample size of 15 was adequate for the phenomenological method of this study. While this was a small exploratory study and was not intended for any generalizations, it did provide a unique opportunity to hear the voices, the concerns, and the stories of elderly African Americans, which have often been overlooked in the literature. The following themes emerged from the analysis of data: (1) perception of health as ability to be active, (2) reluctance toward prescription medicine use, (3) lack of trust in doctors, (4) avoidance of bad news, (5) race of doctors, (6) use of home remedies, and (7) importance of God and spirituality on health, illness, and healing.