Unmet Health Services Needs Experienced by Puerto Rican OEF/OIF Veterans and Families Post Deployment

Unmet Health Services Needs Experienced by Puerto Rican OEF/OIF Veterans and Families Post Deployment
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DOI:
10.7205/milmed-d-10-00334
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发表时间:
2011-04-01
期刊:
影响因子:
1.2
通讯作者:
Uphold, Constance R.
Uphold, Constance R.
中科院分区:
医学4区
文献类型:
--
作者:
Hannold, Elizabeth M.;Freytes, I. Magaly;Uphold, Constance R.

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目的:本研究探讨了未满足的卫生服务需求之间的本地波多黎各持久自由行动(OEF)/伊拉克自由行动(OIF)退伍军人和家庭成员(FM)部署后的看法。方法:研究者采用定性方法收集和分析8名退伍军人和8名FM(N = 16)的数据。所有参与者都是土生土长的波多黎各居民。调查人员对参与者进行了单独的深入访谈。他们用西班牙语进行了13/16次采访。波多黎各西班牙语发言人逐字转录录音采访,然后将其翻译成英语编码。结果:退伍军人的未满足的需求包括心理评估,心理健康服务,支持团体,医疗评估和疼痛治疗。否认和耻辱成为阻止退伍军人寻求心理健康治疗的因素。从数据中也可以看出对家庭支助小组的需要。结论:波多黎各本地退伍军人和FM确定了卫生服务的几个差距。调查结果表明,需要研究比较波多黎各与大陆OEF/OIF退伍军人和家庭的卫生服务需求。
Objective: This study examined perceptions of unmet health services needs among native Puerto Rican Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans and family members (FMs) post deployment. Methods: Investigators used qualitative methods to collect and analyze data from 8 veterans and 8 FMs (N = 16). All participants were native-born residents of Puerto Rico. Investigators conducted single, in-depth interviews with participants. They conducted 13/16 interviews in Spanish. Puerto Rican Spanish speakers transcribed audio-taped interviews verbatim and then translated them into English for coding. Results: Veterans' unmet needs included psychological evaluations, mental health services, support groups, medical evaluations, and pain treatment. Denial and stigma emerged as factors that deter Veterans from seeking mental health treatment. The need for family support groups also emerged from the data. Conclusions: Native Puerto Rican Veterans and FMs identified several gaps in health services. Findings suggest the need for studies comparing the health services needs of Puerto Rican versus mainland OEF/OIF Veterans and families.