Social and Cultural Factors Influence African American Men's Medical Help Seeking
Social and Cultural Factors Influence African American Men's Medical Help Seeking
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DOI：
10.1177/1049731510388669
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发表时间：
2011-05-01
影响因子：
1.8
通讯作者：
Gunter, Katie
中科院分区：
文献类型：
--
作者：
Griffith, Derek M.;Allen, Julie Ober;Gunter, Katie
目的：探讨影响非裔美国男性就医的因素。方法：主题分析14个焦点小组与105名老年人，城市非洲裔美国人。结果如下：非裔美国人描述了他们不去看医生的规范期望，他们害怕去，几乎没有解释。当他们去的时候，男性报告说，他们对医生与他们交谈时使用的语气感到特别不舒服。提供者经常提出建议，但很少提供关于如何改变生活方式和行为的有用信息。在接受护理后，配偶、医疗检查结果和男子履行社会角色的愿望是听从医疗建议的关键动机和工具因素。结论：非裔美国人寻求医疗帮助似乎受到社会规范和医患互动的负面影响，但受到配偶和履行社会角色的愿望的积极影响。
Objective: To examine the factors that influenced African American men's medical help seeking. Method: Thematic analysis of 14 focus groups with 105 older, urban African American men. Results: African American men described normative expectations that they did not go to the doctor and that they were afraid to go, with little explanation. When they did go, men reported that they were particularly uncomfortable with the tone physicians used when talking to them. Providers often made recommendations but offered the men little useful information on how to make lifestyle and behavior changes. Following receipt of care, spouses, medical test results, and men's desire to fulfill social roles were key motivating and instrumental factors in following medical advice. Conclusions: African American men's medical help seeking seemed to be negatively influenced by social norms and patient-provider interactions but positively influenced by spouses and the desire to fulfill social roles.