Health-seeking behaviors of elderly Chinese Americans: Shifts in expectations
Health-seeking behaviors of elderly Chinese Americans: Shifts in expectations
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DOI：
10.1093/geront/43.6.864
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发表时间：
2003-12-01
期刊：
影响因子：
5.7
通讯作者：
Cody, M
中科院分区：
文献类型：
--
作者：
Pang, EC;Jordan-Marsh, M;Cody, M
目的：本研究定性分析了社区华裔老年人的就医行为，探讨了家庭网络、文化价值观和移民经历对老年人医疗资源利用的影响。此外，还研究了保健的障碍、保健的途径以及通过使用自我治疗和东西方药物来适应保健。设计和方法：研究者使用内容分析法获得焦点小组访谈资料的主题和关键点（N = 25），以探讨老年参与者在使用卫生资源方面的态度、价值观和做法。采用中文调查问卷收集人口学资料。结果如下：研究结果表明，从传统的孝道的期望，以更多的依赖邻居和朋友，并结合东方和西方的医疗保健模式的真正适应性的转变。这些中国老人并没有提出移民来解释对家庭支持或价值观的期望发生变化。含义：这项研究的研究，服务提供和决策的少数民族老年人的医疗保健，特别是在解决结构和文化问题的访问和遵守的影响。
Purpose: This study reported a qualitative analysis of health-seeking behaviors of community-dwelling elderly Chinese Americans on the influences of family network, cultural values, and immigrant experience in their use of health resources. Barriers to health care, pathway of health care, and adaptation of health care by use of self-treatment and Eastern and Western medicines were also examined. Design and Methods: The investigators used content analysis to obtain themes and key points of focus group interview data (N = 25) to explore the elderly participants' attitudes, values, and practices in their use of health resources. Survey questionnaires in Chinese were used to compile demographic data. Results: Findings suggested a shift from traditional expectations of filial piety to more dependence on neighbors and friends, and a genuine adaptability to combining Eastern and Western health care modalities. Immigration was not proposed by these Chinese elders as an explanation of shifts in expectations for family support or values. Implications: This study has implications for research, service delivery, and policy making for health care of ethnic elderly persons, particularly in addressing structural and cultural issues in access and compliance.