MEXICAN-ORIGIN CHILDREN'S HEALTH IN CULTURAL CONTEXT

文化背景下墨西哥裔儿童的健康

• 批准号: 2889135
• 负责人: LAUREN CLARK
• 金额: $ 9.1万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-18 至 2001-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2889135
• 关键词: Hispanic Americans; behavioral /social science research tag; body physical characteristic; child (0-11); community health services; culture; data collection; health behavior; health care model; household; human subject; interview

DESCRIPTION: (Adapted from applicants abstract) The epidemiologic paradox presented by Hispanic health research in the U.S. shows a health outcome advantage for Hispanics, despite lower income and educational attainment. Health advantages often erode with increasing levels of acculturation. Nurses working with Mexican-origin children and their families to maximize child health outcomes need a culture-based conceptual model to relate the cultural context of child health production to household processes and child health outcomes. With eventual health care reform of some type a certainty, nurses need to support the cultural factors contributing to children's health, and minimize structural barriers to health care for Mexican-origin households. Given this background, the purpose of this focused ethnography is to describe the cultural context of child health production activities and processes for Mexican-origin children from birth through 19 months of age. This purpose will be attained through five specific aims. Aim 1 will describe household-based child health processes; Aims 2 and 3 will describe mothers' perceptions and expectations of professional and household-based child health care; Aim 4 will examine intra-cultural diversity in household health production and professional health care perceptions; and Aim 5 will provide narrative and graphic models of the household production of child health in cultural context. Attaining these aims will involve studying approximately 20-25 Mexican-origin households for 22 months each, from the prenatal period to the infant's 19th month. Home visits will be conducted prenatally (at 6 and 8 months of pregnancy), at birth, and when the infant is aged 1, 4, 7, 10, 13, 16 and 19 months. Unstructured ethnographic interviews will elicit data at home visits. Anthropometric data will also be collected on infants at home visits. Medical record data on infant health will provide additional health outcome information. Mothers in Phase 1 will take photographs for hermeneutic analysis. In Phase II, more focused sampling will begin. Focus groups will also be initiated on topics related to health production with members of mothers' social networks. Finally, participant observation will provide a larger cultural context for the data collection and interpretation. Data analysis will utilize mother's and health care providers' child illness narratives, interview discourse, focus group themes, and attend to the patterning of household health production and child health outcomes. In addition, a description of the sample (in terms of acculturation and socioeconomic status) will be provided. The results of this study will be available to researchers and clinicians seeking an integrated perspective on the cultural context of child health production in Mexican-origin households. Ultimately, the unique strengths of the Mexican American family and household described in this research may be supported and enhanced to facilitate optimal health outcomes for children.

描述：（改编自申请人摘要）流行病学 美国西班牙裔健康研究提出的一个悖论表明， 西班牙裔的结果优势，尽管收入和教育水平较低 成就健康方面的优势往往随着人们的健康水平的提高而削弱。 文化适应从事墨西哥裔儿童工作的护士及其 家庭最大限度地提高儿童健康成果需要一个基于文化的 将儿童健康的文化背景联系起来的概念模型 生产到家庭过程和儿童健康成果。与 最终的某种类型的医疗改革是肯定的，护士需要 支持有助于儿童健康的文化因素， 最大限度地减少墨西哥裔人获得医疗保健的结构性障碍 户在此背景下，本报告的目的是 民族志是描述儿童健康的文化背景 墨西哥裔儿童的生产活动和工艺 从出生到19个月。这一目标将通过 五个具体目标。目标1将描述以家庭为基础的儿童健康 目标2和3将描述母亲的看法， 对专业和家庭儿童保健的期望 4将审查家庭保健产品的文化内多样性 和专业的医疗保健观念;目标5将提供 家庭生产儿童健康的叙述和图形模型 在文化背景下。实现这些目标将涉及研究 大约20-25个墨西哥裔家庭，每个家庭22个月， 从产前到婴儿19个月家访将是 在产前（妊娠6个月和8个月）、出生时进行， 婴儿在1、4、7、10、13、16和19个月大时。非结构 人种学访谈将在家访时收集数据。人体测量 此外，亦会在家访时收集婴儿的资料。病历 婴儿健康数据将提供更多的健康结果 信息.第一阶段的妈妈们将为解说员拍照 分析.在第二阶段，将开始进行重点更突出的取样。焦点小组 还将启动与健康生产有关的主题， 母亲社交网络的成员。最后，参与观察 将为数据收集提供更大的文化背景， 解释。数据分析将利用母亲和保健 提供者的儿童疾病叙述，访谈话语，焦点小组 主题，并注意家庭卫生生产的模式， 儿童健康成果。此外，样本的描述（以术语 社会文化和社会经济地位）。结果 这项研究将提供给研究人员和临床医生寻求 儿童保健产品文化背景的综合视角 墨西哥裔家庭。最终， 在这项研究中描述的墨西哥裔美国家庭和家庭可能是 支持和加强，以促进最佳的健康成果， 孩子