Development of a culturally sensitive educational intervention program to reduce the high incidence of tuberculosis among foreign-born Vietnamese
Development of a culturally sensitive educational intervention program to reduce the high incidence of tuberculosis among foreign-born Vietnamese
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DOI：
10.1080/1355785022000060718
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发表时间：
2002-11-01
影响因子：
3.1
通讯作者：
Makinodan, T
中科院分区：
文献类型：
--
作者：
Houston, HR;Harada, N;Makinodan, T
客观的。在洛杉矶县和奥兰治县，98% 患有结核病 (TB) 的亚洲人是在外国出生的；新抵达的越南移民的结核病风险最高：比美国高 100 倍。研究目的是通过以下方式找到降低越南人结核病高发病率的方法：(1) 识别和了解加利福尼亚州奥兰治县越南人的文化健康信仰和障碍； (2) 在 UCLAA/VA/RAND MEDTEP、越南主要社区组织和奥兰治县社区领袖之间建立伙伴关系，以制定和实施全面的、文化敏感的教育干预计划。分别于 1998 年和 1999 年招募了居住在奥兰治县的越南人以获得定性和定量数据。研究设计包括焦点小组、深度访谈和社区调查。通过定性报告、计算机辅助随机电话访谈和自填问卷收集数据。结果。在越南健康信仰体系中确定了一种概念模式，该模式认识到两种不同形式的结核病：非传染性心理结核病和传染性身体结核病。可以让社区组织参与制定抗击越南人口结核病的计划。结论。越南人的健康信念将成为制定文化敏感的教育干预计划以服务这一高危人群的重要考虑因素。
Objective. In Los Angeles County and Orange County, 98% of Asians with tuberculosis (TB) were foreign born; newly arrived Vietnamese immigrants had the highest TB risk: i.e.>100 times higher than that of the USA. The study objective was to find ways to reduce the high incidence of tuberculosis among the Vietnamese by: (1) identifying and understanding the cultural health beliefs and barriers among the Vietnamese population of Orange County, California; and (2) developing a partnership between UCLAA/VA/RAND MEDTEP, key Vietnamese community-based organizations, and community leaders in Orange County to develop and implement a comprehensive, culturally sensitive educational intervention program.Design. Vietnamese residing in Orange County were recruited to obtain qualitative and quantitative data in 1998 and 1999, respectively. The study design included focus groups, in-depth interviews, and community surveys. Data were collected via qualitative reports, computer-assisted random telephone interviews, and self-administered questionnaires.Results. A conceptual schema was identified within the Vietnamese health belief system that recognized two different forms of tuberculosis: non-infectious psychological and infectious physical tuberculosis. It was possible to engage community organizations in developing programs to combat TB in the Vietnamese population.Conclusion. The Health beliefs of Vietnamese will be important considerations in developing a culturally sensitive educational intervention program to service this at-risk population.