Strickland J, Strickland D L
Department of Sociology and Anthropology, Georgia Southern University, Statesboro 30460, USA.
J Rural Health. 1996 Summer;12(3):206-17. doi: 10.1111/j.1748-0361.1996.tb00795.x.
Health values, behaviors, and status are shaped by place of residence, region, race, and socio-economic status, among other social factors. Consequently, this article examines barriers to preventive health services for lower-income blacks in five rural counties in Georgia. Qualitative and quantitative data were collected through 281 household, 51 community leader, and six focus group interviews. Female respondents who had been pregnant were most likely to have received pregnancy-related services and all respondents least likely to have received vision and dental screenings. Six of the seven types of services inquired about were most likely to have been received in a private practice setting. Primary barriers to preventive service utilization included ability to pay, perception of need, service availability, accessibility of services, and the perception of racism. The relationship between structural and nonstructural barriers, their impact on preventive service utilization, and research recommendations also were developed and presented.
健康价值观、行为和状况受到居住地点、地区、种族和社会经济地位等社会因素的影响。因此，本文考察了佐治亚州五个农村县低收入黑人获得预防性健康服务的障碍。通过对281户家庭、51名社区领袖和6个焦点小组进行访谈，收集了定性和定量数据。曾怀孕的女性受访者最有可能接受过与怀孕相关的服务，而所有受访者最不可能接受视力和牙齿筛查。所询问的七种服务类型中有六种最有可能是在私人诊所接受的。预防性服务利用的主要障碍包括支付能力、需求认知、服务可及性、服务可获得性以及对种族主义的认知。还阐述并呈现了结构性和非结构性障碍之间的关系、它们对预防性服务利用的影响以及研究建议。
