Bauer H M, Rodriguez M A, Quiroga S S, Flores-Ortiz Y G
Department of Family and Community Medicine, University of California, San Francisco 94110, USA.
J Health Care Poor Underserved. 2000 Feb;11(1):33-44. doi: 10.1353/hpu.2010.0590.
This study identifies social, political, and cultural barriers to help seeking from health care organizations faced by abused Latina and Asian immigrant women. Qualitative data were collected through four semistructured ethnic-specific focus group interviews with 28 abused Latina and Asian immigrant women. Participants who had suffered intimate partner abuse were recruited through urban community-based organizations in San Francisco, California. Sociopolitical barriers to help seeking and patient-provider communication included social isolation, language barriers, and, for some, discrimination and fears of deportation. Sociocultural barriers included dedication to the children and family unity, shame related to the abuse, and the cultural stigma of divorce. Abused Latina and Asian immigrant women face significant social, cultural, and political barriers to patient-provider communication and help seeking. Medical and social service providers and policy makers may improve the quality of care for these women by understanding and addressing these barriers.
本研究确定了受虐待的拉丁裔和亚裔移民女性在向医疗保健机构寻求帮助时所面临的社会、政治和文化障碍。通过对28名受虐待的拉丁裔和亚裔移民女性进行四次半结构化的特定族裔焦点小组访谈收集了定性数据。遭受亲密伴侣虐待的参与者是通过加利福尼亚州旧金山的城市社区组织招募的。寻求帮助和患者与提供者沟通的社会政治障碍包括社会孤立、语言障碍，以及对一些人来说的歧视和对被驱逐出境的恐惧。社会文化障碍包括对子女的奉献和家庭团结、与虐待相关的羞耻感以及离婚的文化耻辱感。受虐待的拉丁裔和亚裔移民女性在患者与提供者沟通及寻求帮助方面面临重大的社会、文化和政治障碍。医疗和社会服务提供者以及政策制定者可以通过理解和解决这些障碍来提高对这些女性的护理质量。
