Al-Krenawi Alean, Graham John R
Spitzer Department of Social Work, Ben Gurion University of the Negev, Beer-Sheva, Israel.
Health Care Women Int. 2006 Feb;27(2):182-96. doi: 10.1080/07399330500457978.
A good portion of geography is contested by the Israeli state and the country's Bedouin-Arab population. There are two categories of Bedouin villages: those areas that are "officially" recognized by the state and those that are not. In this article we determine utilization and awareness of health and mental health services among 376 Bedouin-Arab women in recognized and unrecognized villages in the Negev. Although there are differences between them, primary health care (PHC) services usually are available within recognized villages, accessible to those from unrecognized villages, and tend to precipitate user satisfaction. We conclude with various suggestions for improving health service delivery and making PHC and mental health delivery more accessible. Through this article we intend to help mental health practitioners on two levels: the policy level, regarding the design of mental health services for societies in transition, such as the Bedouin Arab, and the practical level by helping practitioners better appreciate the psychosocial status of women in Bedouin-Arab societies and the factors associated with Bedouin-Arab PHC utilization.
以色列国家与其贝都因-阿拉伯人口在很大一部分地理区域上存在争议。贝都因村庄分为两类:一类是得到国家“官方”认可的地区,另一类则未得到认可。在本文中,我们调查了内盖夫地区376名居住在已认可和未认可村庄的贝都因-阿拉伯妇女对健康和心理健康服务的利用情况及认知程度。尽管两类村庄存在差异,但初级卫生保健(PHC)服务通常在已认可的村庄中可获得,未认可村庄的居民也可使用,而且往往能带来用户满意度。我们最后提出了各种改进卫生服务提供方式以及使初级卫生保健和心理健康服务更易获得的建议。通过本文,我们旨在从两个层面帮助心理健康从业者:政策层面,涉及为处于转型期的社会(如贝都因阿拉伯社会)设计心理健康服务;实践层面,帮助从业者更好地了解贝都因-阿拉伯社会中妇女的心理社会状况以及与贝都因-阿拉伯初级卫生保健利用相关的因素。