Markova Tsveti, Dean Flora, Neale Anne Victoria
Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
Ethn Dis. 2007 Autumn;17(4):650-6.
Recognizing recent immigrant migration into Hamtramck, Michigan, our objective was to conduct a survey focused on female patients seeking health care in an ethically diverse primary care clinic.
Cross-sectional exploratory questionnaire survey study.
A family medicine center (FMC) in Hamtramck, Michigan.
A convenience sample of women patients, age > or =18 years of age who understood English and/or written or spoken Bangla.
Health-seeking behaviors and satisfaction with the US healthcare system.
156 women patients participated. Sixty-seven (43%) were immigrants, primarily representing three ethnicities: Bangladeshi (61%), Yemeni (19%) and Bosnian (13%). The mean length of residence in the United States was eight years. Compared with US-born, the immigrants were more likely to report a household income of less than $15,000; however they had similar rates of health insurance. US-born women reported less satisfaction with our healthcare system. Immigrants were more likely to visit their physician when feeling ill, and to bring a friend or relative to help alleviate communication problems. Immigrant women were also more likely to express a desire for a physician who was female and/ or from a similar cultural background.
The study findings suggest the need for physicians to be culturally sensitive to the particular needs of the immigrant female population they serve and to treat each patient within the context of her environment.
鉴于近期有移民迁入密歇根州的哈姆特拉姆克，我们的目标是在一家具有种族多样性的初级保健诊所开展一项针对寻求医疗保健的女性患者的调查。
横断面探索性问卷调查研究。
密歇根州哈姆特拉姆克的一家家庭医学中心（FMC）。
年龄≥18岁、懂英语和/或孟加拉语书面或口语的女性患者便利样本。
寻求医疗行为及对美国医疗系统的满意度。
156名女性患者参与。67名（43%）为移民，主要代表三个种族：孟加拉裔（61%）、也门裔（19%）和波斯尼亚裔（13%）。在美国的平均居住时长为8年。与美国本土出生的女性相比，移民更有可能报告家庭收入低于15,000美元；然而她们的医疗保险覆盖率相似。美国本土出生的女性对我们的医疗系统满意度较低。移民在生病时更有可能去看医生，并会带朋友或亲戚来帮助缓解沟通问题。移民女性也更有可能希望有一位女性医生和/或来自相似文化背景的医生。
研究结果表明医生需要在文化上对他们所服务的移民女性群体的特殊需求保持敏感，并在患者的环境背景下对待每一位患者。
