Barimah Kofi B, van Teijlingen Edwin R
Faculty of Public Health and Allied Sciences, Catholic University College of Ghana-Fiapre, P, O, Box 363, Sunyani, Brong Ahafo, Ghana.
BMC Complement Altern Med. 2008 Jun 16;8:30. doi: 10.1186/1472-6882-8-30.
Research into health and health-care seeking behaviour amongst immigrant populations suggests that culturally-based behaviours change over time towards those prevalent in the host culture. Such acculturation of immigrant groups occurs as part of the interaction of immigrants with mainstream culture. This study examined the acculturation of Ghanaian immigrants in Greater Toronto Area (Canada) focusing particularly on attitudes towards and usage of Ghanaian traditional medicine (TRM).
The study used both quantitative and qualitative methods. Structured questionnaire interviews were conducted with a sample of Ghanaians in active collaboration with the Ghanaian-Canadian Association in the Greater Toronto Area (GTA). A total of 512 questionnaire interviews were conducted. In addition, three focus groups of nine participants each were conducted with a sub-sample of Ghanaians in Canada.
Both the questionnaire and the focus groups indicated that nearly 73% of the Ghanaian immigrants in Canada have a positive attitude toward Ghanaian TRM. This is in comparison with less than 30% who have changed their attitude for various reasons. Some of the attraction of TRM lies in its holistic origin. Ghanaians in the GTA have been pursuing 'integration' and 'assimilation' in their acculturation in Canada. Some have given up or modified some of their attitudes and opinions toward TRM to embrace the 'modern' or 'civilized' way of living.
There is the need for health care providers and other stakeholders to be aware of the influence of religion on African immigrants during their acculturation process. Although modernity is said to be founded on the 'ruthless undermining of tradition', there is no evidence to suggest that Ghanaian traditional religion has been undermined to such an extent that there is a major change in attitudes towards TRM.
对移民群体的健康及就医行为的研究表明,基于文化的行为会随着时间的推移朝着东道国文化中普遍存在的行为转变。移民群体的这种文化适应是移民与主流文化互动的一部分。本研究考察了大多伦多地区(加拿大)加纳移民的文化适应情况,特别关注对加纳传统医学(TRM)的态度和使用情况。
本研究采用了定量和定性方法。与大多伦多地区(GTA)的加纳裔加拿大协会积极合作,对加纳人样本进行了结构化问卷调查。共进行了512次问卷调查访谈。此外,对加拿大的加纳人子样本进行了三个焦点小组访谈,每个小组有九名参与者。
问卷调查和焦点小组访谈均表明,加拿大近73%的加纳移民对加纳传统医学持积极态度。相比之下,因各种原因改变态度的人不到30%。传统医学的一些吸引力在于其整体起源。GTA的加纳人在加拿大的文化适应过程中一直在追求“融合”和“同化”。一些人放弃或改变了对传统医学的一些态度和看法,以接受“现代”或“文明”的生活方式。
医疗保健提供者和其他利益相关者有必要意识到宗教在非洲移民文化适应过程中的影响。尽管现代性据说是建立在“对传统的无情破坏之上”,但没有证据表明加纳传统宗教已被破坏到对传统医学的态度发生重大变化的程度。