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墨西哥移民女性对患有污名化疾病时获得医疗保健的看法:在新墨西哥州阿尔伯克基进行的一项焦点小组研究

Mexican immigrant women's perceptions of health care access for stigmatizing illnesses: a focus group study in Albuquerque, New Mexico.

作者信息

Horwitz Russell H, Roberts Laura Weiss, Warner Teddy D

机构信息

Massachusetts General Hospital/McLean Hospital Adult Psychiatry Residency Program, USA.

出版信息

J Health Care Poor Underserved. 2008 Aug;19(3):857-73. doi: 10.1353/hpu.0.0053.

Abstract

This study examines attitudes of Mexican female immigrants to Albuquerque, New Mexico, regarding barriers to health care access in the United States and Mexico for stigmatizing and non-stigmatizing illnesses and moderating effects of social support. Native Spanish speakers conducted three focus groups (in Spanish) lasting two hours with seven to eight participants. Focus groups were transcribed, translated, and coded. Frequency data were calculated by number of times concepts or themes were raised. Comparisons of barriers to health care access were made between U.S. and Mexican cultures. The majority (86%) of comments on barriers for non-stigmatizing illnesses implicated U.S. culture; the majority (90%) for stigmatizing illnesses implicated Mexican culture. Social support for stigmatizing illnesses was discussed. Participants discussed important issues of health care access for stigmatizing illnesses that may have implications for this population's health status. Greater attention should be paid to stigma and social support in future empirical studies.

摘要

本研究调查了墨西哥女性移民对新墨西哥州阿尔伯克基的态度,涉及美国和墨西哥在获取医疗保健方面对非污名化疾病和污名化疾病的障碍以及社会支持的调节作用。以西班牙语为母语的人进行了三个焦点小组讨论(用西班牙语),每个小组持续两个小时,有七到八名参与者。焦点小组讨论内容被转录、翻译并编码。频率数据通过概念或主题被提及的次数来计算。对美国和墨西哥文化在获取医疗保健障碍方面进行了比较。关于非污名化疾病障碍的评论中,大多数(86%)涉及美国文化;关于污名化疾病障碍的评论中,大多数(90%)涉及墨西哥文化。讨论了针对污名化疾病的社会支持。参与者讨论了污名化疾病在获取医疗保健方面的重要问题,这些问题可能会影响该人群的健康状况。在未来的实证研究中应更加关注污名和社会支持。

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