Kamble Shital, Boyd A Suzanne
The University of North Carolina, Charlotte, College of Health and Human Services, Room# 433, 9201 University City Blvd., Charlotte, NC 28223-0001, USA.
J Cult Divers. 2008 Fall;15(3):132-42.
This review of minority health describes the existing health disparities, the barriers to healthcare access and utilization, the role of three social determinants of health [i.e., (1) socioeconomic status, (2) education, and (3) stress and/or depression], the existing public-policies; and a health literacy strategy addressing social determinants of health to reduce disparities and improve outcomes in African-American women undergoing Percutaneous Coronary Intervention (PCI). Insurance, geography, facility-types, physician referral-bias, and cultural-differences pose as potential significant barriers to healthcare access and utilization. Likewise, lower socioeconomic-status, lack of education, and higher stress and/or depression is associated with adverse health-outcomes for this population. Although the elimination of health disparities is a national priority, comprehensive educational approaches focusing on cross-cultural communication, language barriers, cultural-sensitivity, and cultural-competence are needed.
这篇关于少数族裔健康的综述描述了现有的健康差距、医疗保健获取和利用的障碍、健康的三个社会决定因素[即(1)社会经济地位、(2)教育以及(3)压力和/或抑郁]的作用、现有的公共政策；以及一项针对健康社会决定因素的健康素养策略，以减少接受经皮冠状动脉介入治疗(PCI)的非裔美国女性中的差距并改善治疗结果。保险、地理位置、医疗机构类型、医生转诊偏见和文化差异构成了医疗保健获取和利用的潜在重大障碍。同样，较低的社会经济地位、缺乏教育以及较高的压力和/或抑郁与该人群的不良健康结果相关。尽管消除健康差距是国家优先事项，但需要侧重于跨文化沟通、语言障碍、文化敏感性和文化能力的综合教育方法。
