De Jesus Maria
Harvard School of Public Health, Department of Society, Human Development, and Health, Center for Community-Based Research, Dana Farber Cancer Institute, Boston, MA 02115, USA.
J Health Care Poor Underserved. 2009 Feb;20(1):90-7. doi: 10.1353/hpu.0.0126.
Understanding the social context and realities of Cape Verdean women in the U.S. as well as other immigrant and ethnic/racial groups is important to promote their overall health and well-being more effectively. The aim of this study was to gain a contextual understanding from the perspectives of health promoters who work with marginalized women. In-depth, semi-structured interviews were conducted with nine Cape Verdean women health promoters about their perspectives and experiences of health promotion practice with immigrant women in their community. Using a Glaserian grounded theory approach to analysis, six salient themes describing women's social context emerged: community and domestic violence, loss and isolation, economic injustice, immigration-related issues and abuse, unequal gender-based power relations, and cultural taboos. These findings challenge health researchers and practitioners to understand health problems and health promotion not only at an individual level, but at multiple levels of influence including interpersonal, family, neighborhood, and structural levels.
了解佛得角裔美国女性以及其他移民和族裔/种族群体在美国的社会背景和现实情况，对于更有效地促进她们的整体健康和福祉至关重要。本研究的目的是从与边缘化女性合作的健康促进者的角度获得情境理解。对九位佛得角裔女性健康促进者进行了深入的半结构化访谈，了解她们在社区中与移民女性开展健康促进实践的观点和经验。采用格拉斯理论扎根理论分析方法，出现了六个描述女性社会背景的显著主题：社区和家庭暴力、失落与孤立、经济不公正、移民相关问题与虐待、基于性别的不平等权力关系以及文化禁忌。这些发现促使健康研究人员和从业者不仅要在个体层面理解健康问题和健康促进，还要在包括人际、家庭、邻里和结构层面在内的多个影响层面上进行理解。
