School of Social Work, The University of Alabama, Tuscaloosa, Alabama 35487, USA.
Soc Work Public Health. 2010 May;25(3):311-26. doi: 10.1080/19371910903240753.
In this study, the influence of culture and discrimination on care-seeking behavior of elderly African Americans was explored. This was a qualitative phenomenological study that involved in-depth interviews with 15 African American men and women aged 60 and older in Alabama. The sample size of 15 was adequate for the phenomenological method of this study. While this was a small exploratory study and was not intended for any generalizations, it did provide a unique opportunity to hear the voices, the concerns, and the stories of elderly African Americans, which have often been overlooked in the literature. The following themes emerged from the analysis of data: (1) perception of health as ability to be active, (2) reluctance toward prescription medicine use, (3) lack of trust in doctors, (4) avoidance of bad news, (5) race of doctors, (6) use of home remedies, and (7) importance of God and spirituality on health, illness, and healing.
在这项研究中，探讨了文化和歧视对老年非裔美国人寻求医疗服务行为的影响。这是一项定性现象学研究，涉及对阿拉巴马州 15 名年龄在 60 岁及以上的非裔美国男性和女性进行深入访谈。15 人的样本量对于本研究的现象学方法来说是足够的。虽然这是一项小型探索性研究，不打算进行任何概括，但它确实提供了一个独特的机会，可以听到老年非裔美国人的声音、关注和故事，而这些在文献中经常被忽视。数据分析得出以下主题：（1）将健康视为活动能力的感知，（2）不愿使用处方药，（3）对医生缺乏信任，（4）避免听到坏消息，（5）医生的种族，（6）使用家庭疗法，以及（7）上帝和精神信仰对健康、疾病和康复的重要性。
