Dong Xinqi, Chang E-Shien, Wong Esther, Wong Bernarda, Skarupski Kimberly A, Simon Melissa A
Department of Internal Medicine, Rush University Medical Center, 1645 West Jackson Boulevard, Suite 675, Chicago, IL 60612, USA.
J Aging Res. 2011 Jan 3;2010:124246. doi: 10.4061/2010/124246.
The objective of this study is to examine the cultural views of healthy aging, knowledge and barriers to services, and perception of health sciences research among community-dwelling Chinese older adults in Chicago's Chinatown. This qualitative study is guided by the Precede-Proceed conceptual model with community-based participatory research design. Data analysis is based on eight focus group interviews with Chinese older (age 60+) adults (n = 78). We used a grounded theory framework to systematically guide the thematic structure of our data. Findings show participants described cultural conception of health in terms of physical function, psychological well-being, social support, and cognitive function. The availability, affordability, and cultural barriers towards health care services were major negative enabling factors that inhibit participants from fulfilling health needs. Perception and knowledge of health sciences research were also discussed. This study has implications for the delivery of culturally appropriate health care services to the Chinese aging population.
本研究的目的是调查芝加哥唐人街社区居住的华裔老年人对健康老龄化的文化观念、服务的知识和障碍以及对健康科学研究的看法。这项定性研究以“教育-环境发展-政策”概念模型为指导，采用基于社区的参与性研究设计。数据分析基于对8个华裔老年人（60岁及以上）焦点小组访谈（n = 78）。我们使用扎根理论框架系统地指导数据的主题结构。研究结果显示，参与者从身体功能、心理健康、社会支持和认知功能等方面描述了健康的文化概念。医疗服务的可及性、可承受性和文化障碍是阻碍参与者满足健康需求的主要负面促成因素。同时也讨论了对健康科学研究的看法和知识。本研究对为华裔老年人群提供符合文化特点的医疗服务具有启示意义。
