Allen Jennifer D, Mars Dana R, Tom Laura, Apollon Guy, Hilaire Dany, Iralien Gerald, Cloutier Lindsay B, Sheets Margaret M, Zamor Riché
Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
J Health Care Poor Underserved. 2013 Feb;24(1):106-19. doi: 10.1353/hpu.2013.0015.
Understanding the factors that influence health beliefs, attitudes, and service use among Haitians in the United States is increasingly important for this growing population. We undertook a qualitative analysis to explore the factors related to cancer screening and utilization of health services among Haitians in Boston. Key informant interviews (n=42) and nine focus groups (n=78) revealed that Haitians experience unique barriers to health services. These include language barriers, unfamiliarity with preventive care, confidentiality concerns, mistrust and stigma concerning Western medicine, and a preference for natural remedies. Results suggest that many Haitians could benefit from health system navigation assistance, and highlight the need for comprehensive, rather than disease-focused programs, to decrease stigma and increase programmatic reach. Faith-based organizations, social service agencies, and Haitian media were identified as promising channels for disseminating health information. Leveraging positive cultural traditions and existing communication networks could increase the impact of Haitian health initiatives.
对于美国不断增长的海地人群体而言，了解影响其健康观念、态度及医疗服务使用情况的因素变得愈发重要。我们开展了一项定性分析，以探究与波士顿海地人癌症筛查及医疗服务利用相关的因素。关键信息人访谈（n = 42）和九个焦点小组（n = 78）表明，海地人在获取医疗服务方面面临独特障碍。这些障碍包括语言障碍、对预防保健不熟悉、对隐私的担忧、对西医的不信任和耻辱感，以及对天然疗法的偏好。结果显示，许多海地人可从医疗系统导航援助中受益，并凸显出需要开展全面而非以疾病为重点的项目，以减少耻辱感并扩大项目覆盖范围。基于信仰的组织、社会服务机构和海地媒体被视为传播健康信息的有前景渠道。利用积极的文化传统和现有的通信网络可增强海地健康倡议的影响力。
