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美国中西部农村地区西班牙裔/拉丁裔移民的健康信息偏好

Health information preferences among Hispanic/Latino immigrants in the U.S. rural Midwest.

作者信息

Cristancho Sergio, Peters Karen, Garces Marcela

机构信息

1.University of Illinois College of Medicine at Rockford, USA.

出版信息

Glob Health Promot. 2014 Mar;21(1):40-9. doi: 10.1177/1757975913510727. Epub 2014 Feb 3.

Abstract

We investigated whether length of residence and other socio-demographic factors affect how rural Hispanic/Latino immigrants in the U.S. prefer to receive general health information. As part of a federally-funded participatory research project, we surveyed 894 adult Hispanics who were recruited through schools, community-based organizations (CBO) and faith-based organizations (FBO) in six rural communities of Illinois. Data suggest that workshops in Spanish at community settings are the most preferred health information strategy and home visits the least. Preference for these two strategies decreased significantly in the second generation, while preference for mailed printed materials increased. We further explored the role of length of residence in the U.S. on 'in-person' and 'impersonal' health information preferences controlling for other relevant socio-demographic factors finding that first generation and less educated Hispanic immigrants' prefer 'in-person' strategies. These findings suggest that rural health organizations and practitioners should implement not only culturally-appropriate but also acculturation-sensitive approaches to address Hispanic/Latino immigrants' specific health information needs.

摘要

我们调查了居住时长及其他社会人口学因素是否会影响美国农村地区的西班牙裔/拉丁裔移民对获取一般健康信息方式的偏好。作为一项由联邦政府资助的参与性研究项目的一部分,我们对894名成年西班牙裔进行了调查,这些人是通过伊利诺伊州六个农村社区的学校、社区组织(CBO)和宗教组织(FBO)招募而来的。数据表明,在社区环境中举办的西班牙语讲习班是最受欢迎的健康信息传播策略,而家访则最不受欢迎。第二代移民对这两种策略的偏好显著下降,而对邮寄印刷材料的偏好则有所增加。我们进一步探讨了在美国的居住时长在“面对面”和“非面对面”健康信息偏好方面所起的作用,并对其他相关社会人口学因素进行了控制,结果发现第一代及受教育程度较低的西班牙裔移民更喜欢“面对面”策略。这些研究结果表明,农村卫生组织和从业者不仅应采用文化上合适的方法,还应采用对文化适应敏感的方法,以满足西班牙裔/拉丁裔移民特定的健康信息需求。

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