Department of Sociobehavioral and Administrative Pharmacy, Nova Southeastern University , Fort Lauderdale, FL , USA.
Front Public Health. 2014 Aug 4;2:108. doi: 10.3389/fpubh.2014.00108. eCollection 2014.
Although the literature on self-medication among Latino migrant workers (LMWs) is sparse, a few existing studies indicate that this practice is common in this community. The purpose of this paper is to estimate health status, access to health care, and patterns of self-medication practices of a cohort of LMWs in South Florida.
A stratified network-based sample was utilized to recruit 278 LMWs in the Homestead area. After screening for eligibility, participants were administered a structured questionnaire that collected data on their health status, access to health care services, and self-medication practices. A convenience sample of 24 LMWs, who participated in the parent study were invited back to participate in 3 focus groups to look more in depth into self-medication practices in the LMW community.
Study findings indicate that LMWs are affected by a vast array of health problems yet lack access to health care services. Participants already engaged in self-medication practices in the countries of origin and, upon their arrival in the US, these practices continue and, in many cases, increase.
Long-held traditions and lack of access to the formal health care system in the US contribute to the high prevalence of self-medication among LMWs. Self-medication practices such as the use of prescription medications without a prescription and lay injection are high risk practices that can have harmful consequences. Prevention interventions that address self-medication in the LMW community are likely to be most effective if they are culturally adapted to the community and facilitate access to health care services.
尽管有关拉丁裔移民工人(LMW)自用药的文献很少,但现有一些研究表明,这种做法在该群体中很常见。本文旨在评估南佛罗里达州一群 LMW 的健康状况、获得医疗保健的机会和自用药模式。
利用分层网络基础的抽样方法在 Homestead 地区招募了 278 名 LMW。在筛选合格后,参与者接受了一项结构化问卷,收集有关其健康状况、获得医疗保健服务和自用药实践的数据。在母体研究中,邀请了 24 名 LMW 作为便利样本参加了 3 个焦点小组,以更深入地了解 LMW 社区中的自用药实践。
研究结果表明,LMW 受到各种健康问题的影响,但无法获得医疗保健服务。参与者在原籍国已经进行了自用药实践,并且在抵达美国后,这些实践继续进行,而且在许多情况下还增加了。
长期以来的传统以及在美国无法获得正规医疗保健系统,导致 LMW 自用药的高流行率。自用药实践,例如未经处方使用处方药物和非专业注射,是高风险的做法,可能会产生有害的后果。如果预防干预措施针对 LMW 社区的自用药实践进行了文化适应性调整,并促进了医疗保健服务的获得,那么这些干预措施可能会更加有效。