Gao Haijuan, Dutta Mohan, Okoror Titilayo
a Department of Health and Kinesiology , Purdue University.
b Center for Culture-Centered Approach to Research and Evaluation (CARE) National University of Singapore.
Health Commun. 2016;31(6):727-37. doi: 10.1080/10410236.2014.989383. Epub 2015 Nov 17.
This study engages with the culture-centered approach (CCA) to explore Chinese immigrant restaurant workers' perception of the U.S. health care system and their interactions with the health care system in interpreting meanings of health. Chinese restaurant workers are marginalized because of their struggles on the job, their immigrant identity, and their negotiations with the structural contexts of occupation, migration status, and culture. In-depth interviews were conducted with 18 Chinese immigrant restaurant workers that lasted an average of 1.5 hours each, and were audiotaped. Interviews with participants highlighted critical issues in access to health care and the struggles experienced by restaurant workers in securing access to health, understood in the context of work. Critical to the workers' discourse is the acknowledgment of structural constraints such as lack of insurance coverage, immigration status, and lack of understanding of how the U.S. health care system works.
本研究采用以文化为中心的方法（CCA），探讨中国移民餐馆工人对美国医疗保健系统的认知，以及他们在解读健康意义时与医疗保健系统的互动。中国餐馆工人由于工作中的艰辛、移民身份以及在职业、移民身份和文化的结构背景下进行的协商而被边缘化。对18名中国移民餐馆工人进行了深入访谈，每次访谈平均持续1.5小时，并进行了录音。对参与者的访谈突出了获得医疗保健方面的关键问题，以及餐馆工人在确保获得健康方面所经历的艰辛，这些都是在工作背景下理解的。对工人们的话语至关重要的是承认结构限制，如缺乏保险覆盖、移民身份以及对美国医疗保健系统运作方式的不了解。
