Wong Agnes, Peiris-John Roshini, Sobrun-Maharaj Amritha, Ameratunga Shanthi
School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, PB 92019, Auckland, New Zealand.
J Prim Health Care. 2015 Dec 1;7(4):282-90. doi: 10.1071/hc15282.
The proportion of young people in New Zealand identifying with Asian ethnicities has increased considerably. Despite some prevalent health concerns, Asian youth are less likely than non-Asian peers to seek help. As preparatory research towards a more nuanced approach to service delivery and public policy, this qualitative study aimed to identify young Asian New Zealanders' perspectives on best approaches to investigate health issues of priority concern to them.
Three semi-structured focus group discussions were conducted with 15 Asian youth leaders aged 18-24 years. Using an inductive approach for thematic analysis, key themes were identified and analysed.
Study participants considered ethno-cultural identity, racism and challenges in integration to play significant roles influencing the health of Asian youth (especially mental health) and their access to health services. While emphasising the importance of engaging young Asians in research and service development so that their needs and aspirations are met, participants also highlighted the need for approaches that are cognisant of the cultural, contextual and intergenerational dimensions of issues involved in promoting youth participation.
Research that engages Asian youth as key agents using methods that are sensitive to their cultural and sociological contexts can inform more responsive health services and public policy. This is of particular relevance in primary health care where culturally competent services can mitigate risks of unmet health needs and social isolation.
认同亚洲族裔的新西兰年轻人比例大幅增加。尽管存在一些普遍的健康问题,但与非亚洲同龄人相比,亚洲青年寻求帮助的可能性较小。作为朝着更细致入微的服务提供方式和公共政策开展的预备性研究,这项定性研究旨在确定新西兰年轻亚洲人对调查他们优先关注的健康问题的最佳方法的看法。
与15名年龄在18至24岁之间的亚洲青年领袖进行了三次半结构化焦点小组讨论。采用归纳法进行主题分析,确定并分析了关键主题。
研究参与者认为,族裔文化认同、种族主义和融入过程中的挑战在影响亚洲青年健康(尤其是心理健康)及其获得医疗服务方面发挥着重要作用。在强调让年轻亚洲人参与研究和服务开发以满足他们的需求和愿望的重要性时,参与者还强调需要采用能够认识到促进青年参与所涉及问题的文化、背景和代际层面的方法。
以亚洲青年为关键主体开展的研究,采用对其文化和社会学背景敏感的方法,可为更具响应性的医疗服务和公共政策提供参考。这在初级卫生保健中尤为重要,因为具备文化能力的服务可以降低未满足的健康需求和社会孤立的风险。