College of Nursing and Health Innovation, Arizona State University, 500 N. 3rd Street, Phoenix, AZ, 85004, USA.
Center for Healthy Outcomes in Aging, College of Nursing and Health Innovation, Arizona State University, 500 N. 3rd Street, Phoenix, AZ, 85004, USA.
J Community Health. 2018 Apr;43(2):421-432. doi: 10.1007/s10900-017-0418-4.
To eliminate health disparities in the United States, identifying cultural contexts salient to the target populations in an intervention study is critical; however, little research has been conducted on the identification of cultural contexts among Korean Americans who have significant risk factors for chronic diseases. This systematic review identifies critical cultural contexts central to the literature discussed in health research on Korean Americans. We examined 14 research reports of 801 potentially eligible articles published between 2000 and 2016 and analyzed their contribution to cultural contexts among Korean Americans based on the PEN-3 model. This review highlights how cultural contexts impact health and health behaviors of Korean Americans, and may contribute to health disparities in the United States. The key cultural contexts highlighted in this review include social support/social network, family, gender role expectations, and a holistic view of health and illness. These cultural contexts should be incorporated in designing culturally relevant, effective, and sustainable health interventions for Korean Americans, which will contribute to eliminating health disparities for this ethnic group who experience great obstacles to healthcare access and healthy behaviors.
为了消除美国的健康差异,在干预研究中确定对目标人群有重要意义的文化背景至关重要;然而,针对具有慢性疾病重要风险因素的美籍韩国人,关于文化背景的研究却很少。本系统综述确定了健康研究中讨论的美籍韩国人文献中的关键文化背景。我们研究了 2000 年至 2016 年间发表的 14 份研究报告,其中包含 801 篇可能符合条件的文章,并根据 PEN-3 模型分析了它们对美籍韩国人文化背景的贡献。本综述强调了文化背景如何影响美籍韩国人的健康和健康行为,并可能导致美国的健康差异。本综述中强调的关键文化背景包括社会支持/社交网络、家庭、性别角色期望以及对健康和疾病的整体看法。在为美籍韩国人设计具有文化相关性、有效性和可持续性的健康干预措施时,应考虑这些文化背景,这将有助于消除该族裔在获得医疗保健和健康行为方面面临的巨大障碍所导致的健康差异。