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拉丁裔对传统医疗保健的使用:社会网络效应。

Latinx Use of Traditional Health Care: The Social Network Effect.

作者信息

Figuereo Victor, Calvo Rocío

机构信息

Victor Figuereo, MSW, is a doctoral candidate and Rocío Calvo, PhD, is associate professor, School of Social Work, Boston College, Chestnut Hill.

出版信息

Health Soc Work. 2018 Nov 1;43(4):217-225. doi: 10.1093/hsw/hly024.

Abstract

Studies on access to health care among Latinx communities have overlooked (a) the use of traditional healers and (b) the role of social networks in seeking traditional healers. Framed within the network-episode model, this study aimed to examine the role of individual, institutional, and personal network systems in the use of curanderxs among Latinxs in the United States. Using a nationally representative sample of Latinx adults (N = 3,997) from the 2007 Hispanic Healthcare Survey, authors conducted multivariate logistic regression analyses to investigate the impact of individual, institutional, and personal network systems on the use of curanderxs. Respondents who believed in spiritual healing (adjusted odds ratio [AOR] = 3.06) and came from a household that used curanderxs (AOR = 13.4) were more likely to seek the help of curanderxs when in need of health care. The personal network system had most explanatory power in the use of curanderxs. The findings add insight to the integration of traditional medicine in the provision of health care services to Latinxs in the United States. (Authors use the terms "Latinx" and "curanderx" to be inclusive of all gender identities.).

摘要

关于拉丁裔社区获得医疗保健的研究忽视了

(a)传统治疗师的使用,以及(b)社会网络在寻找传统治疗师方面的作用。本研究以网络事件模型为框架,旨在探讨个体、机构和个人网络系统在美国拉丁裔使用传统治疗师(curanderxs)方面的作用。作者利用2007年西班牙裔医疗保健调查中具有全国代表性的拉丁裔成年人样本(N = 3997),进行了多变量逻辑回归分析,以研究个体、机构和个人网络系统对使用传统治疗师的影响。相信精神治疗的受访者(调整后的优势比[AOR] = 3.06)以及来自使用传统治疗师家庭的受访者(AOR = 13.4)在需要医疗保健时更有可能寻求传统治疗师的帮助。个人网络系统在使用传统治疗师方面具有最大的解释力。这些发现为在美国为拉丁裔提供医疗保健服务时将传统医学整合提供了见解。(作者使用“拉丁裔(Latinx)”和“传统治疗师(curanderx)”这两个术语来涵盖所有性别身份。)

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