“我希望医生了解的我的生活情况”：运用照片讲述法与拉丁裔青少年移民探讨医疗保健障碍
"What I wish my doctor knew about my life": Using photovoice with immigrant Latino adolescents to explore barriers to healthcare.
作者信息
Lightfoot Alexandra F, Thatcher Kari, Simán Florence M, Eng Eugenia, Merino Yesenia, Thomas Tainayah, Coyne-Beasley Tamera, Chapman Mimi V
机构信息
Department of Health Behavior, Gillings School of Global Public Health Center for Health Promotion and Disease, Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
Qual Soc Work. 2019 Jan;18(1):60-80. doi: 10.1177/1473325017704034. Epub 2017 Apr 21.
BACKGROUND
Latinos in the USA have reported more frequent discriminatory treatment in healthcare settings when compared to their White counterparts. In particular, foreign-born Latinos report discrimination more than Latinos born in the USA. Such patient-reported racial/ethnic discrimination appears to contribute to specific health consequences, including treatment seeking delays, interruptions in care, and medical mistrust. Immigrant Latino adolescents in the USA experience a variety of health disparities, yet little is known about their views of the healthcare experience, their perceptions of discriminatory treatment, or ways in which they would like their relationships with healthcare providers to be different.
METHODS
This work, based in a larger interdisciplinary social work-led initiative, used photovoice with two groups of immigrant Latino adolescents to explore the topic "what I wish the doctor knew about my life." The findings were used to engage healthcare stakeholders as part of a pilot intervention aimed at decreasing provider bias toward immigrant Latino youth.
RESULTS/DISCUSSION: Findings illuminated ways that the immigrant experience affects the lives and health of Latino adolescents in North Carolina. To improve their health, it is critical to understand, from their perspectives, the ways their lives can be complicated by experiences of migration, stereotypes, and cross-cultural communication challenges and how their interactions with authority figures in one sector, such as education, influence interactions in health care. Understanding the healthcare barriers faced by immigrant Latino youth is critical to any effort to improve the system of care for immigrant Latino populations.
背景
与美国白人相比，美国的拉丁裔在医疗环境中遭受歧视性待遇的情况更为频繁。特别是，外国出生的拉丁裔比在美国出生的拉丁裔报告的歧视更多。这种患者报告的种族/族裔歧视似乎会导致特定的健康后果，包括就医延迟、护理中断和医疗不信任。美国的移民拉丁裔青少年经历了各种健康差异，但对于他们对医疗体验的看法、对歧视性待遇的认知，或者他们希望与医疗服务提供者建立何种不同关系，我们却知之甚少。
方法
这项工作是在一个更大的由跨学科社会工作主导的倡议项目基础上开展的，通过照片讲述法与两组移民拉丁裔青少年探讨“我希望医生了解我的生活”这一主题。研究结果被用于让医疗利益相关者参与一项试点干预措施，旨在减少医疗服务提供者对移民拉丁裔青少年的偏见。
结果/讨论：研究结果揭示了移民经历影响北卡罗来纳州拉丁裔青少年生活和健康的方式。为了改善他们的健康状况，从他们的角度理解他们的生活如何因移民经历、刻板印象和跨文化交流挑战而变得复杂，以及他们在一个领域（如教育）与权威人物的互动如何影响医疗保健方面的互动至关重要。了解移民拉丁裔青少年面临的医疗障碍对于改善移民拉丁裔人群的医疗保健系统的任何努力都至关重要。
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