探讨医疗保健提供者文化能力对新移民健康相关生活质量的影响：对加拿大新移民的横断面研究。
Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life: A Cross-Sectional Study of Canadian Newcomers.
机构信息
University of Windsor, Windsor, Ontario, Canada.
Ryerson University, Toronto, Ontario, Canada.
出版信息
J Transcult Nurs. 2021 Sep;32(5):508-517. doi: 10.1177/1043659620967441. Epub 2020 Oct 23.
Abstract
INTRODUCTION
New immigrants underutilize health care because of multiple barriers. Although culturally competent health care improves access, it is typically assessed by providers, not newcomers whose perceptions matter most.
METHODOLOGY
Surveys that included measures of cultural competence and health-related quality of life (QOL) were completed by 117 new immigrants in Windsor, Ontario, Canada. A series of stepwise linear regression analyses were conducted to identify independent predictors of QOL and its four domains: physical health, psychological, social relationships, and environment.
RESULTS
Our adjusted results suggest that experiences of discrimination was negatively associated with overall QOL (β = -.313; < .001) and its psychological (β = -.318; < .001), social (β = -.177; = .048), and environmental (β = -.408; < .001) domains.
DISCUSSION
Discrimination negatively influences new immigrant QOL. Provider cultural competency training should emphasize the influence of provider discrimination on immigrant health and explore learners' values and biases.
摘要
简介
新移民由于多种障碍而未能充分利用医疗保健。尽管文化能力强的医疗保健可以改善获得医疗保健的机会，但通常是由提供者进行评估的，而新来者的看法最为重要。
方法
在加拿大安大略省温莎市，对 117 名新移民进行了包括文化能力和与健康相关的生活质量（QOL）措施在内的调查。进行了一系列逐步线性回归分析，以确定 QOL 及其四个领域（身体健康，心理，社会关系和环境）的独立预测因素。
结果
我们的调整结果表明，歧视经历与整体 QOL（β=-.313；<.001）及其心理（β=-.318；<.001），社会（β=-.177；=.048）和环境（β=-.408；<.001）领域呈负相关。
讨论
歧视对新移民的 QOL 有负面影响。提供者的文化能力培训应强调提供者歧视对移民健康的影响，并探讨学习者的价值观和偏见。
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