Johns Hopkins School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States of America.
Johns Hopkins School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States of America.
Geriatr Nurs. 2021 Jan-Feb;42(1):196-204. doi: 10.1016/j.gerinurse.2020.08.002. Epub 2020 Oct 22.
Discrimination is implicated in the disproportionate burden of disease and health disparities in racial/ethnic minorities. This qualitative descriptive study explored the experiences of discrimination and its impact on the health of older African immigrants. Semi-structured interviews were conducted with 15 participants. Three main themes and six sub-themes were identified. These included: (1) types of discrimination which were: (a) accent-based, (b) unfair treatment during routine activities, (c) experience with systems; (2) consequences of discrimination; and (3) surviving and thriving with discrimination: (a) "blind eye to it", (b) reacting to it, (c) avoiding it. These themes described common experiences of discrimination, current strategies used to deal with discrimination, and the impact of discrimination on this sample. Health care providers should be aware of discrimination experiences, how to assess for it, and identify when to refer patients to appropriate community resources that include mental health, employment, cultural groups and legal services.
歧视是导致疾病负担不成比例和族裔少数群体健康差距的一个因素。本定性描述性研究探讨了歧视经历及其对老年非裔移民健康的影响。对 15 名参与者进行了半结构化访谈。确定了三个主要主题和六个子主题。这些主题包括：（1）歧视的类型，包括：（a）口音歧视，（b）日常活动中的不公平待遇，（c）对系统的体验；（2）歧视的后果；（3）在歧视中生存和茁壮成长：（a）“视而不见”，（b）对其做出反应，（c）避免它。这些主题描述了歧视的常见经历、目前用于应对歧视的策略，以及歧视对这一群体的影响。医疗保健提供者应该意识到歧视经历，如何评估它，并确定何时将患者转介给适当的社区资源，包括心理健康、就业、文化团体和法律服务。
