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罗兴亚难民的健康信念和医疗保健障碍。

Health Beliefs and Barriers to Healthcare of Rohingya Refugees.

机构信息

Department of Medicine and Cancer Center, Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI, 53226, US.

出版信息

J Racial Ethn Health Disparities. 2023 Aug;10(4):1560-1568. doi: 10.1007/s40615-022-01342-2. Epub 2022 Jun 10.

Abstract

In recent years, over 1,000 Rohingya families have been resettled to Milwaukee, Wisconsin from areas where they faced trauma and health disparities. To better understand their health beliefs and barriers to healthcare, we conducted a qualitative study with ten community health workers and stakeholders serving the Milwaukee Rohingya community. Interviews were transcribed, coded, and analyzed. Themes included: 1) health is defined as being able to meet basic needs of the family/community; 2) prior and existing mistrust and fear of systems of authority impact healthcare seeking behavior; 3) past-trauma negatively impacts physical and mental health; 4) religion and spirituality influence beliefs about illness, recovery, and wellbeing; 5) linguistic, cultural, and educational barriers impact access, quality of care, and understanding of disease. These results begin to address the significant gap in our knowledge of the health beliefs and needs of the local Rohingya community and underscore the need for tailored interventions.

摘要

近年来,1000 多个罗兴亚家庭从面临创伤和健康不平等的地区重新安置到威斯康星州密尔沃基。为了更好地了解他们的健康信念和获得医疗保健的障碍,我们对为密尔沃基罗兴亚社区服务的十名社区卫生工作者和利益相关者进行了一项定性研究。采访记录被转录、编码和分析。主题包括:1)健康被定义为能够满足家庭/社区的基本需求;2)先前和现有的对权威系统的不信任和恐惧影响医疗保健寻求行为;3)过去的创伤对身心健康产生负面影响;4)宗教和精神信仰影响对疾病、康复和幸福的信念;5)语言、文化和教育障碍影响获得医疗保健的机会、医疗质量和对疾病的理解。这些结果开始解决我们对当地罗兴亚社区健康信念和需求的知识差距,并强调需要有针对性的干预措施。

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