Ann Fam Med. 2022 Apr 1;20(20 Suppl 1). doi: 10.1370/afm.20.s1.3918.
Structural and institutional racism in the healthcare system, language barriers, and stigma have resulted in people of color (POC) facing increased barriers to healthcare access, even though POC are often experiencing greater severity with their substances use disorders. There is limited research on the evaluation or description of culturally tailored interventions and limited culturally tailored centers serving racialized populations struggling with AUD, especially for the Punjabi population. Therefore, it is crucial for primary care providers to understand the importance of culturally tailored approaches to this patient population, as they are often the first point of contact.
To understand and describe what aspects of care provided at Roshni Clinic was beneficial to patients by conducting a qualitative analysis of interviews.
Qualitative study. Interviews translated from Punjabi to English. Responses transcribed and coded, occurrences of themes were tabulated.
Study completed at Roshni Clinic, a culturally tailored center located in Surrey, Canada that addresses problems associated with alcohol and other substances for adults >18 years old in a holistic, culturally tailored approach.
Eight participants recruited and consented. Inclusion criteria: cis-male of Punjabi ancestry, communicate in English/Punjabi, diagnosed with AUD, hospitalized for alcohol related harms, and presented for care at Roshni. No exclusion criteria.
Nearly half the responses identified culturally tailored approaches as most helpful. Over one third of the responses indicated structural factors intrinsically tied to Roshni such as counseling, and accountability, as helpful. Approximately 10% was attributable to medications and patient education.
Culturally tailored approaches and providers fluent in the Punjabi language proved to be the most beneficial factors to patients at Roshni Clinic. There are limited culturally tailored, primary care addictions centers such as Roshni Clinic serving Punjabi males with AUD in BC's Lower Mainland. Thus, this study stresses the importance of investment in research and development of patient informed culturally tailored care centers.
识别并描述对患有 AUD 的旁遮普裔患者护理至关重要的因素。
解释在 AUD 背景下，对初级保健采用文化适应性方法的重要性。
医疗保健系统中的结构性和制度性种族主义、语言障碍和污名化导致有色人种（POC）在获得医疗保健方面面临更大的障碍，尽管 POC 通常在物质使用障碍方面的严重程度更高。针对评估或描述文化适应性干预措施以及为患有 AUD 的种族化人群提供服务的文化适应性中心的研究有限，尤其是针对旁遮普人群。因此，初级保健提供者必须了解针对这一患者群体采用文化适应性方法的重要性，因为他们通常是第一个接触点。
通过对 Roshni 诊所访谈进行定性分析，了解并描述诊所提供的哪些方面的护理对患者有益。
定性研究。从旁遮普语翻译成英语的访谈。转录和编码回复，制表出现主题的次数。
在 Roshni 诊所完成的研究，这是一个位于加拿大素里的文化适应性中心，采用整体、文化适应性的方法解决与成年人 (>18 岁) 酒精和其他物质相关的问题。
招募并同意了 8 名参与者。纳入标准：旁遮普裔男性，会讲英语/旁遮普语，被诊断为 AUD，因酒精相关伤害住院，在 Roshni 接受治疗。无排除标准。
近一半的回复认为文化适应性方法最有帮助。超过三分之一的回复表明与 Roshni 内在相关的结构性因素，如咨询和问责制，是有帮助的。大约 10%归因于药物和患者教育。
文化适应性方法和精通旁遮普语的提供者被证明是 Roshni 诊所患者最有益的因素。在卑诗省低陆平原，像 Roshni 诊所这样的、为患有 AUD 的旁遮普男性提供服务的、有限的文化适应性、初级保健成瘾中心很少。因此，这项研究强调了投资于研究和开发以患者为中心的、文化适应性的护理中心的重要性。
