Lipson J G, Omidian P A, Paul S M
Department of Mental Health, Community and Administrative Nursing, University of California, San Francisco 94143, USA.
Public Health Nurs. 1995 Jun;12(3):143-50. doi: 10.1111/j.1525-1446.1995.tb00002.x.
This study assessed the health concerns and needs for health education in the Afghan refugee and immigrant community of the San Francisco Bay Area. The study used a telephone survey, seven community meetings and a survey administered to 196 Afghan families through face-to-face interviews. Data were analyzed qualitatively and statistically. Health problems of most concern are mental health problems and stress related to past refugee trauma and loss, current occupational and economic problems, and culture conflict. Physical health problems include heart disease, diabetes and dental problems. Needed health education topics include dealing with stress, heart health, nutrition, raising children in the United States (particularly adolescents), aging in the United States, and diabetes. Using coalition building and involving Afghans in their community assessment, we found that the Afghan community is eager for culture- and language-appropriate health education programs through videos, television, lectures, and written materials. Brief health education talks in community meetings and a health fair revealed enthusiasm and willingness to consider health promotion and disease-prevention practices.
本研究评估了旧金山湾区阿富汗难民和移民社区对健康问题的关注以及健康教育需求。该研究采用了电话调查、七次社区会议，并通过面对面访谈对196个阿富汗家庭进行了一项调查。对数据进行了定性和统计分析。最受关注的健康问题是心理健康问题以及与过去的难民创伤和损失、当前的职业和经济问题以及文化冲突相关的压力。身体健康问题包括心脏病、糖尿病和牙齿问题。所需的健康教育主题包括应对压力、心脏健康、营养、在美国抚养孩子（尤其是青少年）、在美国养老以及糖尿病。通过建立联盟并让阿富汗人参与社区评估，我们发现阿富汗社区渴望通过视频、电视、讲座和书面材料获得适合其文化和语言的健康教育项目。在社区会议上进行的简短健康教育讲座以及一次健康博览会显示出人们对健康促进和疾病预防做法的热情和意愿。
