Lipson J G, Omidian P A
School of Nursing, University of California, San Francisco, USA.
West J Nurs Res. 1997 Feb;19(1):110-26. doi: 10.1177/019394599701900108.
Since Afghan refugees began coming to the United States in the early 1980s, the Afghan community of the San Francisco Bay Area has become the largest in the United States. This population copes with a number of stressors that negatively affect their health and psychological well-being. Based on an ethnographic study, we focus on the social context in which Afghan refugees find themselves, describing Afghans' perceptions of their interactions with mainstream American citizens and health and social service providers. The theme running through all such interactions is information--its scarcity, character, and cultural differences in type, purposes, and means of transmission. Quotes from interviews illustrate four types of problems: economic and occupational problems, health-care access, family and children's issues, and immigration issues/ethnic bias. Policy and program recommendations are applicable to other recent refugee populations that experience similar information problems with regard to the dominant society.
自20世纪80年代初阿富汗难民开始抵达美国以来，旧金山湾区的阿富汗人社区已成为美国最大的阿富汗人社区。这一群体面临着诸多压力源，这些压力源对他们的健康和心理健康产生了负面影响。基于一项人种志研究，我们关注阿富汗难民所处的社会环境，描述阿富汗人对他们与美国主流公民以及健康和社会服务提供者互动的看法。贯穿所有此类互动的主题是信息——信息的稀缺性、特征以及在类型、目的和传播方式上的文化差异。访谈中的引述说明了四类问题：经济和职业问题、医疗保健获取、家庭和儿童问题以及移民问题/种族偏见。政策和项目建议适用于其他近期难民群体，这些群体在与主流社会的关系中也遇到类似的信息问题。
