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Exploring health disparities: Perceptions of culturally appropriate health/mental health care among late-in-life Iranian immigrants.

机译：探索健康差异：伊朗晚年移民对文化上适当的健康/心理健康护理的看法。

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摘要

The purpose of this qualitative study was to explore the issues of cultural differences as possible barriers to care seeking and hence health disparities among late-in-life Iranian immigrants. The findings of this research reveal that cultural differences, particularly the way health, illness, and healing are defined, are significant in explaining the health-related behaviors of the participants.;This study shows that the participants have a distinctly holistic approach to health, looking at mind, body, and spirit as interconnected parts of a whole. Furthermore, many of the cultural differences that contribute to the care-seeking behavior of late-in-life Iranian immigrants in this study are explained by attention to three value priority differences that exist between the participants and the biomedical model, which dominates Western medicine.;These value priority differences include the value of individual versus family. To the study participants, their health, illness, and healing are concerns for the entire family and not for the patient alone. The participants overwhelmingly expressed a desire to have any news of terminal illness disclosed only to family members and never to the patient directly. The other value difference is the value of physical health versus ruhi (emotional, mental, and spiritual) health. The study reveals that the participants place greater value on their ruhi health than on their physical health. Many believe that attention to their ruhi health is generally absent in their interaction with health-care providers in the United States. The last value difference found in this study is the value of knowing versus not knowing. The participants believe that knowing about terminal illnesses can lead to what they call loss of an "appetite for life," which can ultimately lead to deteriorating health. The participants' desire not to know is demonstrated by their reluctance to seek preventive care and an equal reluctance to seek care when a serious illness is suspected. Attention to the differences in definitions of health, illness, and healing and to the value differences that exist between the participants and their care providers prove significant in understanding the care-seeking behaviors of the study participants.
机译：这项定性研究的目的是探讨文化差异问题，这些文化差异可能是阻碍伊朗晚年移民寻求医疗服务并因此造成健康差异的障碍。这项研究的发现表明，文化差异，特别是健康，疾病和康复的定义方式，对解释参与者的健康相关行为具有重要意义。；这项研究表明，参与者对健康有着明显的整体性方法，将思想，身体和精神视为整体的相互联系的部分。此外，通过关注参与者和生物医学模型之间存在的三个价值优先级差异，可以解释许多导致伊朗晚年移民寻求护理行为的文化差异，而差异主要体现在西医上。 ；这些价值优先级差异包括个人与家庭的价值。对于研究参与者来说，他们的健康，疾病和康复是整个家庭而不是患者的唯一问题。参加者绝大多数表示希望将绝症新闻只透露给家庭成员，而不直接透露给患者。另一个价值差异是身体健康与ruhi（情绪，精神和精神）健康的价值。该研究表明，参与者对Ruhi健康的重视程度高于对身体健康的重视程度。许多人认为，与美国的医疗保健提供者互动时，通常缺乏对Ruhi健康的关注。在这项研究中发现的最后一个价值差异是知道与不知道的价值。参与者认为，了解绝症可能会导致他们所谓的“终生食欲”丧失，最终会导致健康状况恶化。参与者不知道的愿望表现为他们不愿寻求预防性护理，并且在怀疑患有严重疾病时同样不愿寻求护理。注意健康，疾病和康复的定义上的差异以及参与者及其护理提供者之间存在的价值差异，在理解研究参与者的寻求护理行为方面具有重要意义。

著录项

  • 作者

    Martin, Shadi Sahami.;

  • 作者单位

    The University of Utah.;

  • 授予单位 The University of Utah.;
  • 学科 Health Sciences Mental Health.;Social Work.;Health Sciences Public Health.;Sociology Ethnic and Racial Studies.;Gerontology.
  • 学位 Ph.D.
  • 年度 2004
  • 页码 236 p.
  • 总页数 236
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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