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首页> 外文期刊>Journal of men’s health. >Older immigrant Sikh men's perspective of the challenges of managing coronary heart disease risk
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Older immigrant Sikh men's perspective of the challenges of managing coronary heart disease risk

机译:锡克教较老的移民对控制冠心病风险的挑战的看法

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Background: Gender and ethnocultural affiliation can have a significant impact on peoples' beliefs about, and their capacity to manage, their health. We aimed to describe the gender- and ethnoculturally-based influences associated with the process that Sikh men undergo when faced with managing coronary artery disease (CAD) risk.Methods: This was a grounded theory study with 10 Sikh men. Data were collected through audio-taped semi-structured interviews. The transcribed interviews were analyzed using constant comparative methods.Results: The core variable was 'meeting the challenge'. There were three main phases that encompassed the process of managing CAD and its associated risks. These included: pre-diagnosis or event, the liminal (changing) self, and living with CAD. The most salient risk factors that Sikh men reported included ongoing stress, high levels of alcohol intake and reduced physical activity. The challenges to managing these risk factors included economically-driven change in status within the family, language barriers, and religious beliefs regarding destiny.Conclusions: Older immigrant Sikh men may encounter difficulty accessing the healthcare system due to language barriers and religious beliefs, and they are disinclined to investigate the causes of their illness. Health-care providers, and those that create health policy, should work with the Sikh community to develop ethnoculturally sensitive care, and to develop resources to increase health promotion.
机译:背景:性别和民族文化背景对人们的信念及其管理健康的能力有重大影响。我们的目的是描述与锡克教徒男性面对冠心病(CAD)风险时所经历的过程相关的基于性别和民族文化的影响。方法:这是一项基于基础的理论研究,涉及10名锡克教徒男性。通过录音半结构化访谈收集数据。结果:核心变量是“迎接挑战”。有三个主要阶段,包括管理CAD及其相关风险的过程。其中包括:预诊断或事件,阈值(不断变化的)自我以及与CAD一起生活。锡克教徒男性报告的最明显的危险因素包括持续的压力,高水平的酒精摄入和体育锻炼减少。管理这些风险因素的挑战包括家庭内部经济状况的变化,语言障碍以及关于命运的宗教信仰。结论:锡克教移民的老年人可能由于语言障碍和宗教信仰而难以进入医疗保健系统,他们不愿调查其病因。卫生保健提供者以及制定卫生政策的提供者应与锡克教徒社区合作,以发展对民族文化敏感的保健,并开发资源以促进健康促进。

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