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African American women's preventative care usage: the role of social support and racial experiences and attitudes

机译:非裔美国人妇女预防保健的使用:社会支持以及种族经历和态度的作用

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摘要

Research suggests that African Americans are less likely to utilise preventative care services than Americans of European descent, and that these patterns may contribute to racial health disparities in the United States. Despite the persistence of inequalities in preventative care utilisation, culturally relevant factors influencing the use of these gateway health services have been understudied among marginalised groups. Using a stratified sample of 205 low-income African American women, this research examines the predictors of receiving a physical exam, with a particular emphasis on how differing levels of social support from friend and family networks and experiences of racial discrimination and cultural mistrust shape utilisation. The findings underscore the importance of traditional predictors of utilisation, including insurance status and having a usual physician. However, they also indicate that supportive ties to friendship networks are associated with higher predicted rates of having an annual physical exam, while social support from family and sentiments of cultural mistrust are associated with lower rates of utilisation. Broadly, the findings indicate that even as traditional predictors of help-seeking become less relevant, it will be critical to explore how variations in discrimination experiences and social relationships across marginalised groups drive patterns of preventative care utilisation.
机译:研究表明,与欧洲血统的美国人相比,非裔美国人使用预防保健服务的可能性更低,而且这些模式可能会导致美国的种族健康差异。尽管在预防保健利用方面仍然存在不平等现象,但在边缘化群体中仍未充分研究影响这些门诊医疗服务使用的文化相关因素。该研究使用205位低收入非裔美国妇女的分层样本,研究了接受身体检查的预测因素,并特别强调了朋友和家人网络对社会支持的不同程度以及种族歧视和文化不信任感的形成。这些发现强调了使用率的传统预测因素的重要性,包括保险地位和聘请普通医生。然而,他们还表明,与友谊网络的支持联系与较高的年度体检率相关,而家庭的社会支持和文化上的不信任感则与较低的使用率相关。概括地说,研究结果表明,即使传统的寻求帮助的预测因素变得不那么重要,探索边缘人群的歧视经历和社会关系的差异如何驱动预防性医疗利用模式也至关重要。

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