› › Maternal Health Experiences And Healthcare Utilization Of African Immigrant Women

Maternal Health Experiences and Healthcare Utilization of African Immigrant Women

Author : Ehiremen Adesua Azugbene

Publisher :

Page : 206 pages

File Size : 45,79 MB

Release : 2019

Category :

ISBN :

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Book Description

African immigrant women underutilize maternal healthcare compared to local populations in the United States. The purpose of this study was to examine the factors that facilitated or hindered the use of health services for African immigrant women in Clarkston, Georgia. The study also assessed the health literacy of the participants to complement the results from the interviews. This research was conducted in two phases. Three African immigrant women responded to interviews in Phase 1 of the study that informed the interviews for Phase 2 of the study. Phase 2 of the study explored the maternal health experiences of African immigrant women regarding healthcare utilization using a mixed-method design. Fourteen African immigrant women responded to the interviews in Phase 2. The Newest Vital Sign survey was administered to the participants to assess health literacy. An adapted version of the Andersen healthcare utilization model was used to explain the way individual and contextual factors impact the use of health services. Eleven themes resulted from the interviews. The themes are; (1) community social structure, (2) community health beliefs, (3) health organization concerning the use of WIC, (4) social support at the individual level, (5) limited English proficiency, (6) need for better health education, (7) perception of care, (8) health financing, (9) long wait times and lack of transportation, (10) fear of medication and of obstetrical interventions and (11) impact of female genital mutilation. This study makes some important contributions to science and practice. First, resettlement communities for immigrants facilitate social support and the use of maternal health services. Second, health providers require training on the cultural norms of African immigrant women to address barriers to care. Third, African immigrant women required education and tailored care that addresses the fear of pain medication, obstetrical interventions, female genital mutilation and the need for family planning. Fourth, African immigrant women need education on health insurance and transportation for maternal healthcare. Finally, structures that will address limited English proficiency and low health literacy are required to facilitate the use of health services. Tailored interventions should address barriers to maternal healthcare utilization that African immigrant women face.



Understanding African Immigrant Health in the United States

Author : Ogbonnaya Isaac Omenka

Publisher :

Page : 186 pages

File Size : 23,16 MB

Release : 2019

Category :

ISBN :

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Book Description

In the United States, there is very little knowledge about the health of African immigrants. Although their population exceeds 2 million and still on the rise exponentially, a big gap exists regarding knowledge about health care access and outcomes for this population. Before relocating to the US, many African immigrants face health-threatening conditions, including civil wars and poverty, which are exacerbated by the lack of understanding and attention to their health care needs in the US. Methods: To examine the health care experiences of African immigrants in the US, two distinct studies were conducted. A scoping review examined literature between 1980 and 2016 using four databases, to identify knowledge-gaps concerning African immigrant in the US. A qualitative study comprising 33 semi-structured (one-on-one) interviews and 4 focus groups was conducted using Nigerian immigrant participants in Indianapolis, to assess how discrimination affects their health care experiences and quality of care, and the factors their influence their health care meanings, respectively. Results: For the scoping review, 14 articles were included. All the studies were focused on barriers to the health care access of African immigrants in the US. Along with religion and culture, lack of culturally-competent healthcare and distrust of the US health system, were identified as the major barriers. Both the one-on-one interviews and focus groups revealed provider attitudes, through implicit and open biases, were a key contributing factor to the participants' health care meanings and healthcare utilization. Additionally, results showed an important intersectionality within the healthcare experiences of the participants, as a result of their perception as "black," along with African Americans and other physically-related groups. Conclusion: African immigrants in the US grapple with the critical process of reconciling their original identities with their emerging realities, including negative provider attitudes and discrimination, and lack of identify in the US health system. This study highlights the importance of understanding African immigrant health in the US, through the examination of the role of the African framework of understanding of their health in their approaches to healthcare and well-being



Hispanics and the Future of America

Author : National Research Council

Publisher : National Academies Press

Page : 502 pages

File Size : 30,86 MB

Release : 2006-02-23

Category : Social Science

ISBN : 0309164818

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Book Description

Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.



Immigrant Women's Health

Author : Elizabeth J. Kramer

Publisher : Jossey-Bass

Page : 472 pages

File Size : 10,89 MB

Release : 1999

Category : Health & Fitness

ISBN :

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Book Description

The contributors include many of the leading clinicians and administrators in the field of immigrant health who offer valuable information and practical strategies for providing culturally-competent, high-quality, cost-effective care to migrant women from diverse cultures.





Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 583 pages

File Size : 47,14 MB

Release : 2017-04-27

Category : Medical

ISBN : 0309452961

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Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.



Health Insurance is a Family Matter

Author : Institute of Medicine

Publisher : National Academies Press

Page : 296 pages

File Size : 14,36 MB

Release : 2002-09-18

Category : Medical

ISBN : 0309169054

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Book Description

Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.





Birth Settings in America

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 369 pages

File Size : 44,79 MB

Release : 2020-05-01

Category : Social Science

ISBN : 0309669820

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Book Description

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.



Caring for Migrant and Minority Patients in European Hospitals

Author : Alexander Bischoff

Publisher : SFM

Page : 75 pages

File Size : 13,94 MB

Release : 2006

Category : Europe

ISBN : 2940379017

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Book Description

Social changes in European societies place migration and cultural diversity on the European political agenda. The European initiative Migrant Friendly Hospitals (MFH) aims to identify, develop and evaluate models of effective interventions. It has the following objectives: To strengthen the role of hospitals in promoting the health of migrants and ethnic minorities in the European Union and to improve hospital services for these groups. This report reviews models of effective intervention in the medical literature and provides the background information needed to enable partner hospitals taking part in the MFH initiative to select and implement suitable interventions. The interventions reviewed in this study are grouped in four areas: Communication, Responsiveness Empowerment of migrant and minority patients and communities. Monitoring of the health of migrants and minorities and the health care they receive. [Ed.]