African-american Elders Implications for Health Care Providers

1995 ◽  
Vol 11 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Sharon A. Brangman
Keyword(s):  
Health Care ◽  
African American ◽  
Health Care Providers ◽  
Care Providers

Patient Satisfaction Influenced by Interpersonal Treatment and Communication for African American Men

2012 ◽  
Vol 6 (5) ◽  
pp. 409-419 ◽  
Author(s):  
Angelo D. Moore ◽  
Jill B. Hamilton ◽  
George J. Knafl ◽  
P.A. Godley ◽  
William R. Carpenter ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
North Carolina ◽  
African American ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
African American Men ◽  
Care Providers ◽  
Patient Centered ◽  
The North

The purpose of this study was to determine if a particular set of health behaviors of health care providers and African American men (AAM) influence patient satisfaction from the AAM’s perspective. This descriptive, correlational study consisted of 505 AAM in North Carolina diagnosed with prostate cancer and enrolled in the North Carolina–Louisiana Prostate Cancer Project (PCaP). Analyses consisted of bivariate analyses and multiple regression. Patient-to-provider communication, interpersonal treatment, and provider-to-patient communication accounted for 45% ( p ≤ .0001) of the variability in patient satisfaction. Interpersonal treatment (provider focusing on the patient) explained the greatest amount ( F = 313.53, R2 = .39) of patient satisfaction. Since interpersonal treatment focuses on the patient and demonstrated to be the strongest predictor in patient satisfaction, it is noteworthy to consider the emphasis that should be placed on patient-centered care. In addition, knowing important variables positively affecting patient satisfaction provides useful information for developing appropriate interventions to improve AAM health care experiences.

Healin’ da Sick, Raisin’ da Daid

2017 ◽  
Author(s):  
Katrina Hazzard-Donald
Keyword(s):  
Health Care ◽  
African American ◽  
African Americans ◽  
Health Care Providers ◽  
Black Belt ◽  
Care Providers ◽  
Silver Coin

This chapter examines Hoodoo as health care and the role of the African American midwife in the old tradition black belt Hoodoo complex. Scholarship has totally overlooked a discussion of traditional Hoodoo healers: treaters, midwives, and root doctors. Even African Americans who know anything of contemporary Hoodoo will usually not immediately associate it with medicinal herbalism. Hoodoo marketeers were neither interested in nor had access to this aspect of Hoodoo. This chapter considers how Hoodoo midwives, treaters, and root doctors mastered treatments and developed their regional pharmacopoeia. It discusses one technique used by all three types of Hoodoo health care providers: the method of using string to tie sacred healing knots. It also describes nine types of healing amulets used in Hoodoo: single-knot string amulet; multiknot amulet; root necklace; prayer bead necklace; prayer cloth; biblical scroll; walking cane; religious lithography; and silver coin.

Examining the Relationship Between Discrimination and Depressive Symptomatology in African American Men: A Literature Review Utilizing a Metanarrative Approach

2020 ◽  
pp. 107839032090768
Author(s):  
Jumelie A. Miller
Keyword(s):  
Health Care ◽  
African American ◽  
Literature Review ◽  
Health Care Providers ◽  
Depressive Symptomatology ◽  
African American Men ◽  
Perceived Discrimination ◽  
Care Providers ◽  
The Relationship ◽  
Improve Health

BACKGROUND: Depression is a debilitating disease that can significantly affect one’s life. Perceived discrimination has been shown to have an impact on depressive symptoms. The purpose of this review is to examine the relationship between discrimination and depressive symptomatology. AIMS: This literature review provides a synthesis of recent literature that provides valuable information that can be used to recognize depressive symptomatology and to improve health outcomes for African American men experiencing depression. METHODS: This literature review examines the current literature and synthesizes 13 studies that met the inclusion criteria utilizing metanarrative methodology with RAMSES standards. Attention was paid to the six guiding principles characteristic of a metanarrative review. PRISMA guidelines were followed for this review. Articles that focused on specific subsets of the African American male community were excluded. RESULTS: It was noted that perceived discrimination was positively associated with depressive symptomatology in African American men. While similar methods for measuring depression were noted in several of the studies, measurement of discrimination varied. Additional factors that appeared to have an association with the relationship between discrimination and depression in this population included social supports, masculine role norms, and sociodemographic factors such as age. CONCLUSION: This synthesis of the literature also can be used to improve health care providers’ engagement with this population to improve the quality of care and health care outcomes. As a result of this review it was found that a positive relationship exists between discrimination and depressive symptomatology in African American men.

scholarly journals African American Women’s Preparation for Childbirth From the Perspective of African American Health-Care Providers

2011 ◽  
Vol 20 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Christine Abbyad ◽  
Trina Reed Robertson
Keyword(s):  
Health Care ◽  
African American ◽  
African American Women ◽  
Health Care Providers ◽  
Self Awareness ◽  
Care Providers ◽  
American Women ◽  
American Health Care ◽  
Caucasian Women ◽  
Maternity Health

Preparation for birthing has focused primarily on Caucasian women. No studies have explored African American women’s birth preparation. From the perceptions of 12 African American maternity health-care providers, this study elicited perceptions of the ways in which pregnant African American women prepare for childbirth. Focus group participants answered seven semistructured questions. Four themes emerged: connecting with nurturers, traversing an unresponsive system, the need to be strong, and childbirth classes not a priority. Recommendations for nurses and childbirth educators include: (a) self-awareness of attitudes toward African Americans, (b) empowering of clients for birthing, (c) recognition of the role that pregnant women’s mothers play, (d) tailoring of childbirth classes for African American women, and (e) research on how racism influences pregnant African American women’s preparation for birthing.

scholarly journals Lessons from the Research Field on Partnership in Pediatric Primary Care with Urban, Low-Income African American Parents

2019 ◽  
Vol 6 (3) ◽  
pp. 5
Author(s):  
Kara Koschmann ◽  
Mary C. Hooke
Keyword(s):  
Health Care ◽  
African American ◽  
Data Collection ◽  
Health Care Providers ◽  
Low Income ◽  
Research Field ◽  
Lessons Learned ◽  
African American Parents ◽  
Care Providers ◽  
Research Findings

Qualitative data collection offers a unique opportunity to partner with research participants. Lessons learned through the process of data collection with urban, low-income, African American parents are reflective of the research findings themselves. Carefully designed research studies can remove barriers and empower participants, broadening the reach and results. Recruitment within communities develops trust, and focus groups offer a more empowering method for interviewing marginalized populations. Parents desire to have solid partnerships with their children’s health-care providers so that with their providers’ guidance, their children can flourish. The process of implementing the research itself, and not just the results, reveals strategies for improving partnership between parents and health-care providers.

scholarly journals ENGAGING AFRICAN AMERICAN FAMILIES IN END OF LIFE DISCUSSIONS: CHALLENGES AND FACILITATORS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S950-S950
Author(s):  
Pamela Z Cacchione ◽  
Le'Roi L Gill ◽  
Justine Sefcik
Keyword(s):  
Older Adults ◽  
Health Care ◽  
African American ◽  
End Of Life ◽  
Health Care Providers ◽  
Descriptive Study ◽  
African American Families ◽  
Care Providers ◽  
Qualitative Descriptive ◽  
American Families

Abstract Our previous study, African American Preferences Around End of Life, identified that AA Elders wanted to talk to their family about their preferences, but their family tended to avoid discussing end of life topics. We found that African American families often have a difficult time broaching the subject of end of life for a variety of emotional, cultural and religious reasons. Therefore, the purpose of this qualitative descriptive study was: To better understand the challenges and facilitators that influenced end of life conversations within the African American family. Methods: In this qualitative descriptive study, we interviewed 15 AA family caregivers of older adults. Participants were family members of older adults enrolled in an urban Program of All-inclusive Care for the Elderly. Individual interviews lasted on average 50 minutes. Data analysis was completed using conventional content analysis. Results: The majority of participants were between 55 - 65 years of age and adult children of the AA older adult. Two themes emerged for challenges: I’m not comfortable and We just don’t talk about it. For facilitators again, two themes emerged: Another person took the initiative (e.g. health care provider led the conversation) and participants’ previous experience with death led them to initiate EOL conversations. In addition, three participants reported that after participating in the interview they planned to talk to their loved one to find out their end of life preferences. The results of this study provide insight into how health care providers can facilitate these important end of life preferences conversations.

scholarly journals An Investigation of Health Management Perceptions and Wellness Behaviors in African American Males in Central Texas

2018 ◽  
Vol 13 (1) ◽  
pp. 155798831881349
Author(s):  
Chibuokem G. Amuneke-Nze ◽  
Benita A. Bamgbade ◽  
Jamie C. Barner
Keyword(s):  
Health Care ◽  
African American ◽  
Health Care Providers ◽  
Health Management ◽  
Perceived Behavioral Control ◽  
Medical Mistrust ◽  
Care Providers ◽  
Future Health ◽  
Study Objective ◽  
Targeted Interventions

Little is known regarding interventions that incorporate health management perceptions among African American (AA) men, to reduce the risk for developing various medical conditions. Using the Theory of Planned Behavior (TPB), the study objective was to better understand health-care perceptions of AA men by assessing participants’ attitudes, subjective norms (SNs), and perceived behavioral control (PBC) regarding health management. AA adult males in Texas were recruited to participate in one of four qualitative focus groups. The TPB was used to assess participants’ attitudes (advantages/disadvantages), SNs (approvers/disapprovers), and PBC (enablers/barriers) regarding health management. All four sessions were audiotaped, transcribed, and independently analyzed by researchers to identify major themes. Participants ( n = 23) were 45.2 ± 16.2 years of age (range 24–74). Regarding attitudes toward health management, participants viewed increased longevity and avoiding future health problems as advantages; however, increased cost, lack of confidence in health care, and social pressures were disadvantages. Regarding SNs, parents and children were positive influencers, while spouses and coworkers were both positive and negative influencers. For PBC, a support system and health awareness were identified as enablers, while medical mistrust, fear, and culture were barriers. The results convey that health management behaviors in AA males are multifaceted. Health-care providers should seek to understand these factors, discuss these issues with AA males, and integrate treatment strategies that are culturally informed and patient centered. Findings from this study may be used to develop targeted interventions that improve health outcomes for AA males.

scholarly journals Sexual Risk Behaviors of African American Adolescent Females: The Role of Cognitive and Religious Factors

2016 ◽  
Vol 29 (1) ◽  
pp. 74-83 ◽  
Author(s):  
Safiya George Dalmida ◽  
Natasha Aduloju-Ajijola ◽  
Dora Clayton-Jones ◽  
Tami L. Thomas ◽  
Ricardo J. Erazo Toscano ◽  
...  
Keyword(s):  
Health Care ◽  
African American ◽  
Health Care Providers ◽  
Sexual Behaviors ◽  
Care Providers ◽  
African American Adolescent ◽  
Sexually Transmitted ◽  
Vaginal Sex ◽  
History Of ◽  
Religious Importance

Introduction: African American (AA) high school-age girls are more likely to have had sex before age 13 years and have higher rates of all sexually transmitted infections. Cognition and religion/spirituality are associated with adolescent sexuality, therefore, the purpose of this study was to identify cognitive and religious substrates of AA girls’ risky sexual behaviors. Method: A descriptive study was conducted with 65 AA girls aged 15 to 20 years using computerized questionnaires and cognitive function tasks. Results: Average age was 17.8 ± 1.9 years and average sexual initiation age was 15.5 ± 2.6 years. Overall, 57.6% reported a history of vaginal sex. Girls who reported low/moderate religious importance were significantly younger at vaginal sex initiation than girls for whom religion was very/extremely important. Girls who attended church infrequently reported significantly more sexual partners. Implications: Health care providers can use these findings to deliver culturally congruent health care by assessing and addressing these psychosocial factors in this population.

scholarly journals HEALTHCARE ACCESS AND SOCIAL ENGAGEMENT OF OLDER MINORITY ADULTS: EXPERIENCES NAVIGATING TRANSPORTATION BARRIERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S902-S903
Author(s):  
December Maxwell ◽  
Rebecca L Mauldin ◽  
Dennis Kao
Keyword(s):  
Older Adults ◽  
Health Care ◽  
African American ◽  
Health Care Providers ◽  
Social Engagement ◽  
Healthcare Access ◽  
Well Being ◽  
Spatial Accessibility ◽  
Care Providers ◽  
Health And Well Being

Abstract Transportation is vital in the daily lives of older adults and provides access to health care services and health enhancing activities, such as social engagement. Disparities in mobility exist for older African American and Hispanic adults compared to non-Hispanic Whites, including higher likelihood of driving cessation at an earlier age and having a higher risk for reduced life space. This poster presents findings from a qualitative analysis of data from the Using Geo-Ethnography to Explore the Spatial Accessibility of Health Services for Aging Minorities Study (GeoSAS), a mixed methods study of older minority adults in Houston, TX. Using interpretive phenomenological analysis, the transcripts of semistructured interviews with 23 older adults (13 African American and 10 Hispanic; 17 female; mean age = 71.3 yrs, SD = 6.3 years) were analyzed to address the research question: What are the mobility experiences and perceptions of minority older adults regarding healthcare access and social engagement? Based on an ecological systems theoretical framework, we found reciprocal influences of (1) healthcare systems and transportation utilization and (2) participants’ health and well-being, mobility, and social engagement. Support from family members and financial capacity were critical for participants’ mobility. Implications of this research include educating health care providers about patients’ transportation experiences and barriers, optimizing social support to increase mobility, and addressing systematic disparities in transportation access to enhance health and well-being for older minority adults.

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