scholarly journals Beyond the Individual: Social and Cultural Influences on the Health-Seeking Behaviors of African American Men

2019 ◽  
Vol 13 (1) ◽  
pp. 155798831982995 ◽  
Author(s):  
Natalie T. Eley ◽  
Emily Namey ◽  
Kevin McKenna ◽  
Annette Carrington Johnson ◽  
Greg Guest

Morbidity and mortality rates are alarmingly high among African American men and are influenced by the health-seeking behaviors of this population. This study examined data from 40 focus groups with African American men in Durham, North Carolina, to better understand social and cultural influences on health-seeking behaviors. Data were analyzed using inductive thematic analysis. Three broad types of social/cultural influence on motivation to seek health care services were identified: family, culture and upbringing, and peers. Study findings confirm the importance of social relationships in influencing African American men’s health-seeking behaviors and offer characterization of the nature of influence across different types of relationships, according to the direct support or indirect messages they provide. Future programs can draw on these data to inform efforts to include family and peers as well as utilize existing cultural gender norms to the advantage of health promotion for African American men.

2020 ◽  
Vol 6 (2) ◽  
pp. 54
Author(s):  
Areej Al-Hamad ◽  
Cheryl Forchuk ◽  
Abe Oudshoorn ◽  
Gerald McKinley

Objective: The aim of this scoping review was to explore what is known about the health seeking behaviors among Syrian refugee women within hospital and community settings. The objectives were to explore health seeking behaviors of Syrian refugee women and highlight specific issues that are important to Syrian refugee women related to seeking for health care. In addition, to uncover potential obstacles/barriers that face Syrian refugee women while seeking for health care.Methods: Arksey and O’Malley (2005) framework for scoping review was utilized to guide the review process and to explore health seeking behaviors of Syrian refugee women. Various databases such as, Academic Search Complete, CINAHL, PubMed, Scopus, PsycINFO, Science direct and SocINDEX were utilized in the review. The search strategy consisted of broad queries, in the title, abstract, full texts and keyword fields. The search included studies published from 2011 on, that is, from the time the Syrian conflict started (March 2011) and were limited to those in the English language. Thematic analysis was undertaken to synthesize extracted data.Results: A total of 19 studies were selected for this review. The data from this review were organized along two thematic categories (accessibility of health care services) and (awareness of health care needs and available health care services). Accessibility of health care services was the most frequently reported theme throughout this area of the literature and is most often include (financial barriers, language barriers, availability of culturally and gender appropriate health services). Awareness of health care needs and available health care services was the second commonly encountered theme within the area of Syrian refugee’s women health seeking behaviors.Conclusions: Having available and accessible health care services for Syrian refugee women in host countries is a fundamental human right that can enhance Syrian refugee women health, wellbeing and quality of life. An awareness of the potential health seeking behaviors, obstacles/barriers and challenges that facing Syrian refugee women may help to promote their accessibility to health services and consequently improve their health and wellbeing. Practitioners can use this review findings to inform future policy, education and developments in practice. Further research is required to develop and evaluate initiatives that target the identified barriers and help Syrian refugee women to fulfil their unmet health care needs.


Author(s):  
Samantha Estrada

Family members who are trying to support their loved one are often overburdened with stress, and health issues. Research has shown that families who receive family psychosocial education and support can have a dramatic impact on recovery outcomes and their family’s overall well-being. Family psychoeducation is not common. Families Healing Together (FHT) is an online family mental health recovery program that was developed to address this critical gap in family mental health care services. Using an exploratory case study methodology to understand how the program’s philosophy and practice impacts the program’s participants as well as how the participants perceive the benefits and limitations of the program. Findings suggest that the strengths of the program lie in the individual customization of the program to the consumer as well as the underlying message of hope of the program.


2015 ◽  
pp. 132-151
Author(s):  
Sunilkumar S. Manvi ◽  
Manjula R. B.

Although the present technology has aided in development of high-technology-based disease detection machines, potential medicines and devices, the well-being of the individual remains a challenge. Human beings are struggling to control diseases such as Parkinson's disease, Alzheimer's disease, asthma, hypertension, insomnia, heart disease, and diabetes due to non-availability of patient's real-time data for comprehensive study and analysis. Smart health centre environments represent the evolutionary developmental step towards intelligent health care. The Wireless Sensor Network (WSN) with pervasive and ubiquitous computing may be a solution for this predicament. WSNs are a key technology for ambient assisted living. The concept of WSN is used to measure the various health parameters like blood pressure, blood clot, allergy, ECG, cholesterol, RBCs, etc. In this chapter, the authors highlight the importance of WSNs with respect to health care services and discuss some of its challenging applications for diseases like Parkinson's, Alzheimer's, asthma, and heart disease. They delineate the challenges that researchers face in this area that may lead to future research.


The purpose of this chapter is to explore why a medical professional's career is one of lifelong learning and growth. Even after the period of formal education is over, continuous development and maintenance of skills is essential. Along with this, attention is also directed towards the improvement of health care services at the individual and general levels.


2019 ◽  
pp. 325-328
Author(s):  
Craig W. Thomas ◽  
Brian C. Castrucci

This chapter introduces the next section of the book which is about sustainability and finance when it comes to cross-sector collaboratives for population health improvements. It states that the focus should be on closing the gap when it comes to health disparities and a goal needs to be reducing the need for health care services. Effectively acquiring, managing, and sustaining financial investments in health is fundamental to the success of multi-sector and community-led health improvement initiatives. The chapter outlines the topics covered by the individual chapters in this section.


2018 ◽  
Vol 35 (1) ◽  
pp. 41-46
Author(s):  
Mª Teresa Rodríguez Monje ◽  
Eduardo J. Pedrero Pérez ◽  
Mª Teresa Rodríguez Monje ◽  
Elías Rodríguez Alonso ◽  
Elías Rodríguez Alonso ◽  
...  

Addictive behaviors are not limited to drugs use, but also include certain daily behaviors that can cause gratification. Their progression to more severe pathological patterns entails grave consequences for the individual, including multiple psychopathological manifestations. The early detection of this type of behavior is of concern to primary health care. Therefore, in order to detect risk at early stages, reliable and valid tools for daily practice are essential. The MULTICAGE CAD-4 questionnaire is a screening tool for simultaneously detecting addictive behaviors. This study includes a new scale for the detection of smartphone abuse. The objective is to evaluate the adequacy of its psychometric properties. A sample of 2,074 subjects that were recruited from primary care centers ofMadrid(Spain) completed the MULTICAGE CAD-4 questionnaire. A confirmatory factor analysis, using unweighted least squares method, was performed. The test showed good internal consistency both at item and scale levels. The questionnaire structure was consistent with theoretical expectations. The MULTICAGE CAD-4, including the new smartphone scale, is a robust, reliable tool with a valid structure for assessing the presence of dysfunctional or potentially addictive behaviors, and especially useful in primary health care services.


2006 ◽  
Vol 33 (4) ◽  
pp. 440-458 ◽  
Author(s):  
Shiriki K. Kumanyika ◽  
Christiaan B. Morssink

The concept of health disparities is a familiar one, but we must continually challenge our thinking on how disparities issues are framed. The 1985 Report of the Secretary’s Task Force on Black and Minority Health established a disease-oriented focus on “excess deaths” as the primary targets of disparities initiatives. However, progress in reducing disparities has been limited. The disease focus, which emphasizes the individual-level and health care services, may be too narrow. A “population health” perspective can foster a more comprehensive and integrated approach. Both disease-oriented and population health perspectives have advantages and disadvantages, for both policy and practical purposes. The challenge is to effectively leverage both approaches to improve the health of ethnic minority and other disadvantaged populations. We need bridge builders who can articulate and hear diverse perspectives, work with systems, and maintain a long-term vision for affecting the social dynamics of society


2021 ◽  
pp. 1-9
Author(s):  
Han-Yeong Jeong ◽  
Eung-Joon Lee ◽  
Min Kyoung Kang ◽  
Ki-Woong Nam ◽  
Jeonghoon Bae ◽  
...  

<b><i>Introduction:</i></b> The coronavirus disease 2019 (COVID-19) pandemic has led to changes in stroke patients’ healthcare use. This study evaluated changes in Korean stroke patients’ health-seeking behaviors and stroke care services using data from the Korean Stroke Registry (KSR). <b><i>Methods:</i></b> We reviewed data from patients with acute stroke and transient ischemic attack (TIA) during 2019 (before COVID-19 period) and 2020 (COVID-19 period). Outcomes included patient characteristics, time from stroke onset to hospital arrival, and in-hospital stroke pathways. Subgroup analyses were performed for an epidemic region (Daegu city and Gyeongsangbuk-do region, the D-G region). <b><i>Results:</i></b> The study included 1,792 patients from the pre-COVID-19 period and 1,555 patients from the COVID-19 period who visited hospitals that contribute to the KSR. During the COVID-19 period, the D-G region had two-thirds the number of cases (vs. the pre-CO­VID-19 period) and a significant decrease in the proportion of patients with TIA (9.97%–2.91%). Unlike other regions, the median onset-to-door time increased significantly in the D-G region (361 min vs. 526.5 min, <i>p</i> = 0.016), and longer onset-to-door times were common for patients with mild symptoms and who were in their 60s or 70s. The number of patients who underwent intravenous thrombolysis also decreased during the COVID-19 period, although the treatment times were not significantly different between the 2 periods. <b><i>Discussion/Conclusion:</i></b> Korean stroke patients in a CO­VID-19 epidemic region exhibited distinct changes in health-seeking behaviors. Appropriate triage system and public education regarding the importance of early treatment are needed during the COVID-19 pandemic.


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