scholarly journals Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

2019 ◽  
Author(s):  
Ogbonnaya Isaac Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
Healthcare Access ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
Religion And Spirituality ◽  
Hand Search ◽  
Healthcare Experiences ◽  
The U.S

Abstract Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers.

scholarly journals Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

2019 ◽  
Author(s):  
Ogbonnaya Isaac Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
English Language ◽  
Healthcare Access ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
Religion And Spirituality ◽  
Hand Search ◽  
Healthcare Experiences

Abstract Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often lumped into the “black” category, along with other phenotypically-similar groups. These challenges stifle the means of accurately utilizing research data to make critical healthcare decisions regarding African immigrants. The purpose of this Scoping Review was to examine extant information about African immigrant health in the United States, in order to develop subsequent lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. Also, lack of culturally-competent healthcare, distrust, and complexity, of the US health system, exorbitant cost of care, were identified as major healthcare access barriers.

scholarly journals Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ogbonnaya I. Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
Immigrant Health ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
African Immigrant ◽  
Healthcare Experiences ◽  
African Immigrant Health ◽  
The U.S

Abstract Background Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

scholarly journals Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

2019 ◽  
Author(s):  
Ogbonnaya Isaac Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
Immigrant Health ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
African Immigrant ◽  
Healthcare Experiences ◽  
African Immigrant Health ◽  
The U.S

Abstract Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion: Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

scholarly journals Where to Retire? Experiences of Older African Immigrants in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 455-455
Author(s):  
Manka Nkimbeng ◽  
Alvine Akumbom ◽  
Marianne Granbom ◽  
Sarah Szanton ◽  
Tetyana Shippee ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
African Immigrants ◽  
The United States ◽  
Political Climate ◽  
Structured Interviews ◽  
Family Responsibilities ◽  
Sociocultural Environment ◽  
Decision Making Factors ◽  
The U.S

Abstract The needs and conceptualization of age-friendliness likely vary for immigrant older adults compared to native-born older adults. For example, Hispanic immigrant older adults often return to their home country following the development of ill health. Doubling in size since the 1970’s, the aging needs of African immigrants are not fully understood. This qualitative study examined experiences of aging and retirement planning for African immigrant older adults in the United States (U.S.). Specifically, it explored the factors, processes, and ultimate decision of where these older adults planned to retire. We analyzed semi-structured interviews with 15 older African immigrants in the Baltimore-Washington Metropolitan area. Data were analyzed using thematic analyses in NVivo. The majority of participants were women, with a mean age of 64. We identified three overarching themes with ten sub-themes. The themes included: 1) cultural identity: indicating participant’s comfort with the U.S. society and culture; 2) decision making: factors that impact participants' choice of retirement location, and 3) decision made: the final choice of where participants would like to retire. Age-friendliness for immigrant older adults in the U.S. is complex and it includes the traditional domains such as physical and sociocultural environment (e.g. housing, transportation, and income). However, immigrant age-friendliness also needs to include wider contextual aspects such as political climate in their country of origin, immigrant status, family responsibilities, and acculturation in the U.S. More research is needed understand and facilitate age-friendly environments for transnational immigrant older adults.

Dimensions of Inequality: Black Immigrants’ Occupational Segregation in the United States

2019 ◽  
Vol 6 (1) ◽  
pp. 1-21
Author(s):  
Rebbeca Tesfai ◽  
Kevin J. A. Thomas
Keyword(s):  
United States ◽  
Labor Market ◽  
Occupational Segregation ◽  
African Immigrants ◽  
The United States ◽  
Black Immigrants ◽  
Regression Analyses ◽  
Foreign Born ◽  
Caribbean Immigrants ◽  
The U.S

The U.S. labor market is increasingly made up of immigrant workers, and considerable research has focused on occupational segregation as an indicator of their labor market incorporation. However, most studies focus on Hispanic populations, excluding one of the fastest growing immigrant groups: foreign-born blacks. Because of their shared race, African and Caribbean immigrants may experience the same structural barriers as U.S.-born blacks. However, researchers hypothesize that black immigrants are advantaged in the labor market relative to U.S.-born blacks because of social network hiring and less discrimination by employers. Using 2011–2015 pooled American Community Survey data, this study is among the first quantitative studies to examine black immigrants’ occupational segregation in the United States. The authors use the Duncan and Duncan Dissimilarity Index to estimate black immigrants’ segregation from U.S.-born whites and blacks and regression analyses to identify predictors of occupational segregation. Consistent with previous work focusing on Hispanic immigrants, foreign-born blacks are highly overrepresented in a few occupations. African and Caribbean immigrants experience more occupational segregation from whites than the U.S.-born, with African immigrants most segregated. Africans are also more segregated from U.S.-born blacks than Caribbean immigrants. Results of the regression analyses suggest that African immigrants are penalized rather than rewarded for educational attainment. The authors find that the size of the coethnic population and the share of coethnics who are self-employed are associated with a decline in occupational segregation. Future research is needed to determine the impact of lower occupational segregation on the income of self-employed black immigrants.

scholarly journals Black Meets Black: Encounters in America

2018 ◽  
Vol 4 (1) ◽  
pp. 63-71
Author(s):  
Dagmawi Woubshet
Keyword(s):  
United States ◽  
African Immigrants ◽  
The United States ◽  
American Identity ◽  
New Wave ◽  
Middle Passage ◽  
American Experience ◽  
Critical Attention ◽  
The U.S

This essay draws on James Baldwin’s ideas on race, immigration, and American identity to examine the experience of contemporary African immigrants in the United States. More Africans have come to the U.S. since 1965 than through the Middle Passage, and only now is their experience gaining the full creative and critical attention it merits. Since becoming American entails adopting the racial norms and sentiments of the U.S., I explore how African immigrants contend with the process of racialization that is part and parcel of the American experience. Drawing on Baldwin’s idea of blackness as an ethical category, I also consider the limits of the concept of Afropolitanism to characterize the new wave of African immigrants in the U.S.

scholarly journals Social-Ecological Barriers to Access to Healthcare for Adolescents: A Scoping Review

2021 ◽  
Vol 18 (8) ◽  
pp. 4138
Author(s):  
Whitney Garney ◽  
Kelly Wilson ◽  
Kobi V. Ajayi ◽  
Sonya Panjwani ◽  
Skylar M. Love ◽  
...  
Keyword(s):  
United States ◽  
Scoping Review ◽  
Healthcare Access ◽  
Insurance Coverage ◽  
Healthcare Services ◽  
The United States ◽  
Access To Healthcare ◽  
Structural Barriers ◽  
Social Ecological ◽  
Ecological Barriers

Access to healthcare for adolescents is often overlooked in the United States due to federal and state-sponsored insurance programs such as Medicaid and the Children’s Health Insurance Program. While these types of programs provide some relief, the issue of healthcare access goes beyond insurance coverage and includes an array of ecological factors that hinder youths from receiving services. The purpose of this scoping review was to identify social-ecological barriers to adolescents’ healthcare access and utilization in the United States. We followed the PRISMA and scoping review methodological framework to conduct a comprehensive literature search in eight electronic databases for peer-reviewed articles published between 2010 and 2020. An inductive content analysis was performed to thematize the categories identified in the data extraction based on the Social-Ecological Model (SEM). Fifty studies were identified. Barriers across the five SEM levels emerged as primary themes within the literature, including intrapersonal-limited knowledge of and poor previous experiences with healthcare services, interpersonal-cultural and linguistic barriers, organizational-structural barriers in healthcare systems, community-social stigma, and policy-inadequate insurance coverage. Healthcare access for adolescents is a systems-level problem requiring a multifaceted approach that considers complex and adaptive behaviors.

An American Language

2018 ◽  
Author(s):  
Rosina Lozano
Keyword(s):  
United States ◽  
National Policy ◽  
The United States ◽  
Spanish Language ◽  
Spanish Speakers ◽  
Language Recognition ◽  
Political Language ◽  
Political Issue ◽  
History Of ◽  
The U.S

An American Language is a political history of the Spanish language in the United States. The nation has always been multilingual and the Spanish language in particular has remained as an important political issue into the present. After the U.S.-Mexican War, the Spanish language became a language of politics as Spanish speakers in the U.S. Southwest used it to build territorial and state governments. In the twentieth century, Spanish became a political language where speakers and those opposed to its use clashed over what Spanish's presence in the United States meant. This book recovers this story by using evidence that includes Spanish language newspapers, letters, state and territorial session laws, and federal archives to profile the struggle and resilience of Spanish speakers who advocated for their language rights as U.S. citizens. Comparing Spanish as a language of politics and as a political language across the Southwest and noncontiguous territories provides an opportunity to measure shifts in allegiance to the nation and exposes differing forms of nationalism. Language concessions and continued use of Spanish is a measure of power. Official language recognition by federal or state officials validates Spanish speakers' claims to US citizenship. The long history of policies relating to language in the United States provides a way to measure how U.S. visions of itself have shifted due to continuous migration from Latin America. Spanish-speaking U.S. citizens are crucial arbiters of Spanish language politics and their successes have broader implications on national policy and our understanding of Americans.

Palestine Unbound

2018 ◽  
Vol 47 (3) ◽  
pp. 130-134
Keyword(s):  
United States ◽  
Human Rights ◽  
Task Force ◽  
The United States ◽  
Donald Trump ◽  
Tel Aviv ◽  
The Us ◽  
Intention To Move ◽  
Arab Israeli Conflict ◽  
The U.S

This section, updated regularly on the blog Palestine Square, covers popular conversations related to the Palestinians and the Arab-Israeli conflict during the quarter 16 November 2017 to 15 February 2018: #JerusalemIstheCapitalofPalestine went viral after U.S. president Donald Trump recognized Jerusalem as the capital of Israel and announced his intention to move the U.S. embassy there from Tel Aviv. The arrest of Palestinian teenager Ahed Tamimi for slapping an Israeli soldier also prompted a viral campaign under the hashtag #FreeAhed. A smaller campaign protested the exclusion of Palestinian human rights from the agenda of the annual Creating Change conference organized by the US-based National LGBTQ Task Force in Washington. And, UNRWA publicized its emergency funding appeal, following the decision of the United States to slash funding to the organization, with the hashtag #DignityIsPriceless.

The French Way

2011 ◽  
Author(s):  
Richard F. Kuisel
Keyword(s):  
United States ◽  
The United States ◽  
French Language ◽  
French Cinema ◽  
Free Markets ◽  
Technology Sector ◽  
Aids Epidemic ◽  
Political Reality ◽  
Politics And Culture ◽  
The U.S

There are over 1,000 McDonald's on French soil. Two Disney theme parks have opened near Paris in the last two decades. And American-inspired vocabulary such as “le weekend” has been absorbed into the French language. But as former French president Jacques Chirac put it: “The U.S. finds France unbearably pretentious. And we find the U.S. unbearably hegemonic.” Are the French fascinated or threatened by America? They Americanize yet are notorious for expressions of anti-Americanism. From McDonald's and Coca-Cola to free markets and foreign policy, this book looks closely at the conflicts and contradictions of France's relationship to American politics and culture. The book shows how the French have used America as both yardstick and foil to measure their own distinct national identity. France has charted its own path: it has welcomed America's products but rejected American policies; assailed Americ's “jungle capitalism” while liberalizing its own economy; attacked “Reaganomics” while defending French social security; and protected French cinema, television, food, and language even while ingesting American pop culture. The book examines France's role as an independent ally of the United States, but he also considers the country's failures in influencing the Reagan, Bush, and Clinton administrations. Whether investigating France's successful information technology sector or its spurning of American expertise during the AIDS epidemic, the book asks if this insistence on a French way represents a growing distance between Europe and the United States or a reaction to American globalization. Exploring cultural trends, values, public opinion, and political reality, this book delves into the complex relationship between two modern nations.

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