scholarly journals Health Seeking Behaviors among Displaced Populations/Refugees

2021 ◽  
Author(s):  
Chika Ejike
Keyword(s):  
Healthcare Services ◽  
The United States ◽  
Health Seeking ◽  
Individual Interviews ◽  
Displaced Populations ◽  
South Central ◽  
Policy Debates ◽  
Health Seeking Behaviors ◽  
Utilization Patterns ◽  
Culture Dependent

The United States resettles refugees every year. Their population in south-central Kentucky (KY) is diverse and fitting to research into culture-dependent healthcare utilization patterns. A mixed study was conducted with one hundred and ten semi-structured questionnaires and three individual interviews. Significant differences were observed between the use of healthcare services and refugees’ nationality (F (5, 98) = 4.29, p < 0.001), acculturation (t = −2.03, p < 0.04), and interpreters (t = 1.92, p < 0.05). Beliefs affect use through the level of cultural competency of the healthcare provider. These findings contribute to the health policy debates surrounding this culturally diverse population.

Health-seeking cultural patterns in the use of available healthcare services among refugee groups in south-central Kentucky

2020 ◽  
Vol 16 (1) ◽  
pp. 12-21
Author(s):  
Chika Ejike ◽  
Grace Lartey ◽  
Randy Capps ◽  
David Ciochetty
Keyword(s):  
Health Care ◽  
Health Services ◽  
Care Facility ◽  
Well Being ◽  
Healthcare Services ◽  
Health Seeking ◽  
Content Type ◽  
Refugee Population ◽  
South Central ◽  
Use Of Health Services

Purpose Refugees resettle in the USA every year to escape genocide, famine, civil wars and crises in their countries. The diverse cultural identities of the refugee population in south-central Kentucky make it essential to research into their health-care usage patterns. The purpose of this study is to examine the health-seeking patterns of refugees in relation to their culture and the usage of available health services. Design/methodology/approach This is a descriptive correlational study that culled 110 refugees who completed self-administered or interviewer-administered semi-structured questionnaires. Questionnaires were translated into four different languages. T-tests and ANOVA assessed differences between variables. Findings Findings indicate that a demographic factor such as refugees’ nationality plays a role in both the access and use of health services [F (5, 98) = 4.29, p < 0.001]. Refugees’ beliefs and social factors such as acculturation (t = −2.03, p < 0.04) and having health insurance (t = −3.35, p <0.001) also affect the use of health services. The level of cultural competency of the health-care facility or provider as depicted by the presence of interpreters (t = 1.92, p < 0.05) was associated with increased use of the health services provided. Research limitations/implications The sample of refugees is only representative of the general refugee population in south-central Kentucky; hence, there is inadequate generalization. Originality/value Cultural diversity should be included in the health and policymaking debates that surround the refugee population of south-central Kentucky to ensure their well-being.

HEALTH TECHNOLOGY ASSESSMENT IN THE UNITED STATES

2002 ◽  
Vol 18 (2) ◽  
pp. 192-198 ◽  
Author(s):  
John M. Eisenberg ◽  
Deborah Zarin
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Sector ◽  
Health Technology ◽  
Healthcare Services ◽  
The United States ◽  
Public And Private ◽  
The Public ◽  
Policy Debates ◽  
Source Of Information

Governments may perform health technology assessment (HTA) in their roles as a regulator in the public interest, as a source of information for decision makers in the public and private sectors, and/or as a purchaser or provider of healthcare services. The U.S. government's roles in the health sector as a regulator, source of information, and purchaser and provider of services are influenced both by characteristics of that sector and by its stakeholders' effectiveness in influencing national health policy debates.

Coping Strategies and Health-Seeking Behavior of Women With Infertility at Zamfara

2021 ◽  
pp. 002216782110270
Author(s):  
Florence Naab ◽  
Yakubu Lawali ◽  
Ernestina Donkor
Keyword(s):  
Coping Strategies ◽  
Sampling Technique ◽  
Stressful Situation ◽  
Semistructured Interview ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Individual Interviews ◽  
Health Seeking Behaviors ◽  
Self Worth ◽  
Seeking Behavior

In Africa, the inability to bear children is a stressful situation that affects the self-worth of women socially and psychologically. As a result, women with infertility in Africa use different strategies to cope, which may influence their health-seeking behaviors. The purpose of this study was to explore the coping strategies and health-seeking behaviors of women with infertility in the Zamfara State of Nigeria. A qualitative approach using an exploratory descriptive design was used to obtain information relevant for the study. Twelve women who fulfilled the inclusion criteria were selected using a purposive sampling technique. A semistructured interview guide was used to conduct in-depth individual interviews after the women consented to participate. Content analysis of the data was conducted. The findings suggest that the major coping strategies adopted by these women were religion, social support, child adoption, and distraction activities. In terms of health-seeking behavior, the women sought help for their infertility from both traditional medicine and orthodox treatment. However, they frequently withdrew from treatment or changed the health facility due to perceived reduction in benefits.

scholarly journals Health-Seeking Behaviors and its Determinants: A Facility-Based Cross-Sectional Study in the Turkish Republic of Northern Cyprus

2019 ◽  
Author(s):  
Gulifeiya Abuduxike ◽  
Özen Aşut ◽  
Songül Acar Vaizoğlu ◽  
Sanda Cali
Keyword(s):  
Health Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Health Seeking ◽  
Cross Sectional ◽  
Public And Private ◽  
Health Seeking Behaviors ◽  
Northern Cyprus

Background: Understanding health-seeking behaviors and determining factors help governments to adequately allocate and manage existing health resources. The aim of the study was to examine the health-seeking behaviors of people in using public and private health facilities and to assess the factors that influence healthcare utilization in Northern Cyprus. Methods: A cross-sectional study was conducted in 2 polyclinics among 507 people using a structured intervieweradministered questionnaire. Health-seeking behaviors were measured using four indicators including routine medical check-ups, preferences of healthcare facilities, admission while having health problems, and refusal of health services while ill. Descriptive statistics and multivariable logistic regression analyses were done to explore factors influencing the use of health services. Results: About 77.3% of the participants reported to have visited health centers while they had any health problems. More than half (51.7%) of them had a routine medical check-up during the previous year, while 12.2% of them had refused to seek healthcare when they felt ill during the last five years. Of all, 39.1% of them reported preferring private health services. Current smokers (adjusted odds ratio [AOR]=1.92, 95% CI: 1.17-3.14), having chronic diseases (AOR=2.05, 95% CI: 1.95-2.16), having poor perceptions on health (AOR=2.33; 95% CI: 1.563.48), and spending less on health during the last three months (AOR=2.08, 95% CI: 1.43- 3.01) had about twice the odds of having routine checkups. Higher education (AOR=1.87, 95% CI: 1.38-2.55) was shown to be a positive predictor for the health-seeking behaviors, whereas having self-care problems (AOR=0.18, 95% CI: 0.08-0.40) and having a moderate-income (AOR=0.68, 95% CI: 0.57-0.81) were inversely associated with seeking healthcare. Conclusion: The utilization of public and private health sectors revealed evident disparities in the socio-economic characteristics of participants. The health-seeking behaviors were determined by need factors including chronic disease status and having poor health perception and also by enabling factors such as education, income, insurance status and ability to pay by oneself. These findings highlight the need for further nationwide studies and provide evidence for specific strategies to reduce the socioeconomic inequalities in the use of healthcare services.

scholarly journals Maternal health care services in Nepal: A qualitative perspective based on the socio-ecological model

2021 ◽  
Vol 9 (01) ◽  
pp. 42-54
Author(s):  
Mohan Kumar Sharma ◽  
Shanti Prasad Khanal ◽  
Ramesh Adhikari ◽  
Jib Acharya
Keyword(s):  
Health Care Services ◽  
Ecological Model ◽  
Health Workers ◽  
Healthcare Services ◽  
Safe Motherhood ◽  
Health Seeking ◽  
Healthcare Seeking ◽  
Health Seeking Behaviors ◽  
Child Healthcare

Nepal has a high Maternal Mortality Rates (MMR) in the South Asian region, partly due to the poor utilization of maternal and child healthcare services. The study aims to explore the influencing factors of maternal and child healthcare services among Nepalese women. Eighteen women, who had seven-days-old-children and those recently accessed maternal and child healthcare practices, were purposively selected. The face-to-face, In-depth-Interview (IDI) was applied to collect the information. The data were thematically analyzed, where Socio-Ecological Model (SEM) was applied as a theoretical framework. The study showed that the factors such as the knowledge of women, perception, and decision-making-autonomy at individual levels influenced maternal and child healthcare-seeking behaviors. Likewise, mothers-in-law and the role of husbands at intrapersonal levels, employment at institutional levels, peers and role of neighbors at community levels, and safe motherhood program at policy levels were significant factors for the utilization of maternal and child healthcare-seeking-behaviors. The negligence of women concerning pregnancy, inadequate health facilities, lack of specialist health workers with advanced equipment, and cultural taboos and beliefs were observed as score barriers for utilization of maternal and child health-seeking behaviors. The research strongly recommends that all women be aware of maternal and child healthcare and health-seeking behaviors at their initial ages.

Local Histories/Global Designs

2012 ◽  
Author(s):  
Walter D. Mignolo
Keyword(s):  
Social Sciences ◽  
Central America ◽  
Postcolonial Studies ◽  
The United States ◽  
Philosophy Of History ◽  
South Central ◽  
The Social ◽  
The Caribbean ◽  
Border Thinking ◽  
East West

This book is an extended argument about the “coloniality” of power. In a shrinking world where sharp dichotomies, such as East/West and developing/developed, blur and shift, this book points to the inadequacy of current practices in the social sciences and area studies. It explores the crucial notion of “colonial difference” in the study of the modern colonial world and traces the emergence of an epistemic shift, which the book calls “border thinking.” Further, the book expands the horizons of those debates already under way in postcolonial studies of Asia and Africa by dwelling on the genealogy of thoughts of South/Central America, the Caribbean, and Latino/as in the United States. The book's concept of “border gnosis,” or sensing and knowing by dwelling in imperial/colonial borderlands, counters the tendency of occidentalist perspectives to manage, and thus limit, understanding. A new preface discusses this book as a dialogue with Hegel's Philosophy of History.

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