scholarly journals Promoting Fish Consumption Messages: Perspectives of Hmong Women of Childbearing Age

2021 ◽  
Vol 45 (5) ◽  
pp. 867-878
Author(s):  
Meghan M. JaKa ◽  
Jennifer M. Dinh ◽  
Patricia McCann ◽  
Abigail S. Katz ◽  
Thomas E. Kottke ◽  
...  
Keyword(s):  
Focus Groups ◽  
Health Beliefs ◽  
Fish Consumption ◽  
Primary Source ◽  
Cultural Norms ◽  
Health Seeking ◽  
Childbearing Age ◽  
Health Seeking Behaviors ◽  
English Speaking ◽  
Hmong Women

Objectives: Through focus groups, we aimed to understand ways to promote safe and healthy fish consumption among Hmong women in Minnesota. Methods: English-speaking Hmong women aged 18-40 were eligible to participate in 90-minute focus groups. Through our questions, we sought to gain understanding of the women's health-seeking behaviors and to obtain feedback on current messaging. We recorded the focus groups and transcribed and double-coded the data using sequential directed content analysis. Results: Thirteen Hmong women participated across 3 focus groups. The final coding tree included 6 primary themes related to health messaging, with adequate inter-coder reliability for each. Women identified the Internet as the primary source of health information with website preferences driven in-part by preferences of elders. Discrepancies between health beliefs of elder and younger generations were noted, with some evidence that personal fish consumption preferences outweighed cultural norms. Messages clearly targeting the Hmong population were preferred, with discrepancy in risk-versus benefit-framed messages. Conclusions: Findings highlight the need for culturally informed messages that are clear and carefully tailored. Our findings will inform future development of safe and healthy fish consumption messaging to better support the Hmong community in Minnesota.

Predicting Traditional Chinese Medicine's Use and the Marginalization of Medical Care in Hong Kong

2001 ◽  
Vol 29 (03n04) ◽  
pp. 547-558 ◽  
Author(s):  
Joseph T.F. Lau ◽  
Edward M.F. Leung ◽  
H.Y. Tsui
Keyword(s):  
Hong Kong ◽  
Medical Care ◽  
Health Beliefs ◽  
Demographic Factors ◽  
Health Conditions ◽  
Health Seeking ◽  
Entire Sample ◽  
Health Seeking Behaviors ◽  
Perceived Difficulty ◽  
Socio Demographic Factors

The study examined the importance of socio-demographic factors, health conditions, health beliefs and health seeking behaviors in predicting the use of Traditional Chinese Medicine (TCM) in Hong Kong. A sample of 4,339 respondents was randomly selected and interviewed. Among the 1,651 respondents who had consulted a doctor in the three months prior to the survey, 8.6% consulted a TCM doctor. Besides, 13.5% of the entire sample reported that they had been using TCM drugs frequently or occasionally. Socio-demographic factors, health conditions, health beliefs and health seeking behaviors were all found predictive of the use of TCM. In particular, those who were older, female, new immigrants, unemployed, retired, had chronic disease such as rheumatism, bronchitis, asthma, and those taking non-prescribed medication and not seeking treatment when falling ill were more likely to use TCM. Perceived difficulty in obtaining medical services and high medical cost also predicted TCM use. In sum, the findings suggest that TCM users are likely to be those who have been marginalized in obtaining medical care.

Hispanic Cultural Norms for Health-Seeking Behaviors in the Face of Symptoms

2001 ◽  
Vol 28 (1) ◽  
pp. 65-80 ◽  
Author(s):  
Linda Kathryn Larkey ◽  
Michael L. Hecht ◽  
Katherine Miller ◽  
Carlos Alatorre
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
National Cancer Institute ◽  
Health Care Use ◽  
Warning Signs ◽  
Cultural Norms ◽  
Health Seeking ◽  
Health Seeking Behaviors ◽  
Public Work ◽  
The Face

This study examines factors that contribute to the delayed use of medical care among Hispanics when chronic disease–related symptoms (warning signs) occur. As an adjunct to a larger project funded by the National Cancer Institute, this study accessed a population of primarily Hispanic, mostly male employees at public work sites in two Arizona counties. Through focus groups and a survey of employees, a model describing the factors underlying health care use was tested. Seriousness of symptoms has the most effect on visits to doctor, with more serious symptoms leading to prompter visits. Faith in God and seriousness of symptoms both are related to the search for a doctor one can trust. Also, a cluster of variables describing past bad experiences, practical barriers, and emotional avoidance are related to the desire to get advice or medical help from someone who is close; these influence the search for a trusted doctor, which in turn leads to prompter visits to doctor.

How Many Focus Groups Are Enough? Building an Evidence Base for Nonprobability Sample Sizes

Field Methods ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 3-22 ◽  
Author(s):  
Greg Guest ◽  
Emily Namey ◽  
Kevin McKenna
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
African American Men ◽  
Empirical Studies ◽  
Evidence Base ◽  
Sample Sizes ◽  
Health Seeking ◽  
Data Set ◽  
Focus Group Research ◽  
Health Seeking Behaviors

Few empirical studies exist to guide researchers in determining the number of focus groups necessary for a research study. The analyses described here provide foundational evidence to help researchers in this regard. We conducted a thematic analysis of 40 focus groups on health-seeking behaviors of African American men in Durham, North Carolina. Our analyses revealed that more than 80% of all themes were discoverable within two to three focus groups, and 90% were discoverable within three to six focus groups. Three focus groups were also enough to identify all of the most prevalent themes within the data set. These empirically based findings suggest focus group sample sizes that differ from many of the “rule of thumb” recommendations in the existing literature. We discuss the relative generalizability of our findings to other study contexts, and we highlight some methodological questions about adequate sample sizes for focus group research.

Perceptions of Palestine: The View from Large Linguistic Datasets

2016 ◽  
Vol 45 (2) ◽  
pp. 41-54
Author(s):  
Terry Regier
Keyword(s):  
Language Use ◽  
Cultural Norms ◽  
Cultural Perceptions ◽  
Cultural Changes ◽  
Cultural Shift ◽  
General Theme ◽  
English Usage ◽  
English Speaking ◽  
English Speaking World

Cultural norms and trends are often reflected in patterns of language use. This article explores cultural perceptions of Palestine and Palestinians in the English-speaking world, through two analyses of large linguistic datasets. The first analysis seeks to uncover current conceptions of participants in the Israel-Palestine conflict, by identifying words that are distinctively associated with those participants in modern English usage. The second analysis asks what historical-cultural changes led to these current conceptions. A general theme that emerges from these analyses is that a cultural shift appears to have occurred recently in the English-speaking world, marked by greater awareness of Palestinian perspectives on the conflict. Possible causes for such a cultural shift are also explored.

Teaching and Researching American Literature and American Realism in China

2019 ◽  
pp. 647-663
Author(s):  
Yuping Wang
Keyword(s):  
American Literature ◽  
Language Proficiency ◽  
Chinese Culture ◽  
Cultural Transformation ◽  
Cultural Norms ◽  
Careful Study ◽  
Chinese History ◽  
Political Incentives ◽  
History Of ◽  
English Speaking

The study and teaching of American literature and American realism in China mirrored the social development and cultural transformation in China and was often fueled by political incentives. This chapter examines the cultural and political forces affecting the reception of American literature in different stages of Chinese history and investigates the teaching of American literature and of American realism in Chinese university classrooms. Different from the teaching of American literature in English-speaking countries, the American literature course in China serves a twofold purpose: to provide cultural nutrient for the cultivation of a broader mind by highlighting the cultural norms and rubrics in literature and to promote students’ language proficiency by a careful study of the text and formal elements of literary works. The history of the Chinese reception of American literature thus reflects the resilience and openness of Chinese culture in its negotiation with foreign cultures.

Low First Wave COVID-19 cases and health seeking behaviors across the six geopolitical zones of Nigeria

2021 ◽  
Vol 42 (1) ◽  
pp. 1-8
Author(s):  
C.N. Ukaga ◽  
S.O. Sam-Wobo ◽  
R.H. Muhammed ◽  
H.O. Mogaji ◽  
O.A. Surakat ◽  
...  
Keyword(s):  
Laboratory Testing ◽  
Management Strategies ◽  
Demographic Characteristics ◽  
Community Level ◽  
Health Seeking ◽  
Routine Testing ◽  
Home Management ◽  
Health Seeking Behaviors ◽  
Very High ◽  
Age Category

This study was carried out across the six geopolitical zones to assess knowledge and health seeking behaviors of Nigerians during the first wave of COVID-19 pandemic lockdown in order to understand the seemingly low cases of COVID-19 in Nigeria. Structured and pretested short questionnaires were employed to obtain information electronically and physically across the six geopolitical zones on socio-demographic characteristics of participants; the knowledge of participants on COVID-19 disease; availability and accessibility to testing and isolation centers in the communities, attitudes and health seeking behaviors. Atotal of 1023 respondents; 705 (68.9%) males and 318 (31.1%) females across the six geopolitical zones in Nigeria participated in this study with 477(46.6%) within the 26-45 years age category, and 6(0.6%) above 66 years. Atotal of 985(96.3%) had heard about COVID-19 at the time of survey while a total of  859(84.0%) of the respondents were aware of the presence of COVID-19 laboratory testing centers. Across the geopolitical zones, majority of the respondents 487(47.6%) claimed there are no routine testing for COVID-19 at their community level, while 303 (29.6%) affirmed otherwise and 216(21.1%) did not know if there were routine testing going on or not. On health seeking behaviors across the  country, majority of the respondents 558(54.5%) affirmed they would visit the hospital as the first point of contact if the opportunitypresented itself, 244(23.9%) claimed they would call the NCDC toll line, 2(0.2%) said they would use prayers, while 1(0.1%) respectively claimed they would use home management strategies through visiting chemist stores and checking the internet for solutions. Findings from this study confirm that there is very high awareness of the COVID-19 disease across the country, and limited number of testing centers at the community level. The implications include the possibility of unreported COVID19 cases in the cities as well as in the  communities. Keywords: COVID-19, knowledge, health seeking behaviors, community level 

scholarly journals Physician Self-disclosure of Lived Experience Improves Mental Health Attitudes Among Medical Students: A Randomized Study

2020 ◽  
Vol 7 ◽  
pp. 238212051988935 ◽  
Author(s):  
Andrés Martin ◽  
Julie Chilton ◽  
Doron Gothelf ◽  
Doron Amsalem
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Students ◽  
Help Seeking ◽  
Randomized Study ◽  
Role Modeling ◽  
Mental Illnesses ◽  
Control Group ◽  
Health Seeking ◽  
Health Seeking Behaviors

Introduction: Depression and suicidal ideation are common among medical students, a group at higher risk for suicide completion than their age-normed peers. Medical students have health-seeking behaviors that are not commensurate with their mental health needs, a discrepancy likely related to stigma and to limited role-modeling provided by physicians. Methods: We surveyed second-year medical students using the Attitudes to Psychiatry (ATP-30) and Attitudes to Mental Illness (AMI) instruments. In addition, we asked questions about role-modeling and help-seeking attitudes at baseline. We then conducted a randomized trial of an intervention consisting of 2 components: (a) a panel of 2 physicians with personal histories of mental illness speaking about their diagnosis, treatment, and recovery to the students, immediately followed by (b) small-group facilitated discussions. We repeated the ATP-30 and AMI after the active/early group was exposed to the panel, but before the control/late group was similarly exposed. Results: Forty-three medical students participated (53% women). The majority of students (91%) agreed that knowing physicians further along in their careers who struggled with mental health issues, got treatment, and were now doing well would make them more likely to access care if they needed it. Students in the active group (n = 22) had more favorable attitudes on ATP-30 ( P = .01) and AMI ( P = .02) scores, as compared with the control group (n = 21). Conclusion: Medical students can benefit from the availability of, and exposure to physicians with self-disclosed histories of having overcome mental illnesses. Such exposures can favorably improve stigmatized views about psychiatry, or of patients or colleagues affected by psychopathology. This intervention has the potential to enhance medical students’ mental health and their health-seeking behaviors.

scholarly journals Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data

2021 ◽  
Vol 18 (15) ◽  
pp. 8037
Author(s):  
Fangye Du ◽  
Jiaoe Wang ◽  
Haitao Jin
Keyword(s):  
Smart Card ◽  
Public Hospital ◽  
Tertiary Hospital ◽  
Small Sample ◽  
Health Seeking ◽  
Spatiotemporal Resolution ◽  
Hospital Reform ◽  
Health Seeking Behaviors ◽  
Smart Card Data ◽  
Public Hospital Reform

The effects of public hospital reforms on spatial and temporal patterns of health-seeking behavior have received little attention due to small sample sizes and low spatiotemporal resolution of survey data. Without such information, however, health planners might be unable to adjust interventions in a timely manner, and they devise less-effective interventions. Recently, massive electronic trip records have been widely used to infer people’s health-seeking trips. With health-seeking trips inferred from smart card data, this paper mainly answers two questions: (i) how do public hospital reforms affect the hospital choices of patients? (ii) What are the spatial differences of the effects of public hospital reforms? To achieve these goals, tertiary hospital preferences, hospital bypass, and the efficiency of the health-seeking behaviors of patients, before and after Beijing’s public hospital reform in 2017, were compared. The results demonstrate that the effects of this reform on the hospital choices of patients were spatially different. In subdistricts with (or near) hospitals, the reform exerted the opposite impact on tertiary hospital preference compared with core and periphery areas. However, the reform had no significant effect on the tertiary hospital preference and hospital bypass in subdistricts without (or far away from) hospitals. Regarding the efficiency of the health-seeking behaviors of patients, the reform positively affected patient travel time, time of stay at hospitals, and arrival time. This study presents a time-efficient method to evaluate the effects of the recent public hospital reform in Beijing on a fine scale.

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