2633 research outputs found
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HIV-Associated Anal Dysplasia: Experience from a Multiethnic-HIV Clinic in Hawaii
No full textAbstract available at publisher's web site
Racial and Geographic Disparities in Late-Stage Prostate Cancer Diagnosis in Florida
No full textAbstract available at publisher's web site
Collaboration, Participation and Technology: The San Joaquin Valley Cumulative Health Impacts Project
No full textAbstract available at publisher's web site
Finding Sustainability: University-community collaborations focused on arts in health
No full textAbstract available at publisher's web site
Sustainable Engagement? Reflections on the development of a creative community-university partnership
No full textAbstract available at publisher's web site
It’s the Basement Stories, not the Belt: Lessons from a community-university knowledge mobilisation collaboration
No full textAbstract available at publisher's web site
Forming State Collaborations to Diversify the Nation’s Health Workforce: The Experience of the Sullivan Alliance to Transform the Health Professions
No full textAbstract available at publisher's web site
Communities of color suffer from lack of health insurance
No full textAlthough the Affordable Care Act (ACA) will be fully implemented by the end of 2014, several aspects of it already has been put in place. For instance, young adults and children with preexisting conditions no longer can be denied health insurance because of ACA changes already in effect. Over the next few months the MSR will be highlighting changes yet to come.
Healthcare experts and advocates argue that Blacks and other people of color in this country have disproportionately high numbers of uninsured and underinsured adults and children. As a result, the ACA, which became law in March 2010, will..
The Effects of Financial Pressures on Adherence and Glucose Control Among Racial/Ethnically Diverse Patients with Diabetes
No full textAbstract available at publisher's website
Understanding Traditional Hmong Health and Prenatal Care Beliefs, Practices, Utilization and Needs
Get PDFObjective: To increase understanding of traditional Hmong health and prenatal care beliefs, practices,
utilization and needs and their perceptions toward the utilization of Western health care.
Specific Aims: The aims of this project are: 1) Collect primary quantitative and qualitative data on the
prenatal health care beliefs, practices, utilization, and needs of the Hmong men and women from three
of the highest Hmong populated counties in Central California; 2) Better understanding of traditional
Hmong prenatal and health care practices; 3) Highlight barriers to prenatal care for Hmong; and 4) Use
findings to inform next steps.
Setting: California’s Central Valley Hmong American Communities: Fresno, Merced, and San Joaquin
counties.
Methods: A convenience sample of 99 Hmong women of child-bearing age (18-35) and 74 Hmong
men of child-bearing age (18-45) were recruited through partnership with a Hmong health collaborative
and within communities by word of mouth and snowball sampling. Hmong, bilingual graduate students
obtained informed consent and conducted 45-60 minute face-to-face interviews including structured
and other questions. Descriptive bivariate analysis and multivariate modeling explored how receipt of
appropriate prenatal care is related to Hmong respondent demographics, cultural perspectives and health
care experiences
Findings: Hmong residents utilize both Western and traditional medicines due to lack of complete trust
in Western medicine. Respondents reported using over the counter pregnancy tests and more than half
(52%) sought prenatal care six weeks after confirming pregnancy. Almost half (45%) are not satisfied with
their experience using Western medicine. About 60% report a disconnect between Western and Hmong
medicine. Language access and lack of cultural competence training were also at the forefront of the
concerns.
Conclusion: Hmong residents utilize and rely on Western health care, yet they cannot abandon their
cultural and traditional health care practices due to new cultural setting. In order to provide equitable and
effective health care, clinicians need to be able to function effectively within the context of the cultural
beliefs, behaviors, and needs of consumers and their communities. Failing to provide culturally supportive
and respectable health care for Hmong residents can increase costs for individuals and society through
increased hospitalizations and complications