MEXICAN-ORIGIN CHILDREN'S HEALTH IN CULTURAL CONTEXT

文化背景下墨西哥裔儿童的健康

• 批准号: 2673798
• 负责人: LAUREN CLARK
• 金额: $ 10.68万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-18 至 2000-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2673798
• 关键词: Hispanic Americans; behavioral /social science research tag; body physical characteristic; child (0-11); community health services; culture; data collection; health behavior; health care model; household; human subject; interview

DESCRIPTION: (Adapted from applicants abstract) The epidemiologic paradox presented by Hispanic health research in the U.S. shows a health outcome advantage for Hispanics, despite lower income and educational attainment. Health advantages often erode with increasing levels of acculturation. Nurses working with Mexican-origin children and their families to maximize child health outcomes need a culture-based conceptual model to relate the cultural context of child health production to household processes and child health outcomes. With eventual health care reform of some type a certainty, nurses need to support the cultural factors contributing to children's health, and minimize structural barriers to health care for Mexican-origin households. Given this background, the purpose of this focused ethnography is to describe the cultural context of child health production activities and processes for Mexican-origin children from birth through 19 months of age. This purpose will be attained through five specific aims. Aim 1 will describe household-based child health processes; Aims 2 and 3 will describe mothers' perceptions and expectations of professional and household-based child health care; Aim 4 will examine intra-cultural diversity in household health production and professional health care perceptions; and Aim 5 will provide narrative and graphic models of the household production of child health in cultural context. Attaining these aims will involve studying approximately 20-25 Mexican-origin households for 22 months each, from the prenatal period to the infant's 19th month. Home visits will be conducted prenatally (at 6 and 8 months of pregnancy), at birth, and when the infant is aged 1, 4, 7, 10, 13, 16 and 19 months. Unstructured ethnographic interviews will elicit data at home visits. Anthropometric data will also be collected on infants at home visits. Medical record data on infant health will provide additional health outcome information. Mothers in Phase 1 will take photographs for hermeneutic analysis. In Phase II, more focused sampling will begin. Focus groups will also be initiated on topics related to health production with members of mothers' social networks. Finally, participant observation will provide a larger cultural context for the data collection and interpretation. Data analysis will utilize mother's and health care providers' child illness narratives, interview discourse, focus group themes, and attend to the patterning of household health production and child health outcomes. In addition, a description of the sample (in terms of acculturation and socioeconomic status) will be provided. The results of this study will be available to researchers and clinicians seeking an integrated perspective on the cultural context of child health production in Mexican-origin households. Ultimately, the unique strengths of the Mexican American family and household described in this research may be supported and enhanced to facilitate optimal health outcomes for children.

描述：（改编自申请人摘要）流行病学 西班牙卫生研究在美国提出的悖论表明了健康 尽管收入和教育程度较低，但西班牙裔的结果优势 素养。健康优势通常会随着越来越高的水平而侵蚀 适应。护士与墨西哥 - 原来的孩子一起工作及其 最大化儿童健康成果的家庭需要基于文化的家庭 关联儿童健康文化背景的概念模型 生产家庭过程和儿童健康成果。和 最终对某种类型的医疗改革确定性，护士需要 支持有助于儿童健康的文化因素，并 最大程度地减少墨西哥 - 原始保健的结构性障碍 家庭。鉴于此背景，这种重点的目的 民族志旨在描述儿童健康的文化背景 来自 到19个月大的出生。这个目的将通过 五个具体目标。 AIM 1将描述以家庭为基础的儿童健康 过程；目标2和3将描述母亲的看法和 对专业和家庭儿童保健的期望；目的 4将检查家庭健康生产中文化内多样性 和专业的医疗保健看法； AIM 5将提供 家庭健康生产的叙事和图形模型 在文化背景下。达到这些目标将涉及学习 大约20-25个墨西哥 - 原始家庭，每个家庭22个月 婴儿第19个月的产前期。家庭访问将是 在出生时（在怀孕的6个月和8个月时）进行产前进行，并在出生时进行 婴儿年龄1、4、7、10、13、16和19个月。非结构化 民族志访谈将在家庭访问中引起数据。人体测量学 还将在家庭访问时收集数据。病历 关于婴儿健康的数据将提供额外的健康结果 信息。第一阶段的母亲将为诠释学拍照 分析。在第二阶段，将开始更多的重点抽样。焦点小组 还将在与卫生生产有关的主题上发起 母亲社交网络的成员。最后，参与者观察 将为数据收集提供更大的文化背景 解释。数据分析将利用母亲和医疗保健 提供者的儿童疾病叙事，面试话语，焦点小组 主题，并参加家庭健康生产的模式和 儿童健康结果。此外，对样本的描述（用 将提供适应和社会经济地位）。结果 这项研究的研究人员和临床医生将寻求 关于儿童健康生产的文化背景的综合观点 在墨西哥 - 原来的家庭中。最终， 这项研究中描述的墨西哥裔美国人家庭和家庭可能是 支持和增强以促进最佳健康结果 孩子们。