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 美国西班牙裔健康研究提出的悖论表明，健康 尽管收入和教育程度较低，但西班牙裔人的结果优势 素养。健康优势往往会随着健康水平的提高而减弱 文化适应。护理墨西哥裔儿童及其孩子的护士 为了最大限度地提高儿童健康成果，家庭需要基于文化的 关联儿童健康文化背景的概念模型 生产对家庭过程和儿童健康结果的影响。和 最终某种类型的医疗保健改革是确定的，护士需要 支持有助于儿童健康的文化因素，以及 最大限度地减少墨西哥裔医疗保健的结构性障碍 家庭。鉴于这一背景，本次会议的目的是 民族志是描述儿童健康的文化背景 墨西哥裔儿童的生产活动和流程 出生至 19 个月大。这一目的将通过以下方式实现 五个具体目标。目标 1 将描述以家庭为基础的儿童健康 流程；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 将审查家庭健康生产的文化内多样性 和专业的医疗保健观念；目标 5 将提供 儿童健康家庭生产的叙述和图形模型 在文化背景下。实现这些目标需要学习 大约 20-25 个墨西哥裔家庭，每个家庭 22 个月，从 产前期至婴儿 19 个月。家访将 在产前（怀孕 6 个月和 8 个月）、出生时以及 当婴儿 1、4、7、10、13、16 和 19 个月时。非结构化 民族志访谈将通过家访获取数据。人体测量学 还将通过家访收集婴儿数据。病历 婴儿健康数据将提供额外的健康结果 信息。第一阶段的母亲将拍摄照片以进行解释 分析。在第二阶段，将开始更有针对性的抽样。焦点小组 还将发起与健康生产相关的话题 母亲社交网络的成员。最后，参与观察 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述、访谈谈话、焦点小组 主题，关注家庭健康生产格局 儿童健康结果。此外，样本的描述（用术语 将提供文化适应和社会经济地位的信息。结果 这项研究的内容将提供给寻求治疗的研究人员和临床医生 儿童健康生产文化背景的综合视角 在墨西哥裔家庭中。最终，我们的独特优势 本研究中描述的墨西哥裔美国人家庭和家庭可能是 支持和加强，以促进最佳健康结果 孩子们。