Age, Ethnicity, and the Chronically Ill Unisured

年龄、种族和未参保的慢性病患者

• 批准号: 6657899
• 负责人: GAY BECKER
• 金额: $ 3万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6657899
• 关键词: African American; Asian Americans; Hispanic Americans; age difference; behavioral /social science research tag; belief; chronic disease /disorder; clinical research; coping; culture; employment /unemployment; family; health behavior; health care service availability; health care service utilization; health insurance; health services research tag; human subject; interview; longitudinal human study; medically underserved population; quality of life; racial /ethnic difference; social support network; socioeconomics

The overall aim of this qualitative, anthropological research is to explore how chronically ill people in three ethnic minority groups who are uninsured attempt to manage their illnesses, with emphasis on the roles that age and ethnicity play. Four interrelated domains are explored: 1) access to and utilization of health care resources, both formal and informal, including the effect of economic status and financial resources on illness management; 2) interpretations of illness, including use of biomedicine and other systems of medical belief and practice; 3) cultural beliefs about age and illness; and 4) participation of family and friends in illness management. Focusing on these domains enables us to examine illness experience and bodily distress within its social, cultural, and economic context, and thus to pinpoint social, cultural, and economic differences within and between groups. We will examine the full range of this experience by studying 180 individuals, 60 in each of the following groups: African American, Latinos, and Filipino Americans. A subset of 20 from each group will be interviewed longitudinally, with 3 interviews at 6-month intervals. Qualitative analysis will be undertaken in a systematic progression of steps and will be supported by quantitative analysis of health measurement data, measures, and qualitatively-derived data.

这项定性，人类学研究的总体目的是探讨三个少数族裔群体中长期生病的人如何企图管理自己的疾病，重点是年龄和种族发挥的作用。探索了四个相互关联的领域：1）访问正式和非正式医疗资源的访问和利用，包括经济状况和财务资源对疾病管理的影响； 2）疾病的解释，包括使用生物医学和其他医学信念和实践系统； 3）关于年龄和疾病的文化信念； 4）家人和朋友参与疾病管理。专注于这些领域使我们能够在其社会，文化和经济环境中检查疾病经验和身体困扰，从而确定群体内部和之间的社会，文化和经济差异。我们将通过研究180个人，在以下每个群体中进行60个个人：非裔美国人，拉丁美洲裔和菲律宾美国人，研究这一经验的全部范围。每个组的20个子集将在纵向上进行纵向采访，以6个月的间隔进行3次访谈。定性分析将在步骤的系统进步中进行，并通过对健康测量数据，测量和定性数据的定量分析来支持。