Cultural Competency and Maternal Health in African Women

非洲妇女的文化能力和孕产妇健康

• 批准号: 6734890
• 负责人: Jennifer Kate Carroll
• 金额: $ 1.3万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2004-01-02
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6734890
• 关键词: African; African American; clinical research; culture; female; health care quality; health care service availability; health disparity; human subject; infant mortality; interview; medically underserved population; pregnancy; prenatal care; racial /ethnic difference; urban area; women's health

DESCRIPTION: (Provided by the Applicant) Context: Disparities in health care access, outcomes and quality are well documented for several racial and ethnic groups. These disparities may be due to the interaction of patient, provider, and system-related factors; however the relative contribution of each is unclear. Changing immigration patterns create a need to assess health disparities in newly emerging, growing groups such as African immigrants and refugees. Cultural competencies, derived from an understanding of patient, provider and systems factors and mechanisms of how they operate, show promise for improving health disparities in maternal health. Goals: To identify specific cultural competency techniques to improve the quality of maternal health care and birth outcomes through the analysis of the relative contribution of patient, clinician, and institutional-related factors to health disparities in African (specifically Somali) women. Participants and Setting: 150-200 community Somali women in Boston, MA. Study Design: (1) Qualitative methods (focus groups and individual semi-structured interviews) to assess Somali women's experiences and beliefs about maternity care in the US and their perception of ways to improve access to and quality of these services; (2) Survey methods for administration of a tool to prioritize which cultural competency techniques or activities Somali women perceive most effective in improving quality of care and birth outcomes. Analysis: Analysis of qualitative material according to Grounded Theory technique. Survey data analyzed using chisquare, correlation, and regression modeling depending on nature of collected information. Significance/Future Directions: We expect that the successful accomplishment of this study will provide new information about the sources of racial and ethnic disparities in maternity care and about potential interventions to address them. The study is part of a planned series to prospectively evaluate the effects of a multi-level intervention on the health outcomes of African women.

描述：（由申请人提供）背景：多个种族和族裔群体在医疗保健获取、结果和质量方面的差异有据可查。这些差异可能是由于患者、提供者和系统相关因素的相互作用造成的；然而，每个因素的相对贡献尚不清楚。不断变化的移民模式需要评估非洲移民和难民等新兴群体的健康差异。文化能力源于对患者、提供者和系统因素及其运作机制的理解，有望改善孕产妇健康方面的健康差异。 目标：通过分析患者、临床医生和机构相关因素对非洲（特别是索马里）妇女健康差异的相对贡献，确定具体的文化能力技术，以提高孕产妇保健质量和出生结果。 参与者和地点：马萨诸塞州波士顿的 150-200 名索马里社区妇女。 研究设计：(1) 采用定性方法（焦点小组和个人半结构化访谈）来评估索马里妇女对美国产妇护理的经验和信念，以及她们对改善这些服务的获取和质量的方式的看法； (2) 管理工具的调查方法，以确定索马里妇女认为哪些文化能力技术或活动对改善护理质量和分娩结果最有效。 分析：根据扎根理论技术对定性材料进行分析。根据所收集信息的性质，使用卡方、相关性和回归模型对调查数据进行分析。 意义/未来方向：我们期望这项研究的成功完成将提供有关孕产妇护理中种族和民族差异的根源以及解决这些问题的潜在干预措施的新信息。该研究是计划系列的一部分，旨在前瞻性评估多层次干预措施对非洲妇女健康结果的影响。