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Social and cultural perspectives in health

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https://www.readbyqxmd.com/read/28344984/advance-directive-in-end-of-life-decision-making-among-the-yoruba-of-south-western-nigeria
#1
Ayodele Samuel Jegede, Olufunke Olufunsho Adegoke
End-of-life decision making is value-laden within the context of culture and bioethics. Also, ethics committee role is difficult to understand on this, thus need for ethnomethodological perspective in an expanding bioethical age. Anthropological approach was utilized to document Yoruba definition and perspective of death, cultural beliefs about end-of-life decision making, factors influencing it and ethics committee role. Interviews were conducted among selected Yoruba resident in Akinyele LGA, Oyo State, Nigeria...
November 2016: BEOnline: Journal of the West African Bioethics Training Program
https://www.readbyqxmd.com/read/28340589/critical-race-theory-as-a-tool-for-understanding-poor-engagement-along-the-hiv-care-continuum-among-african-american-black-and-hispanic-persons-living-with-hiv-in-the-united-states-a-qualitative-exploration
#2
Robert Freeman, Marya Viorst Gwadz, Elizabeth Silverman, Alexandra Kutnick, Noelle R Leonard, Amanda S Ritchie, Jennifer Reed, Belkis Y Martinez
BACKGROUND: African American/Black and Hispanic persons living with HIV (AABH-PLWH) in the U.S. evidence insufficient engagement in HIV care and low uptake of HIV antiretroviral therapy, leading to suboptimal clinical outcomes. The present qualitative study used critical race theory, and incorporated intersectionality theory, to understand AABH-PLWH's perspectives on the mechanisms by which structural racism; that is, the macro-level systems that reinforce inequities among racial/ethnic groups, influence health decisions and behaviors...
March 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28334958/self-help-materials-for-smoking-relapse-prevention-a-process-evaluation-of-the-sharpish-randomized-controlled-trial
#3
Caitlin Notley, Annie Blyth, Vivienne Maskrey, Babu Karavadra, Tracey Brown, Richard Holland, Max O Bachmann, Thomas H Brandon, Fujian Song
Background: UK Stop Smoking Services are effective at assisting smokers to quit. However, smoking relapse rates are high, representing a significant public health problem. No effective interventions are currently available. This embedded qualitative process evaluation, within a randomized controlled trial of a self-help smoking relapse prevention intervention, aimed to understand patient perspectives in explaining the null trial finding, and to make recommendations for intervention development...
February 24, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28334786/lessons-learned-from-community-based-participatory-research-establishing-a-partnership-to-support-lesbian-gay-bisexual-and-transgender-ageing-in-place
#4
Leslie A Wright, Diane K King, Jessica H Retrum, Kenneth Helander, Shari Wilkins, Jennifer M Boggs, Jennifer Dickman Portz, Kathryn Nearing, Wendolyn S Gozansky
Background.: Due to a history of oppression and lack of culturally competent services, lesbian, gay, bisexual and transgender (LGBT) seniors experience barriers to accessing social services. Tailoring an evidence-based ageing in place intervention to address the unique needs of LGBT seniors may decrease the isolation often faced by this population. Objective.: To describe practices used in the formation of a community-based participatory research (CBPR), partnership involving social workers, health services providers, researchers and community members who engaged to establish a LGBT ageing in place model called Seniors Using Supports To Age In Neighborhoods (SUSTAIN)...
February 21, 2017: Family Practice
https://www.readbyqxmd.com/read/28332203/margins-of-freedom-a-field-theoretic-approach-to-class-based-health-dispositions-and-practices
#5
Patrick John Burnett, Gerry Veenstra
Pierre Bourdieu's theory of practice situates social practices in the relational interplay between experiential mental phenomena (habitus), resources (capitals) and objective social structures (fields). When applied to class-based practices in particular, the overarching field of power within which social classes are potentially made manifest is the primary field of interest. Applying relational statistical techniques to original survey data from Toronto and Vancouver, Canada, we investigated whether smoking, engaging in physical activity and consuming fruit and vegetables are dispersed in a three-dimensional field of power shaped by economic and cultural capitals and cultural dispositions and practices...
March 23, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28330583/pregnant-adolescent-women-s-perceptions-of-depression-and-psychiatric-services-in-the-united-states
#6
Sarah E Bledsoe, Cynthia F Rizo, Traci L Wike, Candace Killian-Farrell, Julia Wessel, Anne-Marie O Bellows, Alison Doernberg
PROBLEM: Adolescent mothers and their children are at high-risk for depression and the associated negative educational, social, health, and economic outcomes. BACKGROUND: However, few pregnant adolescent women with depression receive psychiatric services, especially low-income or racial/ethnic minority adolescent women. AIM: This qualitative study explores perceptions of depression, psychiatric services, and barriers to accessing services in a sample of low-income, pregnant racial/ethnic minority adolescent women...
March 15, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28327160/what-constitutes-problematic-khat-use-an-exploratory-mixed-methods-study-in-ethiopia
#7
Awoke Mihretu, Solomon Teferra, Abebaw Fekadu
BACKGROUND: Khat is a psycho-stimulant herb, which has been in use in traditional societies in East Africa and the Middle East over many centuries. Although khat is reported to cause various health problems, what constitutes problematic khat use has never been systematically investigated. This study explored the acceptable and problematic uses of khat from the perspective of users. METHODS: The study used a mixed methods design (exploratory sequential) in which qualitative (emic) data were collected to develop a framework to define problematic khat use...
March 21, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28327141/the-first-nationwide-survey-of-md-phds-in-the-social-sciences-and-humanities-training-patterns-and-career-choices
#8
Seth M Holmes, Jennifer Karlin, Scott D Stonington, Diane L Gottheil
BACKGROUND: While several articles on MD-PhD trainees in the basic sciences have been published in the past several years, very little research exists on physician-investigators in the social sciences and humanities. However, the numbers of MD-PhDs training in these fields and the number of programs offering training in these fields are increasing, particularly within the US. In addition, accountability for the public funding for MD-PhD programs requires knowledge about this growing population of trainees and their career trajectories...
March 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28323553/examining-pediatric-care-for-newly-immigrated-families-perspectives-of-health-care-providers
#9
David Nicholas, Bonnie Fleming-Carroll, Michele Durrant, Jonathan Hellmann
Respect for the ethnicity and cultural background of families are important components of health care delivery. However, the needs of new immigrants in pediatric care systems remain under-addressed in the literature. This study utilized a qualitative approach of interpretive description to elicit the pediatric health care experiences and needs of new immigrants to Canada, from the perspective of health care providers who worked extensively with newcomers. Two focus groups of multidisciplinary health care providers were conducted in a tertiary-level pediatric hospital...
March 21, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28322629/promoting-the-wellbeing-of-lesbian-gay-bisexual-and-transgender-forced-migrants-in-canada-providers-perspectives
#10
Sarilee Kahn, Edward Alessi, Leah Woolner, Hanna Kim, Christina Olivieri
Researchers are beginning to document the experiences of lesbian, gay, bisexual and transgender (LGBT) forced migrants in settlement. However, studies exploring the perceptions of service providers working with this vulnerable population are limited. These may shed light on the challenges of meeting the needs of LGBT forced migrants, especially mental health issues and problems. This qualitative study elicited the views of 22 Canadian service providers, including advocates, lawyers and mental health practitioners, who serve LGBT forced migrants...
March 21, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28318393/pathways-to-adolescent-childbearing-among-kaqchikel-women-in-guatemala
#11
Emily Lemon, Monique Hennink, Nely Amparo Can Saquic
One-in-five children in Guatemala is born to a mother aged 15-19 years, which poses social, economic and health risks to both mother and child. In Guatemala, adolescent childbearing is directly associated with education, ethnicity and poverty, which increases vulnerability among Indigenous young women living in poverty. This study examines the context and experiences of adolescent childbearing from the perspectives of young mothers in the Kaqchikel Indigenous ethnic group of Sololá, Guatemala. Data were collected in 19 qualitative in-depth interviews with women who had given birth to one or more children when aged 15 to 19 years...
March 20, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28317467/ethnographic-perspectives-on-global-mental-health
#12
Sumeet Jain, David M R Orr
The field of Global Mental Health (GMH) aims to influence mental health policy and practice worldwide, with a focus on human rights and access to care. There have been important achievements, but GMH has also been the focus of scholarly controversies arising from political, cultural, and pragmatic critiques. These debates have become increasingly polarized, giving rise to a need for more dialogue and experience-near research to inform theorizing. Ethnography has much to offer in this respect. This paper frames and introduces five articles in this issue of Transcultural Psychiatry that illustrate the role of ethnographic methods in understanding the effects and implications of the field of global mental health on mental health policy and practice...
December 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28314498/exploring-social-justice-in-mixed-divided-cities-from-local-to-global-learning
#13
Corey Shdaimah, Jane Lipscomb, Roni Strier, Dassi Postan-Aizik, Susan Leviton, Jody Olsen
BACKGROUND: University of Haifa and the University of Maryland, Baltimore faculty developed a parallel binational, interprofessional American-Israeli course which explores social justice in the context of increasing urban, local, and global inequities. OBJECTIVES: This article describes the course's innovative approach to critically examine how social justice is framed in mixed/divided cities from different professional perspectives (social work, health, law). Participatory methods such as photo-voice, experiential learning, and theatre of the oppressed provide students with a shared language and multiple media to express and problematize their own and others' understanding of social (in)justice and to imagine social change...
November 2016: Annals of Global Health
https://www.readbyqxmd.com/read/28300971/culture-versus-the-law-in-the-decision-not-to-vaccinate-children-meanings-assigned-by-middle-class-couples-in-s%C3%A3-o-paulo-brazil
#14
Carolina Luisa Alves Barbieri, Márcia Thereza Couto, Fernando Mussa Abujamra Aith
This study aimed to learn how middle-class parents in the city of São Paulo, Brazil, interpreted the country's prevailing vaccination requirements, based on their experiences with vaccinating, selectively vaccinating, or not vaccinating their children. A qualitative approach was used with in-depth interviews. The analytical process was guided by content analysis and the theoretical framework of the anthropology of the law and morality. For parents that vaccinated, Brazil's culture of immunization outweighed the feeling of compliance with the law; for selective parents, selection of vaccines was not perceived as deviating from the law...
March 9, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28296718/qualitative-methods-in-the-development-of-a-bilingual-and-bicultural-quality-of-life-outcomes-measure-for-pediatric-patients-with-craniofacial-conditions
#15
Viridiana Juarez Tapia, Julia Helene Drizin, Cecilia Dalle Ore, Marcelo Nieto, Yajahira Romero, Sandra Magallon, Rohith Nayak, Alicia Sigler, Vanessa Malcarne, Amanda Gosman
INTRODUCTION: Craniofacial surgeons treat patients with diverse craniofacial conditions (CFCs). Yet, little is known about the health-related quality of life (HRQoL) impact of diverse CFCs. Currently, there are no suitable instruments that measure the HRQoL of patients with diverse CFCs from the perspective of children and parents. The objective of this study was to develop the items and support the content validity of a comprehensive patient and parent-reported outcomes measure. METHODS: An iterative process consisting of a systematic literature review, expert opinion and in-depth interviews with patients and parents of patients with diverse CFCs was used...
March 14, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28291575/breaking-the-sound-barrier-exploring-parents-decision-making-process-of-cochlear-implants-for-their-children
#16
Pamara F Chang
OBJECTIVE: To understand the dynamic experiences of parents undergoing the decision-making process regarding cochlear implants for their child(ren). METHODS: Thirty-three parents of d/Deaf children participated in semi-structured interviews. Interviews were digitally recorded, transcribed, and coded using iterative and thematic coding. RESULTS: The results from this study reveal four salient topics related to parents' decision-making process regarding cochlear implantation: 1) factors parents considered when making the decision to get the cochlear implant for their child (e...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28281387/barriers-and-motives-to-pa-in-south-asian-indian-immigrant-women
#17
Manju Daniel, Maryann Abendroth, Judith A Erlen
The high prevalence of chronic illnesses in South Asian Indian immigrant women underscores the need for identifying factors that could influence their PA. The purpose of this qualitative study was to examine the perspectives of South Asian Indian immigrant women related to barriers to and motives for lifestyle PA within the PA Framework for South Asian Indian Immigrants. Forty women participated in focus groups that were conducted in English and Hindi. Focus group questions were open-ended and semistructured...
March 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28277020/healthcare-professional-and-interpreter-perspectives-on-working-with-and-caring-for-non-english-speaking-families-in-a-tertiary-paediatric-healthcare-setting
#18
Anna Williams, Kate Oulton, Debbie Sell, Jo Wray
OBJECTIVE: To understand the perspectives of healthcare professionals and interpreters in relation to working with and caring for non-English speaking families accessing National Health Service paediatric tertiary health care services. DESIGN: Focus group and interview methods were used to elicit the views of healthcare professionals and interpreters at one tertiary paediatric hospital in the United Kingdom. Data were subjected to framework analysis. RESULTS: Participants identified a number of factors affecting communication and their interaction with non-English speaking families in this setting, including time, role uncertainty, and interlinked dimensions of culture and gender...
February 25, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28275609/the-domains-of-human-nutrition-the-importance-of-nutrition-education-in-academia-and-medical-schools
#19
Lorenzo M Donini, Francesco Leonardi, Mariangela Rondanelli, Giuseppe Banderali, Maurizio Battino, Enrico Bertoli, Alessandra Bordoni, Furio Brighenti, Riccardo Caccialanza, Giulia Cairella, Antonio Caretto, Hellas Cena, Manuela Gambarara, Maria Gabriella Gentile, Marcello Giovannini, Lucio Lucchin, Pietro Migliaccio, Francesco Nicastro, Fabrizio Pasanisi, Luca Piretta, Danilo Radrizzani, Carla Roggi, Giuseppe Rotilio, Luca Scalfi, Roberto Vettor, Federico Vignati, Nino C Battistini, Maurizio Muscaritoli
Human nutrition encompasses an extremely broad range of medical, social, commercial, and ethical domains and thus represents a wide, interdisciplinary scientific and cultural discipline. The high prevalence of both disease-related malnutrition and overweight/obesity represents an important risk factor for disease burden and mortality worldwide. It is the opinion of Federation of the Italian Nutrition Societies (FeSIN) that these two sides of the same coin, with their sociocultural background, are related to a low "nutritional culture" secondary, at least in part, to an insufficient academic training for health-care professionals (HCPs)...
2017: Frontiers in Nutrition
https://www.readbyqxmd.com/read/28274261/a-qualitative-exploration-of-care-seeking-pathways-for-sick-children-in-the-rural-oromia-region-of-ethiopia
#20
Bryan Shaw, Agbessi Amouzou, Nathan P Miller, Jennifer Bryce, Pamela J Surkan
BACKGROUND: Ethiopia has experienced rapid improvements in its healthcare infrastructure, such as through the recent scale up of integrated community case management (iCCM) delivered by community-based health extension workers (HEWs) targeting children under the age of five. Despite notable improvements in child outcomes, the use of HEWs delivering iCCM remains very low. The aim of our study was to explain this phenomenon by examining care-seeking practices and treatment for sick children in two rural districts in the Oromia Region of Ethiopia...
March 9, 2017: BMC Health Services Research
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