一个美国印第安人部落关于心脏健康的见解
Sarah de Loizaga1,2, McCall Miller1, Barbie Giambra1
1The Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH, United States of America.
概括
美国印第安人经历了相当大的心脏病差异. 这项研究突出了部落的观点,强调了社区意识的必要性,解决系统性障碍,并利用社区的优势进行有效的心脏健康计划.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
背景情况:
- 美国印第安人面临着严重的健康差异,心血管疾病是导致死亡的主要原因.
- 心脏护理的障碍,包括距离和诊断延迟,不成比例地影响美国印第安人社区.
研究的目的:
- 了解部落对心脏健康的看法.
- 确定社区优先事项,为亚利桑那州东部部落设计心脏健康计划.
主要方法:
- 对19名参与者进行了定性半结构面试.
- 使用专题分析,从采访数据中确定关键主题.
主要成果:
- 出现了五个主要主题:意识,系统障碍,社区参与,个人观点和资源扩张.
- 关键发现表明需要解决个人和系统障碍,同时利用社区的优势.
结论:
- 改善美洲印第安人的心脏健康护理需要社区意识和解决进入障碍.
- 共同开发的,以社区为基础的倡议对于有影响力和可持续的心脏健康计划至关重要.
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