Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Immigrant and Minority Health
Erschienen in: Journal of Immigrant and Minority Health 2/2016

01.04.2016 | Original Paper

“Can I Ask That?”: Perspectives on Perinatal Care After Resettlement Among Karen Refugee Women, Medical Providers, and Community-Based Doulas

verfasst von: Kate LaMancuso, Roberta E. Goldman, Melissa Nothnagle

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

This study characterized the perspectives of Karen refugee women in Buffalo, NY, their medical providers, and Karen interpreters/doulas on perinatal care for Karen women in resettlement. In-depth qualitative interviews with Karen women (14), Karen doulas/interpreters and key informants (8), and medical providers (6) were informed by the social contextual model and focused on women’s questions about and opinions of perinatal care in Buffalo and on providers’ experiences caring for Karen patients. Karen women expressed gratitude for and understanding of perinatal care in Buffalo, and providers described Karen patients as agreeable but shy. Karen doulas offered an alternative view that exposed women’s many questions and concerns, and described how doula training empowered them as patients’ advocates. Low self-efficacy, trauma histories, and cultural expectations may contribute to Karen women’s seeming agreeability. Doulas/interpreters possess insider knowledge of women’s concerns and facilitate communication between patients and the care team.
Literatur
1.
2.
3.
Harkins B. Beyond “temporary shelter”: a case study of Karen refugee resettlement in St. Paul, Minnesota. J Immigr Refug Stud. 2012;10:184–203.CrossRef
4.
Checchi F, Elder G, Schäfer M, Drouhin E, Legros D. Consequences of armed conflict for an ethnic Karen population. Lancet. 2003;362:74–5.CrossRefPubMed
5.
Kenny P, Lockwood-Kenny K. A mixed blessing: Karen resettlement to the United States. J Refug Stud. 2011;24:217–38.CrossRef
6.
Cardozo BL, Talley L, Burton A, Crawford C. Karenni refugees living in Thai–Burmese border camps: traumatic experiences, mental health outcomes, and social functioning. Soc Sci Med. 2004;58:2637–44.CrossRef
7.
Mullany LC, Richards AK, Lee CI, Suwanvanichkij V, Maung C, Mahn M, Beyrer C, Lee TJ. Population-based survey methods to quantify associations between human rights violations and health outcomes among internally displaced persons in eastern Burma. J Epidemiol Community Health. 2007;61:908–14.CrossRefPubMedPubMedCentral
8.
Al Gasseer N, Dresden E, Keeney GB, Warren N. Status of women and infants in complex humanitarian emergencies. J Midwifery Womens Health. 2004;49:7–13.CrossRefPubMed
9.
Falb KL, McCormick MC, Hemenway D, Anfinson K, Silverman JG. Symptoms associated with pregnancy complications along the Thai–Burma border: the role of conflict violence and intimate partner violence. Matern Child Health J. 2014;18:29–37.CrossRefPubMed
10.
Falb KL, McCormick MC, Hemenway D, Anfinson K, Silverman JG. Violence against refugee women along the Thai–Burma border. Int J Gynecol Obstet. 2013;120:279–83.CrossRef
11.
Barnes DM, Harrison CL. Refugee women’s reproductive health in early resettlement. J Obstet Gynecol Neonatal Nurs. 2004;33:723–8.CrossRefPubMed
12.
Correa-Velez I, Ryan J. Developing a best practice model of refugee maternity care. Women Birth. 2012;25:13–22.CrossRefPubMed
13.
Kahler LR, Sobota CM, Hines CK, Griswold K. Pregnant women at risk: an evaluation of the health status of refugee women in Buffalo, New York. Health Care Women Int. 1996;17:15–23.CrossRefPubMed
14.
Akhavan S. Midwives’ views on factors that contribute to health care inequalities among immigrants in Sweden: a qualitative study. Int J Equity Health. 2012;11:47.CrossRefPubMedPubMedCentral
15.
16.
Hill N, Hunt E, Hyrkäs K. Somali immigrant women’s health care experiences and beliefs regarding pregnancy and birth in the United States. J Transcult Nurs. 2012;23:72–81.CrossRefPubMed
17.
Morris MD, Popper ST, Rodwell TC, Brodine SK, Brouwer KC. Healthcare barriers of refugees post-resettlement. J Community Health. 2009;34:529–38.CrossRefPubMedPubMedCentral
18.
Brach C, Fraser I, Paez K. Crossing the language chasm. Health Aff. 2005;24:424–34.CrossRef
19.
Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005;62:255–99.CrossRefPubMed
20.
Ferguson WJ, Candib LM. Culture, language, and the doctor–patient relationship. Fam Med. 2002;34:353–61.PubMed
21.
Schouten BC, Meeuwesen L. Cultural differences in medical communication: a review of the literature. Patient Educ Couns. 2006;64:21–34.CrossRefPubMed
22.
Hudelson P. Improving patient-provider communication: insights from interpreters. Fam Pract. 2005;22:311–6.CrossRefPubMed
23.
Shannon P, O’Dougherty M, Mehta E. Refugees’ perspectives on barriers to communication about trauma histories in primary care. Ment Health Fam Med. 2012;9:47–55.PubMedPubMedCentral
24.
Niner S, Kokanovic R, Cuthbert D. Displaced mothers: birth and resettlement, gratitude and complaint. Med Anthropol. 2013;32:535–51.CrossRefPubMed
25.
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2013; 15.
26.
Parsons L, Day S. Improving obstetric outcomes in ethnic minorities: an evaluation of health advocacy in Hackney. J Public Health Med. 1992;14:183–91.PubMed
27.
Akhavan S, Edge D. Foreign-born women’s experiences of community-based doulas in Sweden—a qualitative study. Health Care Women Int. 2012;33:833–48.CrossRefPubMed
28.
Akhavan S, Lundgren I. Midwives’ experiences of doula support for immigrant women in Sweden—a qualitative study. Midwifery. 2012;28:80–5.CrossRefPubMed
29.
Nagler EM, Pednekar MS, Viswanath K, Sinha DN, Aghi MB, Pischke CR, Ebbeling CB, Lando HA, Gupta PC, Sorensen GC. Designing in the social context: using the social contextual model of health behavior change to develop a tobacco control intervention for teachers in India. Health Educ Res. 2013;28:113–29.CrossRefPubMedPubMedCentral
30.
Sorensen G, Emmons K, Hunt MK, Barbeau E, Goldman R, Peterson K, Kuntz K, Stoddard A, Berkman L. Model for incorporating social context in health behavior interventions: applications for cancer prevention for working-class, multiethnic populations. Prev Med. 2003;37:188–97.CrossRefPubMed
31.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRefPubMed
32.
Kuzel AJ. Sampling in qualitative inquiry. In: Crabtree BF, Miller WL, editors. Doing qualitative research. Thousand Oaks: Sage; 1999. p. 33–46.
33.
Lincoln Y, Guba E. Naturalistic inquiry. Newbury Park: Sage; 1985.
34.
Borkan J. Immersion/Crystallization. In: Crabtree BF, Miller WL, editors. Doing qualitative research. Thousand Oaks: Sage; 1999. p. 179–94.
35.
King N. Template analysis. In: Symon G, Cassell C, editors. Qualitative methods and analysis in organizational research. Thousand Oaks: Sage; 1998. p. 118–34.
36.
37.
Chue A, Carrara V, Paw MK, Pimanpanarak M, Wiladphaingern J, van Vugt M, Lee SJ, Nosten F, McGready R. Is areca innocent? The effect of areca (betel) nut chewing in a population of pregnant women on the Thai–Myanmar border. Int Health. 2012;4:204–9.CrossRefPubMed
38.
Kluft RP, Bloom SL, Kinzie JD. Treating the traumatized patient and victims of violence. In: Bell CC, editor. Psychiatric aspects of violence: issues in prevention and treatment. New directions in mental health services, 86. San Francisco: Jossey-Bass; 2000. p. 79–102.
39.
Claramita M, Utarini A, Soebono H, Van Dalen J, Van der Vleuten C. Doctor-patient communication in a Southeast Asian setting: the conflict between ideal and reality. Adv Health Sci Educ Theory Pract. 2011;16:69–80.CrossRefPubMedPubMedCentral
40.
Liamputtong P, Watson L. The voices and concerns about prenatal testing of Cambodian, Lao and Vietnamese women in Australia. Midwifery. 2002;18:304–13.CrossRefPubMed
41.
Ingram M, Reinschmidt KM, Schachter KA, Davidson CL, Sabo SJ, De Zapien JG, Carvajal SC. Establishing a professional profile of community health workers: results from a national study of roles, activities and training. J Community Health. 2012;37:529–37.CrossRefPubMed
42.
Sulaiman-Hill CM, Thompson SC. Learning to fit in: an exploratory study of general perceived self efficacy in selected refugee groups. J Immigr Minor Health. 2013;15:125–31.CrossRefPubMed
43.
Wiking E, Saleh-Stattin N, Johansson SE, Sundquist J. A description of some aspects of the triangular meeting between immigrant patients, their interpreters and GPs in primary health care in Stockholm, Sweden. Fam Pract. 2009;26:377–83.CrossRefPubMed
44.
Wiking E, Sundquist J, Saleh-Stattin N. Consultations between immigrant patients, their interpreters, and their general practitioners: are they real meetings or just encounters? A qualitative study in primary health care. Int J Family Med. 2013.
Metadaten
Titel
“Can I Ask That?”: Perspectives on Perinatal Care After Resettlement Among Karen Refugee Women, Medical Providers, and Community-Based Doulas
verfasst von
Kate LaMancuso
Roberta E. Goldman
Melissa Nothnagle
Publikationsdatum
01.04.2016
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 2/2016
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-015-0172-6

Weitere Artikel der Ausgabe 2/2016

Journal of Immigrant and Minority Health 2/2016 Zur Ausgabe

Original Paper

Tuberculosis Treatment Completion Rates in Southern New Mexico Colonias

Review Paper

Translation of the Diabetes Prevention Program to Ethnic Communities in the United States

Original Paper

A Qualitative Exploration of Less Acculturated Mexican Mothers’ Safety Perceptions of Herbs, Medicines, and Cleaners in the Home

Original Paper

Incorporating Cultural Perspectives into Diabetes Self-Management Programs for East Asian Immigrants: A Mixed-Study Review

Brief Communication

A Case of Leprosy in Italy: A Multifaceted Disease Which Continues to Challenge Medical Doctors

Original Paper

Reasons for Pacifier Use and Non-Use in African-Americans: Does Knowledge of Reduced SIDS Risk Change Parents’ Minds?