Chuukese migrant women in Guam: Perceptions of barriers to health care

Hattori-Uchima, Margaret

doi:10.9741/23736658.1049

Cited by 3 publications

(6 citation statements)

References 38 publications

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“…In addition, Other Micronesians may lack trust in the healthcare system due to historical and systemic issues of mistreatment and lack of access to healthcare. Hattori-Uchima [ 19 ] reported that Other Micronesians on Guam, Chuukese in particular, had difficulty obtaining the healthcare they needed due to financial concerns, communication issues, and mistrust; they tend to not seek preventive healthcare services. Several studies have shown that Micronesian migrants often identify feelings of mistrust related to negative experience with healthcare workers [ 19 ], and feelings of mistreatment and discrimination when seeking help from health, education, and public welfare agencies [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Perceived Barriers and Benefits of COVID-19 Testing among Pacific Islanders on Guam

Guerrero

Mummert

Ríos

et al. 2023

IJERPH

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Pacific Islanders residing in the U.S. Affiliated Pacific Islands have had among the highest COVID-19-associated morbidity and mortality rates in the U.S. To reduce this disparity, we conducted a study to increase the reach and uptake of COVID-19 testing in Guam. Participants, who completed a pre-survey on demographics, health status, history of COVID-19 testing and vaccination, access to COVID-19 testing, sources of COVID-19 information, and knowledge and attitudes towards COVID-19 test results and transmission, were invited to attend an online educational session about COVID-19 testing and transmission and to complete a post-survey. There were significant positive changes between pre- and post-survey in knowledge and perceptions about COVID-19 testing and transmission, but changes were not necessarily due to exposure to the educational session. Compared to CHamoru participants (n = 380), Other Micronesians (n = 90) were significantly less knowledgeable about COVID-19 transmission and testing, were significantly more likely to not want to know if they had COVID-19, were more likely to believe if they did have COVID-19 there was not much that could be done for them, and that they would have difficulty in getting the needed healthcare. This study is another example of disparities in health knowledge and perceptions of certain Pacific Islander groups.

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Section: Discussionmentioning

confidence: 99%

“…Finally, Pacific Islander cultures, in general, often prioritize community and family; getting vaccinated may be seen as a way to protect and care for loved ones. Hattori-Uchima reported that one of the few health behaviors that Chuukese women sought out for themselves and their children were vaccinations [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Perceived Barriers and Benefits of COVID-19 Testing among Pacific Islanders on Guam

Guerrero

Mummert

Ríos

et al. 2023

IJERPH

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“…In this analysis, we treated ethnicity (non-CHamoru Micronesians or Micronesians from the Freely Associated States = 1 and other = 0) as the independent variable, all study variables as dependent variables, and age, gender, and SES as covariates entered simultaneously. We then used Mplus 8.6 with maximum likelihood estimation (Muthén & Muthén, 1998-2017 to analyze the indirect effects of ethnicity on betel nut use through the proposed mediators (familiarity, access, and normative beliefs). Model fit was assessed based on Hu and Bentler's (1999) criteria: comparative fit index (CFI) greater than or equal to .95, root mean square error of approximation (RMSEA) less than or equal to .06, and standardized root mean square residual (SRMR) less than or equal to .08.…”

Section: Data Analysis Planmentioning

confidence: 99%

“…Currently, FAS migrants are allowed to enter Guam or the United States without visas under the Compact of Free Association with the United States, which was signed in 1985. Compared to other residents of the island, FAS migrants living in Guam experience disparities such as higher rates of poverty, lower levels of education, less access to health care, and lower socioeconomic status (Hattori-Uchima, 2017).…”

Section: The Cultural Context Of Micronesiamentioning

confidence: 99%

Ethnic Disparities in Betel Nut Use

Kawabata,

Dalisay,

Pokhrel

2024

International Perspectives in Psychology

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Adolescent substance use has been extensively studied in Western countries. However, knowledge of substance use, particularly betel nut use, among adolescents in the Pacific Islands, remains limited. The present study examined ethnic differences in betel nut use and intention to use, and factors explaining such ethnic differences, in Guam, a US-Affiliated Pacific Islands in the Western Pacific. Participants were 674 ethnically diverse students (49% female; Mage = 12.7, SD = 0.89) from eight local public middle schools. Self-report questionnaires were used to assess study variables. The results indicated that although the majority of participants did not use betel nut, there were significant differences in rates of betel nut use and intentions to use between ethnic groups. Compared with adolescents from other ethnic groups represented in the study, adolescents from the Freely Associated States (FAS) of Micronesia, or non-CHamoru Micronesians were more likely to use betel nut in the past 30 days and in their lifetime and to expect to use betel nut in the near future. These ethnic differences were partially mediated by proposed factors such as observation or familiarity with and access to betel nut and approval by parents, peers, and the community. In other words, FAS ethnicity was a significant predictor of higher levels of familiarity with betel nut; FAS ethnicity also predicted lower levels of difficulty in accessing betel nut and perceived disapproval of betel nut use from parents, peers, and the community. These, in turn, predicted more betel nut use and intention as reported by FAS adolescents. These findings can be used to inform the design and implementation of intervention and prevention programs to reduce ethnic disparities among at-risk youth vulnerable to betel nut use in the Pacific.

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“…Healthcare providers' widespread dismissal of women's pain is still problem in healthcare (Alexander, 2001;Loscar, 2018). Neglect of pain causes unnecessary agony for women (Loscar, 2018), insufficient evaluation of symptoms (Alexander, 2001), resulting in women's sense of being dehumanized (Alexander, 2001), experiencing mistrust in healthcare providers (Hattori-Uchima, 2012;Chipiro-Mupepi, 2001;Reeves, 2018).…”

Section: Sociality Of Voice: Respect In Relationmentioning

confidence: 99%

Women's experiences of their first pelvic exam: an arts-informed narrative inquiry

MacGregor

2023

Preprint

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Canadian women usually have their first pelvic exam by the age of twenty-one, and then every three years until older adulthood. Reviewed literature demonstrates that women's first pelvic exam experiences are a turning point in their healthcare trajectory. Yet, no research was found that addresses these experiences as told by women in their own words. Using Arts-Informed Narrative Inquiry, three young women were invited to tell and draw stories of their first pelvic exam experiences. From their accounts, two narrative patterns emerged, trust and voice. These were analyzed using the Narrative Inquiry three-dimensional space of experience theoretical framework, from a Critical Feminist perspective. The analysis reveals that women's first pelvic exam experiences inform their understanding of how healthcare providers, in positions of power, value and respect their personhood and dignity. These experiences go on to inform not only women’s future healthcare interactions, but other social encounters.

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Chuukese migrant women in Guam: Perceptions of barriers to health care

Cited by 3 publications

References 38 publications

Perceived Barriers and Benefits of COVID-19 Testing among Pacific Islanders on Guam

Perceived Barriers and Benefits of COVID-19 Testing among Pacific Islanders on Guam

Ethnic Disparities in Betel Nut Use

Women's experiences of their first pelvic exam: an arts-informed narrative inquiry

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