Improving Health Outcomes in Diverse Populations: Competency in Cross-cultural Research with Indigenous Pacific Islander Populations

Palafox, Neal A.; Buenconsejo-Lum, Lee; Riklon, Sheldon; Waitzfelder, Beth E.

doi:10.1080/1355785022000060736

Cited by 38 publications

(39 citation statements)

References 3 publications

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“…"An understanding and application of indigenous people's paradigms of health, knowledge, science, and research" is needed to improve the ability to address the disparate health issues of the Marshallese (29:284). Furthermore, using a community-based participatory research methodology is essential to this research process to understand the social, economic, historical, and political factors that influence health and disease (25,29).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Health Services Perceived by Marshallese Immigrants

Williams¹,

Hampton²

2005

J Immigrant Health

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The Marshallese immigrant population, part of a growing Asian American and Pacific Islander population in the United States, has adverse health conditions and disparities that are mainly attributed to their pre-migration health status. Little is known about the perceived and real barriers Marshallese experience in accessing and utilizing health services in the United States. Because of these barriers, their health status is known to exacerbate. This formative study used qualitative methods, using an ethnographic approach, to identify the ethnocultural and socioeconomic barriers to existing health services as perceived by immigrant Marshallese living in Northwest Arkansas. Recommendations were made to improve timely, culturally competent, and appropriate health services.

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Section: Discussionmentioning

confidence: 99%

Barriers to Health Services Perceived by Marshallese Immigrants

Williams¹,

Hampton²

2005

J Immigrant Health

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“…8,9 The mechanism by which ethical research is assessed and approved in New Zealand with the inclusion of indigenous representatives ensured that the study investigators could not start the research without the provision of appropriate advice from designated local Maori advisers. Nonetheless, during the process of funding approval for the second phase of the study there was a dissenting view expressed by an external reviewer and expert in Maori health.…”

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confidence: 99%

Hair in Maori culture: an example of transcultural research

Al-Delaimy

Waldon

2006

Australian and New Zealand Journal of Public Health

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“…Community-based participatory research (CBPR) incorporates community input at all stages of the research process to enhance capacity building and overcome barriers to research raised by matters of trust, communication, cultural differences, power, and representation. [17][18][19][20] …”

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confidence: 99%

Assessing Health Concerns and Barriers in a Heterogeneous Latino Community

Martínez¹,

Carter‐Pokras²

2006

hpu

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Introduction. Major health issues and barriers to health services for Latino immigrants were identified through community-based participatory research in Baltimore city. Methods. In collaboration with community partners, five focus groups were conducted among Latino adults from 10 countries and health service providers. Findings. Priorities across groups included chronic diseases, HIV/AIDS and STDs, mental health, and the need for ancillary services. Community members and providers did not always agree on what health matters were of primary concern. Participants expected to receive health information at the point of service. Barriers to receiving health services and information span linguistic, financial, logistical, legal, and cultural matters. Conclusions. This formative research illustrates the complexity and interrelatedness of health priorities and barriers created by social issues such as employment, legal status, and related stressors.Key words: Hispanic Americans, community-based participatory research, needs assessment, minority groups, health services accessibility.A n increasingly diverse and growing population, 1 Latinos present challenges in health care access and service delivery at the local level that include, but are not limited to, limited English language proficiency and lack of health insurance. 2-3Nationally, disparities in access to health care, risk factors (e.g., obesity), and morbidity (e.g., diabetes) disfavor Latinos under 65 years of age in comparison with their non-Latino White (NLW) counterparts. [4][5][6][7] Information that is relevant for addressing disparities at the local level where services are rendered is sparse. 8While Latinos appear to have lower overall mortality in adulthood than NLWs, this mortality advantage holds largely for immigrant Mexicans, Dominicans, and Central and South Americans. 9 Latinos receive lower quality of care than NLWs for half of the available quality measures and have worse access to care for about 90% of access measures. 4 In Maryland, the uninsured rate among low-income Latinos is 64%, the highest for any population subgroup.

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Improving Health Outcomes in Diverse Populations: Competency in Cross-cultural Research with Indigenous Pacific Islander Populations

Abstract: Positively affecting the disparity of health in the indigenous populations of the Pacific is, in part, dependent on employing an indigenous-peoples-centered model of research. The model can have application to the study of indigenous peoples in other parts of the world.

Cited by 38 publications

References 3 publications

Barriers to Health Services Perceived by Marshallese Immigrants

Barriers to Health Services Perceived by Marshallese Immigrants

Hair in Maori culture: an example of transcultural research

Assessing Health Concerns and Barriers in a Heterogeneous Latino Community

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