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Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants

Studies of African immigrant health in the U.S. have traditionally focused on infectious diseases. However, the rising burden of non-communicable diseases (NCDs) indicates the increasing importance of general preventive health care. As part of a series of community health events designed for African...

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Autores principales: Roberts, D. Allen, Abera, Seifu, Basualdo, Guiomar, Kerani, Roxanne P., Mohamed, Farah, Schwartz, Rahel, Gebreselassie, Beyene, Ali, Ahmed, Patel, Rena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8109781/
https://www.ncbi.nlm.nih.gov/pubmed/33970923
http://dx.doi.org/10.1371/journal.pone.0250800
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author Roberts, D. Allen
Abera, Seifu
Basualdo, Guiomar
Kerani, Roxanne P.
Mohamed, Farah
Schwartz, Rahel
Gebreselassie, Beyene
Ali, Ahmed
Patel, Rena
author_facet Roberts, D. Allen
Abera, Seifu
Basualdo, Guiomar
Kerani, Roxanne P.
Mohamed, Farah
Schwartz, Rahel
Gebreselassie, Beyene
Ali, Ahmed
Patel, Rena
author_sort Roberts, D. Allen
collection PubMed
description Studies of African immigrant health in the U.S. have traditionally focused on infectious diseases. However, the rising burden of non-communicable diseases (NCDs) indicates the increasing importance of general preventive health care. As part of a series of community health events designed for African-born individuals in King County, Washington, we administered key informant interviews (KIIs) with 16 health event participants, medical professionals, and community leaders to identify barriers and facilitators to use of preventive health care among African-born individuals. We used descriptive thematic analysis to organize barriers according to the socio-ecological model. Within the individual domain, KII participants identified lack of knowledge and awareness of preventive health benefits as barriers to engagement in care. Within the interpersonal domain, language and cultural differences frequently complicated relationships with health care providers. Within the societal and policy domains, healthcare costs, lack of insurance, and structural racism were also reported as major barriers. Participants identified community outreach with culturally competent and respectful providers as key elements of interventions to improve uptake. In conclusion, African immigrant communities face several barriers, ranging from individual to policy levels, to accessing health services, resulting in substantial unmet need for chronic disease prevention and treatment. Community-centered and -led care may help facilitate uptake and engagement in care.
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spelling pubmed-81097812021-05-21 Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants Roberts, D. Allen Abera, Seifu Basualdo, Guiomar Kerani, Roxanne P. Mohamed, Farah Schwartz, Rahel Gebreselassie, Beyene Ali, Ahmed Patel, Rena PLoS One Research Article Studies of African immigrant health in the U.S. have traditionally focused on infectious diseases. However, the rising burden of non-communicable diseases (NCDs) indicates the increasing importance of general preventive health care. As part of a series of community health events designed for African-born individuals in King County, Washington, we administered key informant interviews (KIIs) with 16 health event participants, medical professionals, and community leaders to identify barriers and facilitators to use of preventive health care among African-born individuals. We used descriptive thematic analysis to organize barriers according to the socio-ecological model. Within the individual domain, KII participants identified lack of knowledge and awareness of preventive health benefits as barriers to engagement in care. Within the interpersonal domain, language and cultural differences frequently complicated relationships with health care providers. Within the societal and policy domains, healthcare costs, lack of insurance, and structural racism were also reported as major barriers. Participants identified community outreach with culturally competent and respectful providers as key elements of interventions to improve uptake. In conclusion, African immigrant communities face several barriers, ranging from individual to policy levels, to accessing health services, resulting in substantial unmet need for chronic disease prevention and treatment. Community-centered and -led care may help facilitate uptake and engagement in care. Public Library of Science 2021-05-10 /pmc/articles/PMC8109781/ /pubmed/33970923 http://dx.doi.org/10.1371/journal.pone.0250800 Text en © 2021 Roberts et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Roberts, D. Allen
Abera, Seifu
Basualdo, Guiomar
Kerani, Roxanne P.
Mohamed, Farah
Schwartz, Rahel
Gebreselassie, Beyene
Ali, Ahmed
Patel, Rena
Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants
title Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants
title_full Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants
title_fullStr Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants
title_full_unstemmed Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants
title_short Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants
title_sort barriers to accessing preventive health care among african-born individuals in king county, washington: a qualitative study involving key informants
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8109781/
https://www.ncbi.nlm.nih.gov/pubmed/33970923
http://dx.doi.org/10.1371/journal.pone.0250800
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