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Self-care among chronically III African Americans: Culture, health disparities, and health insurance status

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  • Becker, G.
  • Gates, R.J.
  • Newsom, E.

Abstract

Little is known about the self-care practices of chronically ill African Americans or how lack of access to health care affects self-care. Results from a qualitative interview study of 167 African Americans who had one or more chronic illnesses found that self-care practices were culturally based, and the insured reported more extensive programs of self-care. Those who had some form of health insurance much more frequently reported the influence of physicians and health education programs in self-care regimens than did those who were uninsured. It is concluded that the cultural components of self-care have been underemphasized, and further, that the potential to maximize chronic illness management through self-care strategies is not realized for those who lack access to health care.

Suggested Citation

  • Becker, G. & Gates, R.J. & Newsom, E., 2004. "Self-care among chronically III African Americans: Culture, health disparities, and health insurance status," American Journal of Public Health, American Public Health Association, vol. 94(12), pages 2066-2073.
    • Handle: RePEc:aph:ajpbhl:2004:94:12:2066-2073_7
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    Cited by:

    1. Adam Jönsson & Emilie Cewers & Tuvia Ben Gal & Jean Marc Weinstein & Anna Strömberg & Tiny Jaarsma, 2020. "Perspectives of Health Care Providers on the Role of Culture in the Self-Care of Patients with Chronic Heart Failure: A Qualitative Interview Study," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    2. Asad, Asad L. & Kay, Tamara, 2015. "Toward a multidimensional understanding of culture for health interventions," Social Science & Medicine, Elsevier, vol. 144(C), pages 79-87.

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