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“They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It”: Qualitative Insights from Harambee! 2.0

Author

Listed:
  • Shukri A. Hassan

    (Department of Medicine, University of Washington, Seattle, WA 98104, USA
    First co-authors.)

  • Farah Mohamed

    (Department of Medicine, University of Washington, Seattle, WA 98104, USA
    Somali Health Board, Tukwila, WA 98188, USA
    First co-authors.)

  • Najma Sheikh

    (Department of Global Health, University of Washington, Seattle, WA 98195, USA)

  • Guiomar Basualdo

    (Department of Anthropology, University of Washington, Seattle, WA 98195, USA)

  • Nahom A. Daniel

    (Department of Biology, University of Washington, Seattle, WA 98195, USA)

  • Rahel Schwartz

    (Ethiopian Community Center in Seattle, Seattle, WA 98118, USA
    Ethiopian Health Board, Seattle, WA 98118, USA)

  • Beyene Tewelde Gebreselassie

    (Eritrean Health Board, Seattle, WA 98122, USA)

  • Yikealo K. Beyene

    (Eritrean Health Board, Seattle, WA 98122, USA)

  • Luwam Gabreselassie

    (Eritrean Health Board, Seattle, WA 98122, USA)

  • Kifleyesus Bayru

    (Eritrean Health Board, Seattle, WA 98122, USA)

  • Bethel Tadesse

    (Ethiopian Community Center in Seattle, Seattle, WA 98118, USA)

  • Hirut Amsalu Libneh

    (Ethiopian Community Center in Seattle, Seattle, WA 98118, USA)

  • Mohamed Shidane

    (Somali Health Board, Tukwila, WA 98188, USA)

  • Sophia Benalfew

    (Ethiopian Community Center in Seattle, Seattle, WA 98118, USA)

  • Ahmed Ali

    (Somali Health Board, Tukwila, WA 98188, USA
    Department of Global Health, University of Washington, Seattle, WA 98195, USA)

  • Deepa Rao

    (Department of Global Health, University of Washington, Seattle, WA 98195, USA)

  • Rena C. Patel

    (Department of Medicine, University of Washington, Seattle, WA 98104, USA
    Department of Global Health, University of Washington, Seattle, WA 98195, USA
    Senior co-authors.)

  • Roxanne P. Kerani

    (Department of Medicine, University of Washington, Seattle, WA 98104, USA
    Senior co-authors.)

Abstract

African immigrants make up a large subgroup of Black/African-Americans in the US. However, because African immigrant groups are typically categorized as “Black,” little is known about their preventative healthcare needs. Differences in culture, life and healthcare experiences between African immigrant populations and US-born people may influence preventive health care uptake. Thus, policymakers and healthcare providers lack information needed to make informed decisions around preventive care for African immigrants. This formative study was conducted among the largest East African immigrant communities in King County, WA. We recruited religious leaders, community leaders, health professionals, and lay community members to participate in thirty key informant interviews and five focus group discussions ( n = 72 total), to better understand preventative healthcare attitudes in these communities. Through inductive coding and thematic analysis, we identified factors that impact preventative healthcare attitudes of the Somali, Ethiopian and Eritrean immigrant communities and deter them from accessing and utilizing healthcare. Cultural beliefs and attitudes around preventative healthcare, mistrust of westernized healthcare, religious beliefs/views, intersecting identities and shared immigrant experiences all influence how participants view preventative healthcare. Our results suggest that interventions that address these factors are needed to most effectively increase uptake of preventative healthcare in African immigrant communities.

Suggested Citation

  • Shukri A. Hassan & Farah Mohamed & Najma Sheikh & Guiomar Basualdo & Nahom A. Daniel & Rahel Schwartz & Beyene Tewelde Gebreselassie & Yikealo K. Beyene & Luwam Gabreselassie & Kifleyesus Bayru & Beth, 2021. "“They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It”: Qualitative Insights from Harambee! 2.0," IJERPH, MDPI, vol. 18(23), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12706-:d:693384
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    References listed on IDEAS

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    1. McDonald, James Ted & Kennedy, Steven, 2004. "Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada," Social Science & Medicine, Elsevier, vol. 59(8), pages 1613-1627, October.
    2. Akresh, I.R. & Frank, R., 2008. "Health selection among new immigrants," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 2058-2064.
    3. D Allen Roberts & Seifu Abera & Guiomar Basualdo & Roxanne P Kerani & Farah Mohamed & Rahel Schwartz & Beyene Gebreselassie & Ahmed Ali & Rena Patel, 2021. "Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-13, May.
    4. Lucas, J.W. & Barr-Anderson, D.J. & Kington, R.S., 2003. "Health Status, Health Insurance, and Health Care Utilization Patterns of Immigrant Black Men," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1740-1747.
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    1. Oluwabunmi Ogungbe & Ruth-Alma Turkson-Ocran & Binu Koirala & Samuel Byiringiro & Xiaoyue Liu & Sabrina Elias & Danielle Mensah & Emmanuel Turkson-Ocran & Manka Nkimbeng & Joycelyn Cudjoe & Diana Bapt, 2022. "Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study," IJERPH, MDPI, vol. 19(5), pages 1-14, February.

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