Discrimination, Coping, and Social Exclusion among African Immigrants in the United States: A Moderation Analysis

Saasa, Sherinah

doi:10.1093/sw/swz018

Cited by 28 publications

(12 citation statements)

References 25 publications

(29 reference statements)

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“…In addition, the U.S. healthcare system presents some challenges to African immigrants, including the lack of culturally sensitive care, cost of care, complexity, and hostile provider attitudes that reinforce the lack of trust in the system. While the complexity and high costs associated with the U.S. healthcare system may not be unique to African immigrants [82,83], their poor treatment by the U.S. medical institution is idiosyncratic [73,84,85]. This contributes to the pre-existing distrust of the U.S. healthcare system, which makes it difficult to engage them in intervention programs and research [86].…”

Section: Discussionmentioning

confidence: 99%

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020

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Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the "black" category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion: Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

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Section: Discussionmentioning

confidence: 99%

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020

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“…In addition, the U.S. healthcare system presents some challenges to African immigrants, including the lack of culturally sensitive care, cost of care, complexity, and hostile provider attitudes that reinforce the lack of trust in the system. While the complexity and high costs associated with the U.S. healthcare system may not be unique to African immigrants (79,80), their poor treatment by the U.S. medical institution is idiosyncratic (70,81,82). This contributes to the pre-existing distrust of the U.S.…”

Section: Biased/hostile Provider Attitudesmentioning

confidence: 99%

Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

Omenka

Watson

Hendrie

2019

Preprint

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Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion: Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

show abstract

“…In addition, the U.S. healthcare system presents some challenges to African immigrants, including the lack of culturally sensitive care, cost of care, complexity, and hostile provider attitudes that reinforce the lack of trust in the system. While the complexity and high costs associated with the U.S. healthcare system may not be unique to African immigrants (82,83), their poor treatment by the U.S. medical institution is idiosyncratic (73,84,85). This contributes to the pre-existing distrust of the U.S.…”

Section: Lack Of Trust Of the Us Health Systemmentioning

confidence: 99%

Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

Omenka

Watson

Hendrie

2019

Preprint

View full text Add to dashboard Cite

Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers.

show abstract

Discrimination, Coping, and Social Exclusion among African Immigrants in the United States: A Moderation Analysis

Cited by 28 publications

References 25 publications

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

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