Kenyan patients’ attitudes regarding doctor ethnicity and doctor–patient ethnic discordance

Miller, Ann Neville; Kinya, Jesica; Booker, Nancy; Kizito, Mary; Ngula, Kyalo Wa

doi:10.1016/j.pec.2010.04.037

Cited by 18 publications

(12 citation statements)

References 32 publications

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“…However, although participants reported a desire for Vietnamese language information, there was no mention of cultural sensitivity as an important aspect of care, which is in contrast to other studies of Vietnamese health consumers [ 37 , 40 , 55 ]. This finding may mean that this aspect of care was not a concern for participants in our study, or perhaps, similar to other studies, it may mean that professional competence and courtesy were deemed more important than the health professional’s awareness of cultural mores [ 56 , 57 ].…”

Section: Discussionsupporting

confidence: 82%

Diabetes care and service access among elderly Vietnamese with type 2 diabetes

Carolan

Cassar²,

Quiazon

et al. 2013

BMC Health Serv Res

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BackgroundVietnamese patients are disproportionately represented in type 2 diabetes mellitus statistics and also incur high rates of diabetes complications. This situation is compounded by limited access to health care. The aim of this project was to gain a deeper understanding of the difficulties Vietnamese patients experience when accessing services and managing their type 2 diabetes mellitus, and to identify factors that are important in promoting health service use.MethodsThree focus groups with 15 Vietnamese participants with type 2 diabetes mellitus, 60 to >70 years of age, were conducted in Vietnamese. Open-ended questions were used and focussed on experiences of living with diabetes and access to healthcare services in the Inner Northwest Melbourne region. Audio recordings were transcribed and then translated into English. Data were analysed using a thematic analysis framework.ResultsFindings indicate four main themes, which together provide some insight into the experiences of living with diabetes and accessing ongoing care and support, for elderly Vietnamese with type 2 diabetes. Themes included: (1) the value of being healthy; (2) controlling diabetes; (3) staying healthy; and (4) improving services and information access.ConclusionsParticipants in this study were encouraged to adhere to diabetes self-management principles, based largely on a fear of medical complications. Important aspects of healthcare access were identified as; being treated with respect, having their questions answered and having access to interpreters and information in Vietnamese. Attention to these details is likely to lead to improved access to healthcare services and ultimately to improve glycemic control and overall health status for this community.

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Section: Discussionsupporting

confidence: 82%

Diabetes care and service access among elderly Vietnamese with type 2 diabetes

Carolan

Cassar²,

Quiazon

et al. 2013

BMC Health Serv Res

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“…These norms within which interventions are implemented must be understood so that programmes can be optimally successful. 27 The individual who is communicating with the community, and the quality of the information they provide, are important. 28 Our results suggest that in the Bijagos Islands, individuals higher up in the ‘hierarchy’ (well-respected doctors) would be best placed to do this.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and perceived utility of different diagnostic tests and sample types for trachoma surveillance in the Bijagos Islands, Guinea Bissau

Sahota

Sanha

Last

et al. 2021

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background Trachoma is the leading infectious cause of blindness worldwide and is nearing elimination as a public health problem in Guinea Bissau. It is imperative that elimination is followed by a successful postvalidation surveillance programme. The aim of this study was to determine the acceptability and perceived utility of different diagnostic tests and sample types that could be used for postvalidation trachoma surveillance in the Bijagos Islands, Guinea Bissau. Methods Semistructured interviews with community members and stakeholders involved in trachoma elimination were followed by focus group discussions with community members, covering experiences with trachoma and views on trachoma diagnostic methods and sample types. Results In this setting, all diagnostic tests and sample types used for trachoma surveillance were generally considered acceptable by communities. A preference for laboratory-based testing and finger-prick blood samples was expressed as these results were considered more accurate and applicable to a range of diseases beyond trachoma. Conclusions Appropriate community and stakeholder engagement and communication regarding the purpose and processes around diagnostic practice prior to trachoma programme implementation are crucial for long-term successful disease-elimination efforts.

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“…Age and sex of the medical provider were noted as potential barriers in our study. One previous Kenyan study examined provider characteristics that may serve as screening barriers and noted only education level, ethnicity, and primary language as barriers. Fear of pain and discomfort during and after Pap testing, in addition to a belief that screening could damage a woman's genitals (especially for pregnant women or virgins), were noted by both screened and unscreened women and male partners.…”

Section: Discussionmentioning

confidence: 99%

Environmental and Psychosocial Barriers to and Benefits of Cervical Cancer Screening in Kenya

et al. 2017

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Background. Cervical cancer is the second most commonly diagnosed cancer in females and is a leading cause of cancerrelated mortality in Kenya; limited cervical cancer screening services may be a factor. Few studies have examined men's and women's perceptions on environmental and psychosocial barriers and benefits related to screening. Materials and Methods. In 2014, 60 women aged 25-49 years and 40 male partners participated in 10 focus groups (6 female and 4 male), in both rural and urban settings (Nairobi and Nyanza, Kenya), to explore perceptions about barriers to and benefits of cervical cancer screening. Focus groups were segmented by sex, language, geographic location, and screening status. Data were transcribed, translated into English, and analyzed by using qualitative software. Results. Participants identified screening as beneficial for initiating provider discussions about cancer but did not report it as a

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Kenyan patients’ attitudes regarding doctor ethnicity and doctor–patient ethnic discordance

Cited by 18 publications

References 32 publications

Diabetes care and service access among elderly Vietnamese with type 2 diabetes

Diabetes care and service access among elderly Vietnamese with type 2 diabetes

Acceptability and perceived utility of different diagnostic tests and sample types for trachoma surveillance in the Bijagos Islands, Guinea Bissau

Environmental and Psychosocial Barriers to and Benefits of Cervical Cancer Screening in Kenya

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