Access to Healthcare: Perceptions of Higher Socioeconomic African-Americans in the South

2.50
Hdl Handle:
http://hdl.handle.net/10755/154867
Type:
Presentation
Title:
Access to Healthcare: Perceptions of Higher Socioeconomic African-Americans in the South
Abstract:
Access to Healthcare: Perceptions of Higher Socioeconomic African-Americans in the South
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:NeSmith, Elizabeth, PhD, MSN, RN
P.I. Institution Name:Georgia Health Sciences University
Title:Assistant Professor
Co-Authors:Rosalind Jones DNP, PMHCNS-BC, Assistant Professor
Laurie Landrum BSN, MSN, PhD Nursing Student
Jeannette O. Andrews PhD, APRN, BC, Associate Dean for Research and Evaluation, Director, Center for Community Health Partnerships
[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose: Health disparities have been reported for African Americans (AAs) for nearly all major causes of death and disability. Lack of access to care is a contributor to health disparities. While studies have shown that low socioeconomic status has been a significant barrier to health care access, differences in access persist for AAs even when socioeconomic status is not a factor.  The purpose of this study was to identify perceived barriers to health care access among socioeconomically-advantaged AAs in the southeast.
Methods: We conducted a qualitative study using community-based participatory research methods and focus group methodology. We recruited AAs age ?18 years from a health disparities community advisory board mailing list, local churches, and the community-at-large. Focus group questions were developed by a qualitative research expert. Interviews were conducted by an AA Psychiatric Clinical Nurse Specialist with expertise in focus group techniques. Recorded sessions were transcribed verbatim, analyzed, and categorized into recurrent themes by qualitative research experts. Results: We interviewed three focus groups with 8-10 participants each. Mean age of participants was 48.8 years (range 24-69 years). All were high school graduates; >60% were college educated. Participants identified cost, race/racism, and challenges navigating the system as barriers to health care. Conclusion:
Results support that socioeconomically advantaged AAs perceive cost, race/racism, and navigating the system as primary barriers to health care access. Two of these themes are consistent with national health care initiatives: cost is an on-going health care policy issue and navigational difficulties have been acknowledged by the United States government as a primary barrier to care for wounded soldiers.  Racism however, is a unique and persistent concern for AAs that transcends socioeconomic status.  Implications for future research include utilizing community-based participatory research methods and qualitative inquiry as key methods to identify and improve health disparities and health care access.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAccess to Healthcare: Perceptions of Higher Socioeconomic African-Americans in the Southen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154867-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Access to Healthcare: Perceptions of Higher Socioeconomic African-Americans in the South</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">NeSmith, Elizabeth, PhD, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Georgia Health Sciences University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bnesmith@mcg.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Rosalind Jones DNP, PMHCNS-BC, Assistant Professor<br/>Laurie Landrum BSN, MSN, PhD Nursing Student<br/>Jeannette O. Andrews PhD, APRN, BC, Associate Dean for Research and Evaluation, Director, Center for Community Health Partnerships</td></tr><tr><td colspan="2" class="item-abstract">[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose: Health disparities have been reported for African Americans (AAs) for nearly all major causes of death and disability. Lack of access to care is a contributor to health disparities. While studies have shown that low socioeconomic status has been a significant barrier to health care access, differences in access persist for AAs even when socioeconomic status is not a factor.&nbsp; The purpose of this study was to identify perceived barriers to health care access among socioeconomically-advantaged AAs in the southeast. <br/>Methods: We conducted a qualitative study using community-based participatory research methods and focus group methodology. We recruited AAs age ?18 years from a health disparities community advisory board mailing list, local churches, and the community-at-large. Focus group questions were developed by a qualitative research expert. Interviews were conducted by an AA Psychiatric Clinical Nurse Specialist with expertise in focus group techniques. Recorded sessions were transcribed verbatim, analyzed, and categorized into recurrent themes by qualitative research experts. Results: We interviewed three focus groups with 8-10 participants each. Mean age of participants was 48.8 years (range 24-69 years). All were high school graduates; &gt;60% were college educated. Participants identified cost, race/racism, and challenges navigating the system as barriers to health care.&nbsp;Conclusion: <br/>Results support that socioeconomically advantaged AAs perceive cost, race/racism, and navigating the system as primary barriers to health care access. Two of these themes are consistent with national health care initiatives: cost is an on-going health care policy issue and navigational difficulties have been acknowledged by the United States government as a primary barrier to care for wounded soldiers.&nbsp; Racism however, is a unique and persistent concern for AAs that transcends socioeconomic status.&nbsp; Implications for future research include utilizing community-based participatory research methods and qualitative inquiry as key methods to identify and improve health disparities and health care access.</td></tr></table>en_GB
dc.date.available2011-10-26T13:20:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:20:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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