Chuukese migrant women in Guam: Perceptions of barriers to health care

This descriptive qualitative study examined perceived barriers to health care among Chuukese migrant women in Guam and explored which factors influenced health-seeking behaviors. Study participants recommended interventions which may reduce those perceived barriers. Since the Compact of Free Associa...

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Main Author: Margaret Hattori-Uchima
Format: Article
Language:English
Published: JMIR Publications 2017-04-01
Series:Asian/Pacific Island Nursing Journal
Subjects:
Online Access:http://digitalscholarship.unlv.edu/apin/vol2/iss1/3/
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author Margaret Hattori-Uchima
author_facet Margaret Hattori-Uchima
author_sort Margaret Hattori-Uchima
collection DOAJ
description This descriptive qualitative study examined perceived barriers to health care among Chuukese migrant women in Guam and explored which factors influenced health-seeking behaviors. Study participants recommended interventions which may reduce those perceived barriers. Since the Compact of Free Association with the United States was enacted in 1985, there has been a dramatic rise in the numbers of Chuukese migrating to Guam. This migration is anticipated to continue with more migrants needing health care, education, and social services. Little is known about their perceptions of barriers to health care services or the cultural, social, economic, and other factors that influence their health-seeking behaviors. Focus group interviews provided rich data, which were analyzed using content analysis. Themes included barriers to seeking and maintaining health and social and cultural factors influencing health-seeking behaviors. Major barriers identified were financial issues, difficulty in obtaining care due to long wait times, transportation problems, and struggles with both language and cultural nuances of communication. It was found that the women identified a mistrust of health and social services resulting from communication barriers. Social and cultural factors included the use of traditional Chuukese medicines, lack of preventive care services, confidentiality concerns, and feelings of mistreatment. Participants made recommendations for improved care and expressed a strong desire to achieve the mutual goal of better health care for Chuukese migrants in Guam.
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spelling doaj.art-36beee5eee1843618f4f0e15977e179e2022-12-22T00:24:57ZengJMIR PublicationsAsian/Pacific Island Nursing Journal2373-66582017-04-0121192810.9741/23736658.1049Chuukese migrant women in Guam: Perceptions of barriers to health careMargaret Hattori-Uchima0University of GuamThis descriptive qualitative study examined perceived barriers to health care among Chuukese migrant women in Guam and explored which factors influenced health-seeking behaviors. Study participants recommended interventions which may reduce those perceived barriers. Since the Compact of Free Association with the United States was enacted in 1985, there has been a dramatic rise in the numbers of Chuukese migrating to Guam. This migration is anticipated to continue with more migrants needing health care, education, and social services. Little is known about their perceptions of barriers to health care services or the cultural, social, economic, and other factors that influence their health-seeking behaviors. Focus group interviews provided rich data, which were analyzed using content analysis. Themes included barriers to seeking and maintaining health and social and cultural factors influencing health-seeking behaviors. Major barriers identified were financial issues, difficulty in obtaining care due to long wait times, transportation problems, and struggles with both language and cultural nuances of communication. It was found that the women identified a mistrust of health and social services resulting from communication barriers. Social and cultural factors included the use of traditional Chuukese medicines, lack of preventive care services, confidentiality concerns, and feelings of mistreatment. Participants made recommendations for improved care and expressed a strong desire to achieve the mutual goal of better health care for Chuukese migrants in Guam.http://digitalscholarship.unlv.edu/apin/vol2/iss1/3/Chuukesehealth disparitiesmarginalizationmigrant womenhealth-seeking
spellingShingle Margaret Hattori-Uchima
Chuukese migrant women in Guam: Perceptions of barriers to health care
Asian/Pacific Island Nursing Journal
Chuukese
health disparities
marginalization
migrant women
health-seeking
title Chuukese migrant women in Guam: Perceptions of barriers to health care
title_full Chuukese migrant women in Guam: Perceptions of barriers to health care
title_fullStr Chuukese migrant women in Guam: Perceptions of barriers to health care
title_full_unstemmed Chuukese migrant women in Guam: Perceptions of barriers to health care
title_short Chuukese migrant women in Guam: Perceptions of barriers to health care
title_sort chuukese migrant women in guam perceptions of barriers to health care
topic Chuukese
health disparities
marginalization
migrant women
health-seeking
url http://digitalscholarship.unlv.edu/apin/vol2/iss1/3/
work_keys_str_mv AT margarethattoriuchima chuukesemigrantwomeninguamperceptionsofbarrierstohealthcare