Through the patient lens: exploring the lived experiences of African American and Latinx adults with Chronic Kidney Disease.

IF 2.6 3区 医学 Q1 ETHNIC STUDIES
Sadia Anjum Ashrafi, Minakshi Raj, Ana Selzer, Laura Quintero Silva, Rosalba Hernandez, Norman Hernandez, Katie Hopkins, Omar Ortiz, Michelle Martinez, Andiara Schwingel
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引用次数: 0

Abstract

Objective: Chronic Kidney Disease (CKD) disproportionately impacts African American and Latinx populations in the United States. This study utilized a participatory photo-elicitation approach to explore how African American and Latinx individuals with CKD perceive and navigate their disease journeys.

Method: In this qualitative study, remote semi-structured interviews were conducted with a total of 20 African American and Latinx individuals with CKD, and the data were analyzed using reflexive thematic analysis.

Results: Participants' ages ranged from 30 to 67, with 60% identifying as women and 30% reporting annual incomes <$20,000. Data analysis uncovered four key themes: (1) 'The Burden of CKD,' highlighting the physical, social, and emotional toll on patients; (2) 'Navigating CKD with Positivity and Support,' showcasing strategies to cultivate psychological well-being; (3) 'Systemic Difficulties,' addressing barriers within the healthcare system; and (4) 'Building Bridges in the Kidney Community,' illustrating advocacy efforts to combat CKD.

Discussion: This study highlights the nuanced experiences of African American and Latinx individuals with CKD, highlighting their challenges and resilience. These findings emphasize the need for inclusive healthcare strategies that address these racially/ethnically diverse populations' unique needs to improve health outcomes.

透过病人的镜头:探索非裔美国人和拉丁裔成人慢性肾脏疾病的生活经历。
目的:慢性肾脏疾病(CKD)不成比例地影响非裔美国人和拉丁裔美国人。本研究采用参与式照片启发方法来探索非裔美国人和拉丁裔CKD患者如何感知和导航他们的疾病旅程。方法:本定性研究采用远程半结构化访谈方式,对20名非裔美国人和拉丁裔慢性肾病患者进行访谈,并采用自反性主题分析方法对数据进行分析。结果:参与者的年龄从30岁到67岁不等,60%的人认为自己是女性,30%的人报告年收入是“慢性肾病的负担”,突出了患者的身体、社会和情感损失;(2)“以积极和支持引导慢性肾病”,展示培养心理健康的策略;(3)“系统性困难”,解决医疗系统内部的障碍;和(4)“在肾脏社区建立桥梁”,展示了抗击慢性肾病的宣传努力。讨论:本研究强调了非裔美国人和拉丁裔CKD患者的微妙经历,强调了他们的挑战和适应能力。这些发现强调需要制定包容性医疗保健战略,以解决这些种族/民族多样化人群改善健康结果的独特需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ethnicity & Health
Ethnicity & Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
0.00%
发文量
42
审稿时长
>12 weeks
期刊介绍: Ethnicity & Health is an international academic journal designed to meet the world-wide interest in the health of ethnic groups. It embraces original papers from the full range of disciplines concerned with investigating the relationship between ’ethnicity’ and ’health’ (including medicine and nursing, public health, epidemiology, social sciences, population sciences, and statistics). The journal also covers issues of culture, religion, gender, class, migration, lifestyle and racism, in so far as they relate to health and its anthropological and social aspects.
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