Qualitative Health Research最新文献_第9页

"If You Look Closely, You Have Everything …": Ideas of a Good Life Among Middle-Aged Individuals With Heart Disease: An Interpretative Phenomenological Analysis. “如果你仔细看，你拥有一切……”：中年心脏病患者的美好生活理念：解释性现象学分析。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-17 DOI: 10.1177/10497323251322662

Daniel Broschmann, Lisa Nebel, Evelyn Kleinert, Laura Mohacsi, Monika Sadlonova, Christopher Traylor, Christoph Herrmann-Lingen

{"title":"\"If You Look Closely, You Have Everything …\": Ideas of a Good Life Among Middle-Aged Individuals With Heart Disease: An Interpretative Phenomenological Analysis.","authors":"Daniel Broschmann, Lisa Nebel, Evelyn Kleinert, Laura Mohacsi, Monika Sadlonova, Christopher Traylor, Christoph Herrmann-Lingen","doi":"10.1177/10497323251322662","DOIUrl":"https://doi.org/10.1177/10497323251322662","url":null,"abstract":"Heart disease at an early or middle age is critical, especially when accompanied by an acute cardiac event with or without sudden cardiac arrest (SCA). Owing to this situation, patients describe changes in their health-related quality of life as well as in their future plans and goals. This study examined changes in ideas of a good life due to heart disease treated in an acute hospital. In our study, 16 patients aged 30-59 years were included. Among them, four had SCA, seven myocardial infarction, and five other serious cardiac conditions, such as cardiac arrhythmia. Advanced chronic heart failure was noted in five, and four had implantable cardioverter defibrillators. Phenomenological semi-structured interviews of 50-100 min each were conducted with a purposive sample and analyzed using interpretative phenomenological analysis. The ideas of a good life and changes in future lifestyle following a serious heart disease were reported by patients. These experiences were summarized into five superordinate themes: \"My bodily trust is gone,\" \"Simply living a modest life,\" \"Actively shaping my life again,\" \"Being more in contact with relevant people,\" and \"Grateful for the gift of my new life.\" Living a more modest life and actively shaping life again are two new aspects of the ideas of a good life. Further studies should be conducted in cardiac patients with lower disease burden and young patients with congenital heart disease, with a focus on sex-specific issues.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251322662"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment Burden and Uncertainty in the Context of Advanced Multimorbidity: A Focussed Ethnography. 晚期多病背景下的治疗负担和不确定性：一个集中的人种学。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-14 DOI: 10.1177/10497323251320836

Chris McParland, Bridget Johnston, Mark Cooper

{"title":"Treatment Burden and Uncertainty in the Context of Advanced Multimorbidity: A Focussed Ethnography.","authors":"Chris McParland, Bridget Johnston, Mark Cooper","doi":"10.1177/10497323251320836","DOIUrl":"https://doi.org/10.1177/10497323251320836","url":null,"abstract":"Advanced multimorbidity is the term used to describe when someone has multiple chronic conditions including those which are associated with palliative care needs. People living with advanced multimorbidity have to coordinate and undertake lots of different tasks related to their chronic conditions, and this can lead to them feeling overburdened, and disengagement from treatment regimes. In this study, we sought to explore how this \"treatment burden\" was experienced by people with advanced multimorbidity and their caregivers. We adopted a focussed ethnographic approach, in which patient/carer dyads (six groups of two, recruited from an emergency department) took part in two semi-structured interviews and kept a participant-led journal of treatment burden experiences. We also offered to observe any burdensome activities, although only one such session was conducted. A reflexive thematic analysis of the data was conducted by a single researcher, in which data were coded both inductively and through the lens of Burden of Treatment Theory, plus two theories of uncertainty (Total Uncertainty and Uncertainty Tolerance). The types of patient work were split between practical tasks (such as taking medicines or going to hospital) and cognitively burdensome activities (such as symptom surveillance and planning ahead). Burden of Treatment Theory was useful in understanding how work was distributed between patients and their relational networks. We found that multidimensional uncertainty mediated the balance between workload and capacity, and we propose a conceptual model of this relationship alongside a suggestion for how interventions can be used to manage uncertainty and burden.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251320836"},"PeriodicalIF":2.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group Body Mapping: Exploring Intersectional Aspects of Obstetric Violence Through Embodiment-Experiences of Migrant Women in Situations of Vulnerability. 群体身体映射：通过体现弱势移民妇女的经历来探索产科暴力的交叉方面。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-12 DOI: 10.1177/10497323251316444

Serena Brigidi

{"title":"Group Body Mapping: Exploring Intersectional Aspects of Obstetric Violence Through Embodiment-Experiences of Migrant Women in Situations of Vulnerability.","authors":"Serena Brigidi","doi":"10.1177/10497323251316444","DOIUrl":"https://doi.org/10.1177/10497323251316444","url":null,"abstract":"This study investigated the use of group body mapping as a methodological tool to explore experiences of obstetric violence among migrant women from Senegal, Morocco, and Pakistan in Catalonia. The research aimed to assess the effectiveness of group body mapping in identifying the barriers these women faced during pregnancy, childbirth, and the postpartum period, while also highlighting the intersectional dimensions of obstetric violence. The study identified seven key codes-Issues/Barriers, Trust, Gender, Body/Embodiment, Significant Relationships, Employment, and Gender-Based Violence-which were analyzed from an intersectional perspective. Group body mapping was presented as an effective strategy to visualize structural and invisible barriers, offering a deeper understanding of the sociocultural dynamics that affected migrant women's access to and experience of sexual and reproductive health services. This technique complemented traditional research methods by capturing complex narratives and revealing systemic structures tied to social status, gender, religion, language, and age. It empowered women to reclaim agency over their experiences within historically medicalized and colonized healthcare systems. Ultimately, the research highlighted the transformative potential of group body mapping in advancing healthcare equity and promoting culturally and gender-sensitive sexual and reproductive health services for marginalized populations.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251316444"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mechanism-Based Middle-Range Theories: Using Realist Syntheses to Reconcile Specificity to Context and Generalizability. 基于机制的中庸理论：用现实主义综合理论调和特殊性与语境和概括性。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-12 DOI: 10.1177/10497323251316401

Ferdinand C Mukumbang, Geoff Wong

{"title":"Mechanism-Based Middle-Range Theories: Using Realist Syntheses to Reconcile Specificity to Context and Generalizability.","authors":"Ferdinand C Mukumbang, Geoff Wong","doi":"10.1177/10497323251316401","DOIUrl":"https://doi.org/10.1177/10497323251316401","url":null,"abstract":"Realist synthesis is a recognized methodological approach to evidence synthesis to inform evidence-based health policy and practice. The implicit assumption behind research synthesis is that the evidence it generates should be generalizable--drawing broad inferences from specific observations. While this understanding is generally shared among social scientists, tensions exist between having generalizable evidence and how this evidence can be useful in specific contexts. This paper considers the role of mechanism-based middle-range theories obtained from realist synthesis in bridging specificity to context and generalizability. Retroductive theorizing in realist synthesis helps to identify ideas about mechanisms related to the phenomenon embedded in the social and organizational contexts that could, in principle, have a much broader application. Also, because mechanism-based middle-range theories are linked to contextual features, they capture contextual nuances to enhance evidence implementation. We conclude that middle-range mechanisms provide an opportunity to achieve generalizability and contextualization in implementation science.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251316401"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global Voices of Trauma Recovery: A Synthesis of Survivor-Provided Advice for Overcoming Gender-Based Violence Across Seven Countries. 全球创伤康复之声：综合七个国家幸存者提供的克服基于性别的暴力的建议。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-04 DOI: 10.1177/10497323241307001

Laura Sinko, Minna Sorsa, Leisha Beardmore, Karen Birna Thorvaldsdottir, Hulda Sædís Bryngeirsdóttir, Sachiko Kita, Kleio Koutra, Zeynep Zonp, Maddalena Rodelli, Jari Kylmä, Mari Ikeda, Denise Saint Arnault

{"title":"Global Voices of Trauma Recovery: A Synthesis of Survivor-Provided Advice for Overcoming Gender-Based Violence Across Seven Countries.","authors":"Laura Sinko, Minna Sorsa, Leisha Beardmore, Karen Birna Thorvaldsdottir, Hulda Sædís Bryngeirsdóttir, Sachiko Kita, Kleio Koutra, Zeynep Zonp, Maddalena Rodelli, Jari Kylmä, Mari Ikeda, Denise Saint Arnault","doi":"10.1177/10497323241307001","DOIUrl":"https://doi.org/10.1177/10497323241307001","url":null,"abstract":"Minimal research has examined culturally nuanced healing experiences across national landscapes, highlighting the need for a comprehensive understanding of culturally relevant healing experiences for survivors of gender-based violence (GBV). This paper explores these experience among 136 survivors of GBV across seven global contexts. Using the Clinical Ethnographic Narrative Interview-Trauma, after reflecting on their healing journey, survivors shared advice for others healing from GBV. Using the Comparative Ethnographic Narrative Analysis Method, we found shared, culturally distinct, and nuanced themes in this advice, including actions to promote healing, building a positive self-concept, and finding strength. Findings underscore the importance of contextually sensitive and survivor-informed approaches in social and health services, urging more tailored healing strategies after GBV. Findings also demonstrate the importance of analyzing cultural nuance in qualitative research themes to allow more culturally relevant survivorship care.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323241307001"},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Collaboration Between Staff, Family Members, and Artists in Long-Term Dementia Care: A Participatory Action Research Project Into Health Care Clowning. 在长期痴呆症护理中改善工作人员、家庭成员和艺术家之间的合作：医疗保健小丑的参与性行动研究项目。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-04 DOI: 10.1177/10497323251316426

Lieke de Kock, Barbara Groot, Jolanda Lindenberg, Charlotte Langemeijer, Silvia de Faveri, Katharina Lessiak, Elisabeth Fajt, Carmen Valero, Tineke A Abma

{"title":"Improving Collaboration Between Staff, Family Members, and Artists in Long-Term Dementia Care: A Participatory Action Research Project Into Health Care Clowning.","authors":"Lieke de Kock, Barbara Groot, Jolanda Lindenberg, Charlotte Langemeijer, Silvia de Faveri, Katharina Lessiak, Elisabeth Fajt, Carmen Valero, Tineke A Abma","doi":"10.1177/10497323251316426","DOIUrl":"https://doi.org/10.1177/10497323251316426","url":null,"abstract":"A growing amount of evidence shows the positive impact of arts-based interventions in dementia care. Existing studies focus on the impact of such interventions on individuals with dementia, yet there is little known about contextual factors influencing the impact of such practices. Contextual factors include personal and relational processes, such as the collaboration between staff, family members, and artists. It also includes making specific organizational choices about the way in which arts and care organizations structure and organize their collaboration. The study aimed to investigate contextual factors influencing the potential impact of health care clowning for persons with dementia. Through multi-country participatory action research (PAR) into health care clowning in dementia care, this study engaged artists (health care clowns), staff, family members, and representatives from four long-term dementia care facilities and three health care clowning organizations. The presented findings show that for arts-based interventions to have sustainable impact within the context of long-term dementia care, focusing on the intervention itself is not enough. Additional time and space are needed for implementation of the intervention and good collaboration on the work floor. The results of this study demonstrate that elements in the PAR process such as open dialogue and arts-based research methods can create communicative spaces which can serve as a catalyst for effective implementation of arts-based practices in long-term dementia care. Elements of the PAR process can therefore be regarded as a form of successful boundary work and in the future could be applied when implementing arts-based interventions in care settings.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251316426"},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creating "a Safe Place to Go": Yarning With Health Workers About Stroke Recovery Care for Aboriginal Stroke Survivors-A Qualitative Study. 创造 "安全去处"：与医护人员一起学习土著卒中幸存者的卒中康复护理--定性研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-01 Epub Date: 2024-08-28 DOI: 10.1177/10497323241268776

Heidi Janssen, Simone Owen, Amy Thompson, Jackson Newberry-Dupe, Natalie Ciccone, Reakeeta Smallwood, Uncle Neville Sampson, Vickie Brandy, Joe Miller, Aunty Audrey Trindall, Rachel Peake, Kim Usher, Christopher Levi

{"title":"Creating \"a Safe Place to Go\": Yarning With Health Workers About Stroke Recovery Care for Aboriginal Stroke Survivors-A Qualitative Study.","authors":"Heidi Janssen, Simone Owen, Amy Thompson, Jackson Newberry-Dupe, Natalie Ciccone, Reakeeta Smallwood, Uncle Neville Sampson, Vickie Brandy, Joe Miller, Aunty Audrey Trindall, Rachel Peake, Kim Usher, Christopher Levi","doi":"10.1177/10497323241268776","DOIUrl":"10.1177/10497323241268776","url":null,"abstract":"Stroke affects Aboriginal people at disproportionate rates compared to other populations in Australia. Aboriginal peoples are less likely to receive a timely stroke diagnosis, or timely culturally responsive treatment, as there are very few stroke resources and recovery plans that have been developed by Aboriginal peoples for Aboriginal peoples. Understanding how to develop and implement culturally responsive stroke care requires research approaches that are informed by and with Aboriginal people. A qualitative Indigenous research methodology including \"yarning\" was undertaken to understand the experiences of both Aboriginal and non-Aboriginal health workers from nine health services providing stroke rehabilitation and recovery support to Aboriginal people living within the participating communities. Data were analyzed using an inductive approach driven by an Indigenous research approach. Yarns revealed three themes: (i) the role of culturally safe health environments to support stroke survivors, their family, and health workers; and how (ii) complicated, under-resourced systems impede the capacity to support stroke survivors; and (iii) collaborative and adaptive practices prevent people \"falling through the cracks.\" This study highlights the need to scrutinize the cultural safety of health care, current health systems, workforce, and culture and how these influence the capacity of health workers to provide care that is responsive to the individual needs of Aboriginal stroke survivors and their families. These learnings will inform the co-design of a culturally responsive stroke recovery care strategy to improve the recovery experience and health and well-being of Aboriginal people and their families living with stroke.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"366-378"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disruption and Improvisation: Experiences of Loneliness for People With Chronic Illness. 中断与即兴：慢性病患者的孤独体验》。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-01 Epub Date: 2024-08-26 DOI: 10.1177/10497323241265329

Melissa Mei Yin Cheung, Sophie Lewis, Revati Raja, Karen Willis, Leslie Dubbin, Anne Rogers, Maja Lindegaard Moensted, Lorraine Smith

{"title":"Disruption and Improvisation: Experiences of Loneliness for People With Chronic Illness.","authors":"Melissa Mei Yin Cheung, Sophie Lewis, Revati Raja, Karen Willis, Leslie Dubbin, Anne Rogers, Maja Lindegaard Moensted, Lorraine Smith","doi":"10.1177/10497323241265329","DOIUrl":"10.1177/10497323241265329","url":null,"abstract":"Chronic illness can disrupt many aspects of life, including identity, social relationships, and anticipated life trajectories. Despite significant scholarship on chronic illness, we know less about the ways in which chronic illness impacts feelings of loneliness and how people with chronic illness deal with loneliness. Drawing on concepts of biographical disruption and liminality and data from walking and photo-elicitation interviews with 14 people, we aimed to explore how people with chronic illness experience loneliness in their everyday lives. Tracing how past and present illness experiences are implicated in the lived experience of loneliness and the strategies people use to manage loneliness, our findings illustrated that being caught in a liminal state where participants struggled to maintain and adapt to a new normality in life with chronic illness was a central thread woven throughout their experience of loneliness. Although participants drew on their personal agency and adopted strategies to account for, manage, and limit disruptions from chronic illness and loneliness, they found that their strategies were not completely effective or satisfactory. Chronic illness and loneliness continue to be largely considered as an individual's problem, limiting opportunities for people with chronic illness who experience loneliness to seek support and social connection. Our research highlighted that chronic illness and loneliness need to be acknowledged as both a personal and collective problem, with multi-level responses that involve individuals, communities, and society.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"319-334"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dealing With Temporality in Patients With Life-Limiting Disease: An International Qualitative Study. 限期生存疾病患者的时间性处理：一项国际定性研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-01 Epub Date: 2024-08-26 DOI: 10.1177/10497323241263751

Melanie Joshi, Guðlaug Helga Ásgeirsdóttir, Miša Bakan, Hana Kodba Čeh, Dagny Renata Faksvåg Haugen, Urška Lunder, Eva Víbora Martín, Beth Morris, Birgit H Rasmussen, Elisabeth Romarheim, Vilma Tripodoro, Agnes van der Heide, Verónica Veloso, Berivan Yildiz, Sofía Zambrano, Julia Strupp, Raymond Voltz

{"title":"Dealing With Temporality in Patients With Life-Limiting Disease: An International Qualitative Study.","authors":"Melanie Joshi, Guðlaug Helga Ásgeirsdóttir, Miša Bakan, Hana Kodba Čeh, Dagny Renata Faksvåg Haugen, Urška Lunder, Eva Víbora Martín, Beth Morris, Birgit H Rasmussen, Elisabeth Romarheim, Vilma Tripodoro, Agnes van der Heide, Verónica Veloso, Berivan Yildiz, Sofía Zambrano, Julia Strupp, Raymond Voltz","doi":"10.1177/10497323241263751","DOIUrl":"10.1177/10497323241263751","url":null,"abstract":"The prospect of death influences people's thoughts about and how they deal with their remaining time. We aimed to understand whether patients with progressive, life-limiting diseases are oriented in the past, present, or future and how they deal with temporality. We conducted 57 in-depth interviews with end-of-life patients in 10 countries using thematic analysis at three levels (i.e., locally in three countries, with codes shared in the three-country subgroup, and in all 10 countries with a codebook that we developed). We found that the patients' thoughts were oriented toward all three time levels (i.e., past, present, and future). Complementing these levels, we identified another, namely, the future after death. Each time level included patients actively and passively dealing with their thoughts. Past themes were remorse and regret, nostalgia, and coming to terms with past choices; present themes were feeling grateful for being alive, a time for farewells, and living for the day; future themes were worries about the future, to miss out, hope, ideas about death and dying, and planning the near future; and future after death themes were not being there, worries about loved ones, and preparations for a future after death. A changed view on lifetime and avoidance of thinking about a certain time level related to several time levels, while desire to die fluctuated between levels and between acting on and feeling about it. Living for the day, worries about the future, and worries about the well-being of loved ones were common themes in all countries.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"335-348"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Health Impact of Intersectional Minority Identity Stressors on Arab Sexual Minority Women Migrants to the United States. 探索交叉少数群体身份压力对移居美国的阿拉伯性少数群体妇女的健康影响。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-03-01 Epub Date: 2024-08-22 DOI: 10.1177/10497323241265288

Aeysha Chaudhry, Jennifer Hebert-Beirne, Edward J Alessi, Maya Z Khuzam, Uchechi Mitchell, Yamile Molina, Dhuha Wasfie, Samara Fox, Sarah Abboud

{"title":"Exploring the Health Impact of Intersectional Minority Identity Stressors on Arab Sexual Minority Women Migrants to the United States.","authors":"Aeysha Chaudhry, Jennifer Hebert-Beirne, Edward J Alessi, Maya Z Khuzam, Uchechi Mitchell, Yamile Molina, Dhuha Wasfie, Samara Fox, Sarah Abboud","doi":"10.1177/10497323241265288","DOIUrl":"10.1177/10497323241265288","url":null,"abstract":"Using an intersectionality lens and the minority stress theory as our theoretical grounding, this qualitative study is the first to examine the mental health of Arab sexual minority women (SMW) migrants to the United States. The study aimed to (1) explore the perceptions and experiences of intersectional minority identity-related life stressors and (2) discern their impact on the mental health of first-generation Arab SMW migrants. From December 2022 to March 2023, we conducted 20 semi-structured interviews with Arab SMW migrants. Guided by principles of community engagement in research, four community advisors, including three Arab SMW migrants and a mental health service provider, assisted in mock interviews, recruitment, and data analysis. This enriched our thematic analysis providing a nuanced understanding of Arab SMW migrant experiences. Participants reflected diverse nationalities, socioeconomic statuses, and religions and identified as lesbian, bisexual, or queer. Our sample included asylum seekers, documented migrants, and non-binary individuals (assigned female at birth). Findings revealed three major themes: (1) Community- and Interpersonal-Level Stressors, (2) Strategies for Coping with Stressors, and (3) Impact of Intersectional Life Stressors on Mental Health. Community- and interpersonal-level stressors included challenges navigating migration-related stressors, rejection and discrimination from the Arab, queer, and dominant-group (i.e., non-Arab, non-White) communities, and experiences of invalidation of their intersectional identities. Coping mechanisms included avoidance, identity concealment, and seeking social support. Participants reported various mental health impacts, from anxiety, depression to suicidal thoughts, emphasizing the urgency for tailored interventions. Participants called for the development of support groups specifically for Arab SMW migrants.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"305-318"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0