非正式支持网络在移民青年心理健康服务导航中的作用。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Melanie Escue, Heide Castañeda, Elizabeth Aranda
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引用次数: 0

摘要

先前的研究表明,结构性障碍(如法律地位、缺乏健康保险和成本)和社会文化障碍(如宗教信仰和耻辱)阻碍了移民利用正式的医疗保健服务。对于拥有临时合法身份的移民来说,这个问题更加严重。对于他们如何克服障碍,接受心理健康需求的护理,以及他们如何应对这些障碍,人们知之甚少。一种形式的临时身份是“童年抵美者暂缓遣返计划”(DACA),该计划为符合条件的无证年轻人提供有限的福利——为一些通过大学或工作获得医疗服务和保险的人提供更多的机会。然而,这些机会是有条件的,以一个不断面临终止风险的项目的继续为前提。虽然DACA通常被认为是非法身份背景下的一种稳定和特权形式,但它也有其自身的压力因素,包括额外的责任和计划的不稳定性。利用极限合法性的概念,我们说明了51名拥有DACA的年轻人如何使用反身性主题分析来克服获取和接受精神卫生保健服务的障碍。我们的研究结果为支持网络在寻求医疗保健行为中的关键作用提供了见解,并强调了亲密他人之间沟通支持的重要性。研究结果为进一步研究美国临时移民的心理健康寻求行为及其对政策变化的影响提供了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Informal Support Networks in Immigrant Young Adults' Navigation of Mental Healthcare Services.

Prior studies reveal that both structural (e.g., legal status, lack of health insurance, and cost) and sociocultural (e.g., religious beliefs and stigma) barriers prevent immigrants from utilizing formal healthcare services. This problem is exacerbated for immigrants with temporary legal statuses. Less is known about how they navigate barriers to receiving care for mental health needs and how they cope with these barriers. One form of temporary status, the Deferred Action for Childhood Arrivals (DACA) program, offers limited benefits to eligible undocumented young adults-providing increased access to healthcare services and insurance opportunities for some through college or work. However, these opportunities are conditional, predicated on the continuance of a program constantly at risk of termination. While DACA is generally considered a form of stability and privilege within the context of irregular legal statuses, it comes with its own stressors including additional responsibilities and the instability of the program. Drawing on the concept of liminal legality, we illustrate how 51 young adults with DACA navigate barriers to accessing and receiving mental healthcare services using reflexive thematic analysis. Our findings offer insight into the pivotal role of support networks in healthcare-seeking behaviors and highlight the importance of communication support among close others. Findings offer suggestions for future research exploring the mental healthcare-seeking behaviors of temporary migrants in the United States and implications for policy changes.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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