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Construction of masculinities among men aged 85 and older in the north of Sweden.

https://arctichealth.org/en/permalink/ahliterature87255
Source
J Clin Nurs. 2008 Feb;17(4):451-9
Publication Type
Article
Date
Feb-2008
Author
Aléx Lena
Hammarström Anne
Norberg Astrid
Lundman Berit
Author Affiliation
Department of Nursing, Umeå University, Umeå, Sweden. lena.alex@nurs.umu.se
Source
J Clin Nurs. 2008 Feb;17(4):451-9
Date
Feb-2008
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Aged, 80 and over - psychology
Aging - psychology
Attitude to Health - ethnology
Family - ethnology
Friends - psychology
Gender Identity
Humans
Interpersonal Relations
Loneliness - psychology
Male
Men - psychology
Nursing Methodology Research
Personal Satisfaction
Power (Psychology)
Prejudice
Qualitative Research
Questionnaires
Residence Characteristics
Self Concept
Sexual Behavior - ethnology
Social Behavior
Social Values
Sweden
Work - psychology
Abstract
AIM: The aim was to analyse the construction of masculinities among men aged 85 and older. BACKGROUND: All societies have a gender order, constructed from multiple ideas of what is seen as feminine and masculine. As the group of men aged 85 and older is increasing in size and their demand for care will increase, we must recognize the importance of studying these men and various discourses of masculinities. DESIGN: Qualitative explorative. METHODS: Qualitative content analysis was used to analyse thematic narratives. Masculinity theories provided the point of departure for the analysis. RESULTS: The analysis coalesced into three masculinities. 'Being in the male centre', developed from subthemes as: taking pride in one's work and economic situation; being in the centre in relation to others; regarding women as sexual objects; and belonging to a select group. 'Striving to maintain the male facade' developed from subthemes as: emphasizing 'important' connections; having feelings of loss; striving to maintain old norms and rejecting the fact of being old. 'Being related' was formulated from subthemes as: feeling at home with domestic duties; being concerned; accepting one's own aging; and reflecting on life. CONCLUSIONS: Our study indicates the importance of being aware of the existence of multiple masculinities, in contrast to the generally unproblematic and unsubtle particular healthcare approaches which consider men as simply belonging to one masculinity. Relevance to clinical practice. Diverse masculinities probably affect encounters between men and healthcare providers and others who work with an older population and therefore our results are of importance in a caring context.
PubMed ID
18205678 View in PubMed
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Perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders.

https://arctichealth.org/en/permalink/ahliterature87639
Source
J Adv Nurs. 2007 Nov;60(3):279-88
Publication Type
Article
Date
Nov-2007
Author
Hultsjö Sally
Berterö Carina
Hjelm Katarina
Author Affiliation
Department of Psychiatry, Ryhov County Hospital, Jönköping, Sweden. sallyhultsjo@hotmail.com
Source
J Adv Nurs. 2007 Nov;60(3):279-88
Date
Nov-2007
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude to Health - ethnology
Female
Health services needs and demand
Humans
Male
Middle Aged
Patient satisfaction
Perception
Psychiatric Nursing
Psychotic Disorders - nursing - psychology
Transients and Migrants - psychology
Abstract
AIM: This paper is a report of a study to explore different perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders. BACKGROUND: Research from different countries reports a high-incidence of psychosis among migrants. The risk-factors discussed are social disadvantages in the new country. To understand and meet the needs of people from different countries, their perspective of psychiatric care must be illuminated and taken into consideration. METHOD: A phenomenographic study was conducted in 2005-2006 using semi-structured interviews with a convenience sample of 12 foreign-born people and 10 Swedish-born people with psychosis. FINDINGS: Three categories were identified: personal and family involvement in care; relating to healthcare staff; and managing illness and everyday life. Foreign-born people differed from Swedish-born people in that they struggled to attain an everyday life in Sweden, relied on healthcare staff as experts in making decisions, and had religious beliefs about mental illness. Among Swedish-born people, the need for more support to relatives and help to perform recreational activities was important. CONCLUSION: It is important to identify individual perceptions and needs, which may be influenced by cultural origins, when caring for patients with psychosis. Previous experience of care, different ways of relating to staff, and individual needs should be identified and met with respect. Social needs should not be medicalized but taken into consideration when planning care, which illustrates the importance of multi-professional co-operation.
PubMed ID
17822426 View in PubMed
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Alcohol use beliefs and behaviors among high school students.

https://arctichealth.org/en/permalink/ahliterature203376
Source
J Adolesc Health. 1999 Jan;24(1):48-58
Publication Type
Article
Date
Jan-1999
Author
L. Feldman
B. Harvey
P. Holowaty
L. Shortt
Author Affiliation
East York Health Unit, Toronto, Ontario, Canada.
Source
J Adolesc Health. 1999 Jan;24(1):48-58
Date
Jan-1999
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior - ethnology - psychology
Alcohol Drinking - ethnology - psychology
Attitude to Health - ethnology
Confidence Intervals
Female
Humans
Life Style - ethnology
Logistic Models
Male
Ontario - epidemiology
Parents
Questionnaires
Random Allocation
Sex Distribution
Socioeconomic Factors
Urban Population - statistics & numerical data
Abstract
To identify specific alcohol use beliefs and behaviors among local high school students; to determine whether relationships exist between alcohol use and various sociodemographic and lifestyle behaviors; and to assist in the development and implementation of alcohol abuse prevention programs.
This cross-sectional study involved the completion of a questionnaire by 1236 Grade 9-13 students (86% response rate) from 62 randomly selected classrooms in three Canadian urban schools. Data analyzed here are part of a larger lifestyle survey.
A total of 24% of students reported never having tasted alcohol, 22% have tasted alcohol but do not currently drink, 39% are current moderate drinkers, 11% are current heavy drinkers (five or more drinks on one occasion at least once a month), and 5% did not answer. Reasons stated most often for not drinking were "bad for health" and "upbringing," while reasons stated most often for drinking were "enjoy it" and "to get in a party mood." Student drinking patterns were significantly related to gender, ethnicity, grade, and the reported drinking habits of parents and friends. Older male adolescents who describe their ethnicity as Canadian are at higher risk for heavy drinking than students who are younger or female, or identify their ethnicity as European or Asian. Current heavy drinkers are at higher risk than other students for engaging in other high-risk behaviors such as drinking and driving, being a passenger in a car when the driver is intoxicated, and daily smoking.
Heavy alcohol use in adolescents remains an important community health concern. Older self-described Canadian and Canadian-born male adolescents are at higher risk for heavy drinking. Current and heavy drinking rises significantly between Grades 9 and 12. Students who drink heavily are more likely to drink and drive, to smoke daily, and to have friends and parents who drink alcohol.
PubMed ID
9890365 View in PubMed
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Completing the circle: elders speak about end-of-life care with aboriginal families in Canada.

https://arctichealth.org/en/permalink/ahliterature144144
Source
J Palliat Care. 2010;26(1):6-14
Publication Type
Article
Date
2010
Author
Mary Hampton
Angelina Baydala
Carrie Bourassa
Kim McKay-McNabb
Cheryl Placsko
Ken Goodwill
Betty McKenna
Pat McNabb
Roxanne Boekelder
Author Affiliation
Luther College, University of Regina Campus, Regina, Saskatchewan, Canada S4S 0A2. mary.hampton@uregina.ca
Source
J Palliat Care. 2010;26(1):6-14
Date
2010
Language
English
Publication Type
Article
Keywords
Aged
Attitude to Death - ethnology
Attitude to Health - ethnology
Community-Based Participatory Research
Cultural Competency
Health Services, Indigenous
Humans
Indians, North American
Professional-Patient Relations
Saskatchewan
Terminal Care
Abstract
In this article, we share words spoken by Aboriginal elders from Saskatchewan, Canada, in response to the research question, "What would you like non-Aboriginal health care providers to know when providing end-of-life care for Aboriginal families?" Our purpose in publishing these results in a written format is to place information shared by oral tradition in an academic context and to make the information accessible to other researchers. Recent theoretical work in the areas of death and dying suggests that cultural beliefs and practices are particularly influential at the end of life; however, little work describing the traditional beliefs and practices of Aboriginal peoples in Canada exists to guide culturally appropriate end-of-life care delivery. Purposive sampling procedures were used to recruit five elders from culturally diverse First Nations in southern Saskatchewan. Key informant Aboriginal elder participants were videotaped by two Aboriginal research assistants, who approached the elders at powwows. Narrative analysis of the key informant interview transcripts was conducted to identify key concepts and emerging narrative themes describing culturally appropriate end-of-life health care for Aboriginal families. Six themes were identified to organize the data into a coherent narrative: realization; gathering of community; care and comfort/transition; moments after death; grief, wake, funeral; and messages to health care providers. These themes told the story of the dying person's journey and highlighted important messages from elders to non-Aboriginal health care providers.
PubMed ID
20402179 View in PubMed
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Factors behind HIV testing practices among Canadian Aboriginal peoples living off-reserve.

https://arctichealth.org/en/permalink/ahliterature144229
Source
AIDS Care. 2010 Mar;22(3):324-31
Publication Type
Article
Date
Mar-2010
Author
Treena R Orchard
Eric Druyts
Colin W McInnes
Ken Clement
Erin Ding
Kimberly A Fernandes
Aranka Anema
Viviane D Lima
Robert S Hogg
Author Affiliation
Faculty of Health Sciences, University of Western Ontario, London, ON, Canada.
Source
AIDS Care. 2010 Mar;22(3):324-31
Date
Mar-2010
Language
English
Publication Type
Article
Keywords
AIDS Serodiagnosis - statistics & numerical data
Adolescent
Adult
Age Factors
Alcohol drinking - epidemiology
Attitude to Health - ethnology
Canada - epidemiology
Epidemiologic Methods
Female
Government Programs
HIV Infections - ethnology - prevention & control
Health Behavior
Health status
Humans
Indians, North American - statistics & numerical data
Male
Sex Factors
Sexual Behavior
Smoking - epidemiology
Socioeconomic Factors
Substance Abuse, Intravenous - epidemiology
Young Adult
Abstract
The objective of this study was to examine factors associated with HIV testing among Aboriginal peoples in Canada who live off-reserve. Data were drawn for individuals aged 15-44 from the Aboriginal Peoples Survey (2001), which represents a weighed sample of 520,493 Aboriginal men and women living off-reserve. Bivariable analysis and logistic regression were used to identify factors associated with individuals who had received an HIV test within the past year. In adjusted multivariable analysis, female gender, younger age, unemployment, contact with a family doctor or traditional healer within the past year, and "good" or "fair/poor" self-rated health increased the odds of HIV testing. Completion of high-school education, rural residency, and less frequent alcohol and cigarette consumption decreased the odds of HIV testing. A number of differences emerged when the sample was analyzed by gender, most notably females who self-reported "good" or "fair/poor" health status were more likely to have had an HIV test, yet males with comparable health status were less likely to have had an HIV test. Additionally, frequent alcohol consumption and less than high-school education was associated with an increased odds of HIV testing among males, but not females. Furthermore, while younger age was associated with an increased odds of having an HIV test in the overall model, this was particularly relevant for females aged 15-24. These outcomes provide evidence of the need for improved HIV testing strategies to reach greater numbers of Aboriginal peoples living off-reserve. They also echo the long-standing call for culturally appropriate HIV-related programming while drawing new attention to the importance of gender and age, two factors that are often generalized under the rubric of culturally relevant or appropriate program development.
PubMed ID
20390512 View in PubMed
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Integrated nursing access program: an approach to prepare aboriginal students for nursing careers.

https://arctichealth.org/en/permalink/ahliterature144504
Source
Int J Nurs Educ Scholarsh. 2010;7:Article10
Publication Type
Article
Date
2010
Author
Carole A Orchard
Paula Didham
Cathy Jong
June Fry
Author Affiliation
University of Western Ontario, Ontario, Canada. corchard@uwo.ca
Source
Int J Nurs Educ Scholarsh. 2010;7:Article10
Date
2010
Language
English
Publication Type
Article
Keywords
Attitude to Health - ethnology
Career Choice
Cultural Characteristics
Curriculum
Education, Nursing, Baccalaureate - organization & administration
Holistic Nursing - education
Humans
Indians, North American - statistics & numerical data
Nurse's Role
Nursing Education Research
Program Evaluation
Saskatchewan
School Admission Criteria
Students, Nursing - statistics & numerical data
Training Support - statistics & numerical data
Abstract
The challenge to transfer the health care of Aboriginal peoples of Canada from non-Aboriginal to predominantly Aboriginal health professionals, requires preliminary innovative approaches in post-secondary education. Described in this paper, is the background, development and progress to date of the Integrated Nursing Access Program (INAP) for Aboriginal students, and its phenomenological approach to curriculum design. Traditional indigenous knowledge and methodologies are embedded in process learning and university-level program activities. Learning in this INAP Bachelor of Nursing program occurs over three years, during which time students complete high school requirements together with some first year nursing courses. The program is followed by three additional years of exclusive baccalaureate level nursing education. To date, students have successfully completed the first half of this program.
PubMed ID
20361858 View in PubMed
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The benefit of meeting a stranger: experiences with emotional support provided by nurses among Danish-born and migrant cancer patients.

https://arctichealth.org/en/permalink/ahliterature144814
Source
Eur J Oncol Nurs. 2010 Jul;14(3):244-52
Publication Type
Article
Date
Jul-2010
Author
M. Kristiansen
T. Tjørnhøj-Thomsen
A. Krasnik
Author Affiliation
Health Services Research Unit, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5A, Building 15, 1014 Copenhagen K, Denmark. m.kristiansen@pubhealth.ku.dk
Source
Eur J Oncol Nurs. 2010 Jul;14(3):244-52
Date
Jul-2010
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude to Health - ethnology
Communication
Communication Barriers
Denmark
Emigrants and Immigrants - psychology
Empathy
Female
Health services needs and demand
Humans
Male
Middle Aged
Neoplasms - ethnology - nursing
Nurse's Role - psychology
Nurse-Patient Relations
Nursing Methodology Research
Oncology Nursing
Psychological Theory
Questionnaires
Residence Characteristics
Social Support
Abstract
Research among cancer patients has shown that emotional support in informal relationships may be difficult to access because of a fear or lack of knowledge about cancer. Consequently, formal relationships with healthcare professionals may be important sources of support.
This study explores needs for and experiences with emotional support provided by nurses as well as prerequisites for the provision of support among Danish-born and migrant cancer patients.
We conducted narrative interviews with 18 adult Danish-born and migrant cancer patients. Patients were recruited from a variety of places in a purposive strategic sampling process. Analysis was inspired by phenomenological methods and Simmel's theoretical concept of "the stranger".
Both Danish-born and migrant patients perceived the support delivered by healthcare professionals as available, empathic and valuable. Prerequisites for providing emotional support were 1) setting aside time for the patient to feel safe and able to verbalise emotional concerns, 2) continuity in relationships with healthcare professionals, and 3) nurses' ability to understand the patient's emotional reactions without creating additional distress.
Being positioned as a stranger to the patient gives nurses a unique position from which to provide emotional support during cancer treatment. Thus, formal relationships with healthcare professionals are of great importance for many cancer patients.
PubMed ID
20236859 View in PubMed
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Doctor-patient communications in the Aboriginal community: towards the development of educational programs.

https://arctichealth.org/en/permalink/ahliterature168226
Source
Patient Educ Couns. 2006 Sep;62(3):340-6
Publication Type
Article
Date
Sep-2006
Author
Angela Towle
William Godolphin
Ted Alexander
Author Affiliation
Department of Medicine, Faculty of Medicine & Division of Health Care Communication, College of Health Disciplines, The University of British Columbia, 3250-910 West 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E3. atowle@interchange.ubc.ca
Source
Patient Educ Couns. 2006 Sep;62(3):340-6
Date
Sep-2006
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Health - ethnology
British Columbia
Clinical Competence - standards
Communication
Cultural Diversity
Empathy
Fear - psychology
Female
Focus Groups
Health Knowledge, Attitudes, Practice
Humans
Indians, North American - education - ethnology
Male
Middle Aged
Models, Psychological
Needs Assessment
Patient Education as Topic - organization & administration
Physician-Patient Relations
Program Development
Qualitative Research
Questionnaires
Self Concept
Time Perception
Trust - psychology
Abstract
Aboriginal people in Canada have poorer health than the rest of the population. Reasons for health disparities are many and include problems in communication between doctor and patient. The objective of this study was to understand doctor-patient communication in Aboriginal communities in order to design educational interventions for medical students based on the needs and experiences of patients.
Experiences of good and poor communication were studied by semi-structured interviews or focus groups with 22 Aboriginal community members, 2 community health representatives and 2 Aboriginal trainee physicians. Transcribed data were coded and subjected to thematic analysis.
Positive and negative experiences of communicating with physicians fell into three broad and interrelated themes: their histories as First Nations citizens; the extent to which the physician was trusted; time in the medical interview.
Aboriginal peoples' history affects their communication with physicians; barriers may be overcome when patients feel they have a voice and the time for it to be heard.
Physicians can improve communication with Aboriginal patients by learning about their history, building trust and giving time.
PubMed ID
16860965 View in PubMed
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Use of diabetes resources in adults attending a self-management education program.

https://arctichealth.org/en/permalink/ahliterature168231
Source
Patient Educ Couns. 2006 Dec;64(1-3):322-30
Publication Type
Article
Date
Dec-2006
Author
Enza Gucciardi
Patricia L Smith
Margaret DeMelo
Author Affiliation
University Health Network Women's Health Program, Toronto, Ont., Canada M5G 2N2. enza.gucciardi@uhn.on.ca
Source
Patient Educ Couns. 2006 Dec;64(1-3):322-30
Date
Dec-2006
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Health - ethnology
Cultural Diversity
Diabetes Mellitus, Type 2 - ethnology - prevention & control
Disease Management
Female
Health Behavior - ethnology
Health services needs and demand
Humans
Information Services
Internet
Male
Mass Media
Middle Aged
Multivariate Analysis
Ontario
Outpatient Clinics, Hospital
Patient Education as Topic - methods
Questionnaires
Regression Analysis
Residence Characteristics
Self Care - methods - psychology
Teaching Materials
Abstract
To identify the types of resources used to acquire information or assistance in the management of diabetes, and to identify persons who are more or less likely to use a variety of diabetes resources.
Through the use of a questionnaire and review of patient records, sociodemographic, clinical, and health care service utilization characteristics were obtained for 267 individuals with type 2 diabetes from a culturally diverse diabetes education centre. Descriptive analyses were performed to provide information on the types of diabetes resources used by age, sex and primary language spoken. Multivariable Poisson regression was used to predict low from high users of a variety of diabetes resources.
On average, most patients used four different resources. The most commonly cited were physicians or endocrinologists; diabetes educators; and magazines, newspapers, books or television. Those who did not speak English, were born outside of Canada, had a lower level of education, or who were older used fewer diabetes resources.
Notably, the characteristics of individuals who are less likely to use resources or a variety of resources reflect the basic determinants of health (i.e., age, sex, ethnicity or primary language spoken, and education).
We need to develop resources that are equitably accessible and of interest to all patients, particularly for individuals who do not speak English, who have lower education and literacy levels, and who are older. Furthermore, imparting the skills on how to find and utilize currently existing resources to assist in chronic disease self-management should be promoted as a core aspect of self-management education.
PubMed ID
16859862 View in PubMed
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Russian-American health care: bridging the communication gap between physicians and patients.

https://arctichealth.org/en/permalink/ahliterature168232
Source
Patient Educ Couns. 2006 Dec;64(1-3):331-41
Publication Type
Article
Date
Dec-2006
Author
Inna Shpilko
Author Affiliation
Queens College, City University of New York, Benjamin Rosenthal Library, Flushing, NY 11367, USA. inna.shpilko@qc.cuny.edu
Source
Patient Educ Couns. 2006 Dec;64(1-3):331-41
Date
Dec-2006
Language
English
Publication Type
Article
Keywords
Acculturation
Attitude of Health Personnel - ethnology
Attitude to Health - ethnology
Communication Barriers
Computer-Assisted Instruction - methods - standards
Cultural Diversity
Databases, Factual
Delivery of Health Care - organization & administration
Emigration and Immigration
Health Knowledge, Attitudes, Practice
Health services needs and demand
Humans
Internet - organization & administration
Life Style
Morbidity
Multilingualism
National health programs - organization & administration
Patient Education as Topic - organization & administration
Physician's Role - psychology
Physician-Patient Relations
Russia - ethnology
Self Care - methods - psychology
Teaching Materials
United States
Abstract
The objectives of this article are two-fold: (1) to gather in one place reliable information about Russian-Americans' past medical practices and their current outlook on health care and to provide health care professionals with an overview of the major afflictions suffered by this ethnic group; and (2) to educate Russian-speaking patients about the American heath care system and social services geared towards immigrants by locating and evaluating free, culturally appropriate patient education Web sites available in Russian.
In order to draw data on specific diseases and conditions affecting the Russian-speaking population, the author searched various scholarly health-related electronic databases. A number of well-established U.S. government consumer-health Web sites were searched to locate patient education resources that can be utilized by recent Russian immigrants.
The author provides an overview of the major health problems encountered by the Russian-speaking population before emigration and potential health concerns for Russian immigrant communities. In addition, the author provides a scholarly exploration of patient education materials available in Russian.
In this increasingly diverse society, physicians are faced with the challenge of providing culturally sensitive health care. Multicultural Web-based health resources can serve as a valuable tool for reducing communication barriers between patients and health care providers, thus improving the delivery of quality health care services. Recommendations for further research are indicated.
The author offers recommendations for practitioners serving Russian-speaking immigrants. Suggestions on utilization of Web resources are also provided.
PubMed ID
16859861 View in PubMed
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314 records – page 1 of 32.