- NSF-PAR ID:
- 10389072
- Date Published:
- Journal Name:
- Psychological Trauma: Theory, Research, Practice, and Policy
- Volume:
- 14
- Issue:
- 8
- ISSN:
- 1942-9681
- Page Range / eLocation ID:
- 1304 to 1313
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
Previous work has suggested that minority segregated neighborhoods may have diminished access to health care, and that this may contribute to differences in health outcomes across communities. We analyze this using the case of pediatric provider choice. We estimate a series of multinomial logistic regression models using restricted data from the 2011-2012 National Survey of Children’s Health (NSCH). We find that racial/ethnic residential segregation is related to a greater reliance on non-ideal forms of health care, such as clinics and hospital outpatient departments, instead of pediatric physician’s offices. Additionally, families express greater dissatisfaction with these other forms of care.more » « less
-
Puerto Rico was hit by a category 4 hurricane that severely damaged power, water, and communications systems on the 20th of September 2017. Based on 56 qualitative interviews, this article documents how health care workers created a new ethics of care after Hurricane Maria and engaged in novel forms of health activism to both repair past damage and imagine a different future. Many doctors, nurses, and other health care professionals went to work after the storm treating patients, fixing their workplaces, and resolving logistical problems. Health care workers responded emotionally to the event by finding meaning and purpose in their work, forging a sense of solidarity, and valuing their ability to help others. Our respondents used the term compromiso to describe their determination and sense of purpose, and we borrow this term to label the specific ethics of care generated from their experiences after Maria.more » « less
-
more » « less
Abstract Objective To understand the perspectives of home health aides (HHAs) toward their own health and health behaviors, and how their job impacts both.
Data Sources and Study Setting Interviews were conducted with 28 HHAs from 16 unique home care agencies from August 2021 to January 2022. The study was conducted in partnership with the 1199SEIU Training and Employment Fund, a labor‐management fund of the largest health care union in the US.
Study Design A qualitative study with English and Spanish‐speaking HHAs. Interviews were conducted using a semi‐structured topic guide, informed by Pender's Health Promotion Model and the National Institute for Occupational Safety and Health's Total Worker Health Model. To be eligible, HHAs had to be currently employed by a home care agency in New York, NY.
Data Collection/Extraction Methods Interviews were recorded, professionally transcribed, and analyzed thematically.
Principal Findings The 28 HHAs had a mean age of 47.6 years (SD 11.1), 39% were non‐Hispanic Black, 43% were Hispanic, and they had a mean of 14.1 years (SD 7.8) of job experience. Five themes emerged; HHAs were: (1) Healthy enough to work, but were managing their own chronic conditions while working; (2) Motivated to be healthy, in part driven by their desire to care for others; (3) Worked closely with sick patients, which influenced their perceptions of health; (4) Experienced occupational and patient‐level barriers to practicing healthy behaviors; (5) Sought support and resources to improve their health and wellbeing.
Conclusions HHAs have numerous health challenges, many of which are influenced by their job. Culturally and occupationally tailored interventions may mitigate the barriers that HHAs experience to achieve optimal health.
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1037/tra0001224
