An Exploratory Study of Bone Health Among Native Hawaiian Women in Rural Hawai'i.

IF 1.2 4区 医学 Q3 NURSING Journal of Transcultural Nursing Pub Date : 2023-11-01 Epub Date: 2023-08-20 DOI:10.1177/10436596231191249
Rayna K Morel, Katharyn F Daub, Lincoln A Gotshalk, Nancy F Earle, Yvonne Kealoha Wong
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Abstract

Introduction: The purpose of this study was to obtain baseline data on bone mass density for Native Hawaiian women and to better understand the socio-cultural context for assessing bone health and risk of osteoporosis for this underserved population.

Method: A sequential mixed-method design guided by Leininger's Culture Care Theory of Diversity and Universality consisted of two phases: (a) an initial exploratory focus group and (b) dual-energy X-ray absorptiometry (DEXA) scans and individual interviews. Data were analyzed using descriptive statistics and thematic analysis.

Results: Phase a (n = 12) suggested that Native Hawaiian women have limited knowledge of bone health, but recognize traditional and cultural ways of health. Phase b (n = 50) showed that Native Hawaiian women have healthy bones, according to the T-score results. The interviews suggested that perspectives of bone health are culturally anchored.

Discussion: Understanding cultural values and practices are vital for care. Preliminary recommendations for health professionals are included.

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夏威夷农村夏威夷土著妇女骨骼健康的探索性研究。
引言:本研究的目的是获得夏威夷原住民妇女骨量密度的基线数据,并更好地了解评估这一服务不足人群骨骼健康和骨质疏松风险的社会文化背景。方法:以Leininger的多样性和普遍性文化关怀理论为指导的顺序混合方法设计包括两个阶段:(A)初步探索性焦点小组和(b)双能X射线吸收仪(DEXA)扫描和个体访谈。使用描述性统计和专题分析对数据进行分析。结果:a期(n=12)表明,夏威夷土著妇女对骨骼健康的了解有限,但认识到传统和文化的健康方式。根据T评分结果,b期(n=50)表明夏威夷原住民女性骨骼健康。采访表明,对骨骼健康的看法是基于文化的。讨论:了解文化价值观和实践对护理至关重要。其中包括对卫生专业人员的初步建议。
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来源期刊
CiteScore
4.60
自引率
4.80%
发文量
80
审稿时长
>12 weeks
期刊介绍: Journal of Transcultural Nursing (TCN) is a peer-reviewed journal that offers nurses, educators, researchers, and practitioners theoretical approaches and current research findings that have direct implications for the delivery of culturally congruent health care and for the preparation of health care professionals who will provide that care. This journal is a member of the Committee on Publication Ethics (COPE).
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