Rayna K Morel, Katharyn F Daub, Lincoln A Gotshalk, Nancy F Earle, Yvonne Kealoha Wong
{"title":"夏威夷农村夏威夷土著妇女骨骼健康的探索性研究。","authors":"Rayna K Morel, Katharyn F Daub, Lincoln A Gotshalk, Nancy F Earle, Yvonne Kealoha Wong","doi":"10.1177/10436596231191249","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>Phase a (<i>n</i> = 12) suggested that Native Hawaiian women have limited knowledge of bone health, but recognize traditional and cultural ways of health. Phase b (<i>n</i> = 50) showed that Native Hawaiian women have healthy bones, according to the <i>T</i>-score results. The interviews suggested that perspectives of bone health are culturally anchored.</p><p><strong>Discussion: </strong>Understanding cultural values and practices are vital for care. Preliminary recommendations for health professionals are included.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"403-410"},"PeriodicalIF":1.2000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An Exploratory Study of Bone Health Among Native Hawaiian Women in Rural Hawai'i.\",\"authors\":\"Rayna K Morel, Katharyn F Daub, Lincoln A Gotshalk, Nancy F Earle, Yvonne Kealoha Wong\",\"doi\":\"10.1177/10436596231191249\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>Phase a (<i>n</i> = 12) suggested that Native Hawaiian women have limited knowledge of bone health, but recognize traditional and cultural ways of health. Phase b (<i>n</i> = 50) showed that Native Hawaiian women have healthy bones, according to the <i>T</i>-score results. The interviews suggested that perspectives of bone health are culturally anchored.</p><p><strong>Discussion: </strong>Understanding cultural values and practices are vital for care. Preliminary recommendations for health professionals are included.</p>\",\"PeriodicalId\":49969,\"journal\":{\"name\":\"Journal of Transcultural Nursing\",\"volume\":\" \",\"pages\":\"403-410\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Transcultural Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10436596231191249\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/8/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Transcultural Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10436596231191249","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
An Exploratory Study of Bone Health Among Native Hawaiian Women in Rural Hawai'i.
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.
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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