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Key Informants' Perceptions of Health Care for Elders at the U.S.‐Mexico Border
Author(s) -
Guo Guifang,
Phillips Linda
Publication year - 2006
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/j.1525-1446.2006.230304.x
Subject(s) - participatory action research , health care , service provider , focus group , nursing , public health , population , medicine , gerontology , public relations , sociology , service (business) , economic growth , environmental health , political science , business , marketing , anthropology , economics
ABSTRACTObjective: This study was part of a systematic assessment to gain an understanding of aging in a rural community along the U.S.‐Mexico border in Arizona. Design: It used a participatory action research design. Interviews were conducted among key informants ( n =29), including health and social services providers and community leaders. Content analysis focused on identifying common themes and concerns related to elders. Results: Major themes identified were (1) social infrastructure issues, (2) community awareness of health problems, (3) socioeconomic problems, (4) cultural influences on health beliefs, practice, and use of services, (5) image of aging, (6) border issues, and (7) educational needs for service providers. Conclusion: Elders living at the border are a particularly vulnerable population with strong cultural affiliations and health disparities. Although the population of elders has been growing at the border, the traditional focus on the health care needs of youth and children has contributed to the neglect of issues facing elders. This study provided community key informants' perspective of aging to community members, policy makers, service agencies, and health care providers for community development. A conceptual framework was developed for educational programs and research projects for health professionals who care for elders at the border.