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Open AccessArticle
Transition, Adjustment, and Healthcare Avoidance: African Immigrant Women’s Experiences and Perceptions of Navigating Primary Healthcare in the USA
by
Gashaye M. Tefera
Gashaye M. Tefera 1,*
,
Mansoo Yu
Mansoo Yu 2,3
,
Erin L. Robinson
Erin L. Robinson 2,
Virginia Ramseyer Winter
Virginia Ramseyer Winter 4 and
Tina Bloom
Tina Bloom 5
1
College of Social Work, Florida State University, Tallahassee, FL 32306, USA
2
School of Social Work, University of Missouri, Columbia, MO 65201, USA
3
Department of Public Health, University of Missouri, Columbia, MO 65201, USA
4
School of Social Work, University of Minnesota, Minneapolis, MN 55108, USA
5
School of Nursing, Notre Dame of Maryland University, Baltimore, MD 21210, USA
*
Author to whom correspondence should be addressed.
Healthcare 2024, 12(15), 1504; https://doi.org/10.3390/healthcare12151504 (registering DOI)
Submission received: 30 May 2024
/
Revised: 10 July 2024
/
Accepted: 22 July 2024
/
Published: 29 July 2024
Abstract
This study explores the transition and adjustment of African immigrant women, particularly Ethiopian immigrant women (EIW), as they navigate the U.S. healthcare system and their ability to access and utilize healthcare services. A qualitative cross-sectional design with a mix of purposive and snowball sampling techniques was utilized to recruit EIW (N = 21, ≥18 years) who arrived in the U.S. within the last five years. One-on-one in-depth interviews were conducted to collect data. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically using Nvivo12 software. The thematic analysis revealed three major themes: (1) settling into new life in the U.S. delays EIWs’ ability to access primary healthcare; (2) adjusting to the U.S. healthcare system: confusions and mixed perceptions; and (3) avoidance of care: EIW’s reasons for PHC visits changed in the U.S. Participants avoided healthcare, except for life-threatening conditions, general check-ups, and maternal healthcare services. Transitional support for legal, residential, employment, and health information could help tackle the challenges of accessing primary healthcare for EIW. Future research should analyze access to healthcare in relation to the everyday struggles of immigrant women, as well as legal and complex structural issues beyond acculturative issues.
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MDPI and ACS Style
Tefera, G.M.; Yu, M.; Robinson, E.L.; Winter, V.R.; Bloom, T.
Transition, Adjustment, and Healthcare Avoidance: African Immigrant Women’s Experiences and Perceptions of Navigating Primary Healthcare in the USA. Healthcare 2024, 12, 1504.
https://doi.org/10.3390/healthcare12151504
AMA Style
Tefera GM, Yu M, Robinson EL, Winter VR, Bloom T.
Transition, Adjustment, and Healthcare Avoidance: African Immigrant Women’s Experiences and Perceptions of Navigating Primary Healthcare in the USA. Healthcare. 2024; 12(15):1504.
https://doi.org/10.3390/healthcare12151504
Chicago/Turabian Style
Tefera, Gashaye M., Mansoo Yu, Erin L. Robinson, Virginia Ramseyer Winter, and Tina Bloom.
2024. "Transition, Adjustment, and Healthcare Avoidance: African Immigrant Women’s Experiences and Perceptions of Navigating Primary Healthcare in the USA" Healthcare 12, no. 15: 1504.
https://doi.org/10.3390/healthcare12151504
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