Titre :
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Self-care among chronically ill African Americans : Culture, health disparities, and health insurance status. (2004)
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Auteurs :
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Gay BECKER ;
Rahima-Jan GATES ;
Edwina NEWSOM ;
University of California. Institute for Health and Aging. San Francisco. CA. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 12, 2004)
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Pagination :
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2066-2073
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Langues:
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Anglais
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Mots-clés :
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Soins
;
Assurance maladie
;
Protection sociale
;
Accès soins
;
Homme
;
Etats Unis
;
Amérique
;
Pathologie
;
Maladie chronique
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS cv9ER0xY. Diffusion soumise à autorisation]. Little is known about the self-care practices of chronically ill African Americans or how lack of access to health care affects self-care. Results from a qualitative interview study of 167 African Americans who had one or more chronic illnesses found that self-care practices were culturally based, and the insured reported more extensive programs of self-care. Those who had some form of health insurance much more frequently reported the influence of physicians and health education programs in self-care regimens than did those who were uninsured. It is concluded that the cultural components of self-care have been underemphasized, and further, that the potential to maximize chronic illness management through self-care strategies is not realized for those who lack access to health care.
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