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Late-Stage Breast Cancer Diagnosis Among Haitian Women in the United StatesProsper, Marie-Hortence 01 January 2019 (has links)
Breast cancer is the 2nd leading cause of death among women. While a significant amount of research has been done to understand the different disparities related to this disease, there is still more to learn about the relationship between a person's nationality and the staging of breast cancer. Using the Surveillance, Epidemiology, and End Results Program as the data source, this retrospective cohort study was aimed at assessing late-stage breast cancer among Caribbean immigrants, specifically comparing Haitian women with Americans and other immigrant populations in the United States. The research questions addressed the link between nationality and the likelihood of late-stage breast cancer diagnosis as well as the risk factors associated with an advanced stage of breast cancer. Findings from logistic regression analyses indicated no statistically significant difference in Stage IV diagnosis between women born in Haiti and U.S.-born women, while the converse was true for women born in other foreign countries. The results also suggested that race, Hispanic ethnicity, marital status, insurance coverage, being unemployed, and language isolation were significant predictors of late-stage breast cancer diagnosis (p < 0.05). When stratifying the analyses by nationality, marital status and poverty were the common predictors of advanced breast cancer diagnosis among Haitian, foreign-born, and U.S.-born women. The observed disparities confirm the need for additional efforts that seek to improve screening rates among underserved groups and ultimately reduce the burden of late-stage breast cancer.
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A Qualitative Systemic Review on Maternal Health Disparities in Haitian WomenJean-Louis, Alexandra 01 January 2021 (has links)
Background: It is universally known that pregnancy is a vulnerable time for a woman's health. Women of all backgrounds endure significant physiological and anatomical changes during pregnancy and after childbirth. But the latest research studies have called attention to the unique experience of Black mothers. Compared to other racial and ethnic groups, Black women encounter health disparities at an all-time higher rate. According to research studies conducted in Haiti and the United States, Haitian women are amongst the community of Black women who are experiencing disproportionate maternal outcomes.
Research Aims: The aim of this systematic review is to explore the prenatal and postpartum support lacking for Haitian women residing in the United States and Haiti, resulting in elevated pregnancy-related mortality and morbidity.
Methods: To explore this study's research aims, a qualitative systematic review was conducted. Studies that met the inclusion criteria were found by inserting the following keywords in various research databases: Haitian women, maternal health, maternal disparities, Haitian-immigrant, maternal support, Haitian-American, Haitian pregnant women, Haitian descent, maternal mortality, and maternal morbidity.
Key Findings: Prenatal and postpartum support was lacking in various forms for Haitian women. In Haiti, women noted that a lack of compassion from healthcare providers, personal finances, and hospital funds contributed to unpleasant maternal experiences. While Haitian women residing in the United States encountered an absence of support from their health professionals due to being culturally misunderstood.
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Hopeful Thinking: Conceptualizing a Future Beyond Domestic AbuseZombil, Henri 01 January 2017 (has links)
Domestic violence is a continuing public health problem. Immigrant women facing domestic violence have additional challenges in dealing with domestic violence and accessing services. Hopeful thinking has been identified as a strategy for intervening and surviving beyond domestic violence. The purpose of this multiple descriptive case study was to explore hopeful thinking in Haitian immigrant women domestic abuse survivors' (HIDAS) conceptualizations of the future beyond domestic abuse. The framework for the study was resilience theory, which emphasizes the individual's ability to bounce back from stressful situations. This framework was used to investigate how HIDAS in the United States experience hopeful thinking and the role hopeful thinking plays in how they perceive the future. Four women participants were recruited from a Haitian community in Florida, and data were collected through interviews. Findings from content analysis showed that while each woman had a different strategy for how to get out of the abusive relationships, they became independent by hoping that things would change for the better. Although the interpretation of findings clarified these survivors' experiences of domestic abuse, the findings are not meant to solve the larger problem of domestic abuse. The study results may influence social change by informing development of operational hope-based community and trauma intervention services for HIDAS and other groups of immigrant women.
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