Thesis (DCur)--Stellenbosch, 2000. / ENGLISH ABSTRACT: Guided by the researcher's clinical experience and through recent outreach
research projects (Stellenberg, 1996 and 1997) the factors influencing the health
status of two communities were identified through health screening. It was
further identified that these problems affecting the health status of these
communities were magnified through the poor accessibility, availability, and
affordability of health services.
According to the researcher, despite the efforts of the Government and attempts
to remedy the disparities of the past, the introduction of any such policy should
be based on scientific evidence.
The researcher decided to investigate the factors influencing the health status of
the Coloured people of the Western Cape. This population group is the largest
in the Western Cape, being 60,8%. Its domination in this province determines
the health status of the province. By acquiring knowledge about the factors
influencing the health status of the Coloured population, it will be possible for the
policy makers in health care to direct their emphasis on health care policies more
appropriately. Currently differences in socio-economic and knowledge levels,
along with existing inequalities in health service pose major challenges for the
policy makers in health care. Therefore, knowledge about the health status,
health practices and health beliefs of minority groups will improve the average
health status of the general population.
It is against this background, that this research study was undertaken. Specific
objectives were set for the study.
• To determine the health status of economically active Coloured people in
an urban area as defined with specific reference to the indicators as
identified by the researcher
• To determine the prevalence of factors influencing the health status of
economically active Coloured people in an urban area as defined.
• To determine the relationship between the health status and the factors
influencing the health status of economically active Coloured people in an
urban area as defined.
• To determine an association between factors influencing the health status of economically active Coloured people in an urban area as defined.
• To make recommendations to the health policy-makers concerning factors
influencing the health status of the economically active Coloured people in
an urban area as defined and possibly related ethnic groups.
These objectives were met through an in-depth research study of this population
group in six identified suburbs. Factors influencing the health status of an
individual as described in the literature were explored and described. The
recommendations based on the findings confirmed that the health status of the
Coloured population is influenced by the following factors:
• Socio-economic Level (education, financial income and occupation)
• Lifestyle of individuals (High Risk Behavioural Practice such as smoking,
use of alcohol and illegal drugs, dietary intake, minimal exercise, stress
management and leisure time)
• Ethno-cultural Beliefs: health and illness
• Religion, health and illness
• Environmental factors
• Health Services: accessibility and affordability of services
Recommendations based on the findings
• Emphasis on re-development and health education of all age groups.
• The introduction of social grants for those who are unable to support
themselves and their families have become essential in order to improve
their health status.
• The creation of jobs to improve the socio-economic circumstances of the
populations.
• Current health services at primary health care level and environmental
factors influencing the health status of the population require urgent
attention. / AFRIKAANSE OPSOMMING: Gelei deur die navorser se persoonlike kliniese onde'rvinding asook onlangse
navorsingsprojekte oor uitreikingsaksies ten opsigte van gemeenskapsgesondheid
(Stellenberg, 1996 en 1997), is faktore wat In rol in die
gesondheidstatus van gemeenskappe speel, geïdentifiseer. Daar is ook bevind
dat faktore wat probleme rondom die gesondheidstatus van hierdie
gemeenskappe vererger, elemente is soos toeganklikheid, beskikbaarheid en
bekostigbaarheid van gesondheidsdienste.
Ten spyte van pogings van die regering om die ongelykhede van die verlede uit
die weg te ruim behoort die regstelling daarvan volgens die navorser op
wetenskaplike bewyse gegrond te word.
Die navorser het daarom besluit om die faktore wat gesondheidsorg van die
Kleurlinggemeenskap in die Wes-Kaap beïnvloed, te ondersoek. Hierdie
bevolkingsgroep is die grootste in die Wes-Kaap, naamlik 60,8%. Die
oorheersing van die Kleurling in die provinsie bepaal grootliks die
gesondheidstatus van die provinsie. Deur kennis in te win van faktore wat die
gesondheidstatus van die Kleurlinggemeenskap beïnvloed, is dit moontlik vir
besluitnemers in gesondheidsorg om dit beter te bestuur. Daarom sal kennis oor
gesondheidsorg, gesondheidspraktyke en -gelowe van minderheidsgroepe die
gesondheidstatus van die totale bevolking verbeter.
Dit is teen hierdie agtergrond wat die navorsing onderneem is. Spesifieke
doelwitte vir die studie was om die volgende te bepaal:
• Die gesondheidstatus van die ekonomies aktiewe Kleurling-gemeenskap
in In stedelike gebied soos gedefinieer met spesifieke verwysing na die
indikatore soos geïdentifiseer deur die navorser
• Die prevalensie van faktore wat 'n invloed op die gesondheidstatus van
die ekonomies aktiewe Kleurling-gemeenskap in In stedelike gebied soos
gedefinieer
• Die verwantskap tussen die gesondheidstatus en die faktore wat In
invloed uitoefen op die gesondheidstatus van die ekonomies aktiewe
Kleurling-gemeenskap in In stedelike gebied soos gedefinieer
• Die moontlike assosiasie te bepaal tussen faktore wat die gesondheidstatus beïnvloed van die ekonomies aktiewe Kleurlinggemeenskap
in In stedelike gebied soos gedefinieer.
• Aanbevelings aan die gesondheidsowerheidsbeleidmakers oor bevindings
wat In invloed uitoefen op die gesondheidstatus van die ekonomies
aktiewe Kleurling-gemeenskap in In stedelike gebied soos gedefinieer, en
moontlike verwant etniese groepe.
Die doel is bereik deur in-diepte navorsingsonderhoud met die Kleurling
bevolkingsgroep in ses geïdentifiseerde gebiede. Faktore wat die
gesondheidstatus van individue soos in die literatuur beskryf beïnvloed, is
ondersoek en beskryf. Die aanbevelings is gebasseer op bevindings gedoen in
die ondersoek van die gesondheidstatus van die Kleurling bevolking, en is deur
die volgende faktore in die ondersoekgroep beïnvloed:
• Die sosio-ekonomiese vlak (opleiding, inkomste en beroep)
• Lewenstyl van respondente (hoë risiko faktore soos rook, die gebruik van
alkohol, verdowingsmiddeis, daaglikse dieët, oefening, hantering van
spanning en vryetydsaktiwiteite).
• Etnies-kulturele gelowe: gesondheid en siekte
• Geloofsgesondheid en siekte
• Omgewingsfaktore
• Gesondheidsdienste: toeganklikheid en bekostigbaarheid van dienste
Aanbevelings wat op die navorsingsbevindings gebaseer is, is die volgende:
• Beklemtoning van die herontwikkeling van gesondheidsvoorligting vir alle
ouderdomsgroepe.
• Die instel van In toelae vir individue wat nie in staat is om hulself en hulle
gesinne te help nie, is noodsaaklik vir die verbetering van hulle
gesond heidstatus .
• Die skep van meer werk om sosio-ekonomiese omstandighede in die
bevolking te verbeter
• Huidige gesondheidsdienste op pnmere gesondheidsorgvlak en
omgewingsfaktore wat die gesondheidstatus van die gemeenskap
beïnvloed, vereis dringend aandag.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/51608 |
| Date | 12 1900 |
| Creators | Stellenberg, Ethelwynn L. (Ethelwynn Linda) |
| Contributors | Welmann, E. B., Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing Science. |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | Unknown |
| Type | Thesis |
| Format | 330 p. : ill. |
| Rights | Stellenbosch University |
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