An Investigation of Somali Women’s Beliefs, Practices, and Attitudes about Health, Health Promoting Behaviours and Cancer Prevention

S A Francis,F M Griffith,K A Leser

doi:10.5195/hcs.2014.119

Abstract

This pilot study examined Somali women's perception of health/access to care, examined their knowledge and attitudes about cancer prevention, and discussed strategies to improve service provision and education. Using a multidisciplinary approach, twelve face-to-face interviews were conducted with Somali women ages 18 and older, residing in a mid-western city. Open coding was used to categorize and reflect the interview statements and to identify reoccurring themes. Somali women are concerned about a variety of health issues and cited the role of culture and religion in developing prevention strategies. Participants emphasized the use of religious leaders, health care advocates, oral traditions, and translators in providing culturally appropriate health care services. Religion and culture play a prominent role in the Somali community and impact beliefs about health and wellness. Health practitioners need to work closely with individuals and community leaders to tailor services that are culturally appropriate and accessible.

Highlights

Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion (DHHS, 2010).”
3) A reoccurring theme was a lack of trust in their health care providers and the practice of only seeking medical care for acute conditions vs. preventative care and 4) Participants reported being concerned about a variety of health issues with cancer, mental health, and obesity the most frequently cited
When asked about health issues, they expressed concerns about cancer, obesity, reproductive health, and mental health issues, which is consistent with findings from previous studies (Pavlish et al, 2010; Kroll et al, 2011)

Summary

Introduction

Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion (DHHS, 2010).” Poverty, lack of health insurance and other barriers prevent individuals from receiving preventive care, screening, and treatment. Somali women were found to be at increased risk for complications during pregnancy, were less likely to have a Pap smear, and were less likely to have a regular source of care (David et al, 1997; Siegel et al, 2001; Carroll et al, 2007a; Carroll et al, 2007b; Pavlish et al, 2010) Findings from these early studies found that numerous social determinants were associated with health behaviors e.g. health beliefs, cultural norms, and language barriers. In order to eliminate current health disparities among immigrant and refugee populations, we must have a better understanding of their health needs, acknowledge and address barriers to care, increase access to screenings, and provide individuals with culturally appropriate health education

Theoretical Framework

Methods

Results

Perceptions of Healh

Discussion

Strengths and Limitations