التفاصيل البيبلوغرافية
| العنوان: |
Experiences of Community Violence Among Adults with Chronic Conditions: Qualitative Findings from Chicago. |
| المؤلفون: |
O'Neal, Yolanda, Steenes, Althera M., Caraballo, Graciela, Tung, Elizabeth L., Johnson, Tyrone A., Peek, Monica E. |
| المصدر: |
JGIM: Journal of General Internal Medicine; Nov2018, Vol. 33 Issue 11, p1913-1920, 8p, 1 Diagram, 3 Charts |
| مصطلحات موضوعية: |
VIOLENCE in the community, HEALTH equity, OBESITY & society, HYPERTENSION, CHRONIC diseases |
| مستخلص: |
Background: Community violence is an important social determinant of health in many high-poverty, urban communities.Objective: The purpose of this study was to explore and characterize self-described experiences of community violence among adults with chronic health conditions.Design: Qualitative study design was implemented in 2017 using in-depth, semi-structured focus groups and interviews; data were collected from two clinical sites located in geographic epicenters of high violent crime in Chicago.Participants: Adult patients, ages 35 years and older, who had at least one chronic condition.Approach: Data were analyzed using grounded theory and the constant comparison method.Key Results: The overall sample (N = 51) was predominantly female (67%) and black non-Hispanic (75%); a large proportion had hypertension (65%), arthritis (55%), obesity (53%), and/or diabetes (45%). The majority reported that a close friend or family member was seriously injured or killed due to community violence (71%); a similar proportion had never discussed their experiences of community violence with a healthcare provider (73%). Several major themes emerged: (1) perceived risk of being targeted, (2) chronic stress and worry, (3) hypervigilance, (4) social breakdown, (5) chronic isolation, (6) constrained choice (loss of freedom), (7) limited access to material resources, and (8) inadequate healthcare responses.Conclusions: Patients often struggled to balance the challenges imposed by community violence with the demands of living with and managing their chronic conditions. Emergent themes may inform practical targets for addressing community violence as a social determinant of health in vulnerable populations. [ABSTRACT FROM AUTHOR] |
|
Copyright of JGIM: Journal of General Internal Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Find this article in full text from Springer Verlag. 
Full Text Finder