title: Determinants of Black women's health in rural and remote communities.
abstract: The On the Margins project investigated health status, health-care delivery, and use of health services among African-Canadian women residing in rural and remote regions of the province of Nova Scotia. A participatory action research approach provided a framework for the study. Triangulation of data-collection methods--interviews, focus groups, and questionnaires--formed the basis of data generation. A total of 237 in-depth one-on-one interviews were conducted and coded verbatim. Atlas-ti data-management software was used to facilitate coding and analysis. Six themes emerged from the data: Black women's multiple roles, perceptions of health, experiences with the health-care system, factors affecting health, strategies for managing health, and envisioning solutions. The authors focus on 1 of these themes, factors affecting Black women's health, and discuss 3 subthemes: race and racism, poverty and unemployment, and access to health care.
authors.affiliation: School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada. Josephine.Etowa@dal.ca
authors.forename: Josephine
authors.initials: J
authors.lastname: Etowa
authors.forename: Juliana
authors.initials: J
authors.lastname: Wiens
authors.forename: Wanda Thomas
authors.initials: WT
authors.lastname: Bernard
authors.forename: Barbara
authors.initials: B
authors.lastname: Clow
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health / Q000208:ethnology*; D044383:Black People / Q000208:ethnology / Q000706:statistics & numerical data; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006302:Health Services Research; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D008507:Medically Underserved Area; D009674:Nova Scotia; D015404:Nursing Methodology Research; D011203:Poverty; D011287:Prejudice; D012929:Psychological Distance; D036301:Qualitative Research; D012111:Residence Characteristics; D012423:Rural Health / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014478:Unemployment / Q000706:statistics & numerical data; D014930:Women / Q000523:psychology*; D016387:Women's Health / Q000208:ethnology*