title: Health beliefs, attitudes and service utilization among Haitians.
abstract: Understanding the factors that influence health beliefs, attitudes, and service use among Haitians in the United States is increasingly important for this growing population. We undertook a qualitative analysis to explore the factors related to cancer screening and utilization of health services among Haitians in Boston. Key informant interviews (n=42) and nine focus groups (n=78) revealed that Haitians experience unique barriers to health services. These include language barriers, unfamiliarity with preventive care, confidentiality concerns, mistrust and stigma concerning Western medicine, and a preference for natural remedies. Results suggest that many Haitians could benefit from health system navigation assistance, and highlight the need for comprehensive, rather than disease-focused programs, to decrease stigma and increase programmatic reach. Faith-based organizations, social service agencies, and Haitian media were identified as promising channels for disseminating health information. Leveraging positive cultural traditions and existing communication networks could increase the impact of Haitian health initiatives.
authors: Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02215, USA. Jennifer_allen@dfci.harvard.edu
authors: Jennifer D
authors: JD
authors: Allen
authors: Dana R
authors: DR
authors: Mars
authors: Laura
authors: L
authors: Tom
authors: Guy
authors: G
authors: Apollon
authors: Dany
authors: D
authors: Hilaire
authors: Gerald
authors: G
authors: Iralien
authors: Lindsay B
authors: LB
authors: Cloutier
authors: Margaret M
authors: MM
authors: Sheets
authors: Riché
authors: R
authors: Zamor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology*; D003695:Delivery of Health Care / Q000208:ethnology / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D017144:Focus Groups; D006205:Haiti / Q000208:ethnology; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D014481:United States; D055815:Young Adult