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Open Access Determinants of Black Women's Health in Rural and Remote Communities Déterminants de la santé des femmes noires dans les communautés rurales et éloignées

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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. 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.

French
Les instigatrices du projet On the Margins se sont attachées à étudier l'état de santé, la prestation des soins et la fréquentation des services de santé au sein de la population des femmes afro-canadiennes vivant dans les régions rurales et éloignées de la Nouvelle-Écosse. On a fait appel à un modèle de rechercheaction participative et procédé à la triangulation des méthodes de collecte de données — entrevues, groupes de discussion et questionnaires. Le codage et l'analyse des données ont été effectués au moyen du logiciel de gestion Atlas ti. Six thèmes s'en dégagent : les rôles multiples des femmes noires; les perceptions en matière de santé; les expériences relatives au système de santé; les facteurs qui influent sur la santé; les stratégies de gestion de la santé; et les solutions envisagées. Les auteures se concentrent sur l'un de ces thèmes, soit les facteurs qui influent sur la santé, et proposent une analyse de trois sous-thèmes connexes : race et racisme; pauvreté et chômage; et accès aux soins de santé.

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Keywords: BLACK WOMEN; HEALTH DETERMINANTS; RACISM; RURAL COMMUNITIES

Document Type: Research Article

Publication date: 2007-09-01

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