Acculturation in Preventive Health for Immigrants: A Systematic Review on Influenza Vaccination Programs in a Socio-Ecological Framework

作者：Yong An Gie; Lemyre Louise; Farrell Susan Jane; Young Marta Yolande

来源：Canadian Psychology, 2016, 57(4): 340-355.

DOI：10.1037/cap0000075

• immigrants
• cultural adaptation
• preventive health care
• cross-cultural sensitivity
• vaccination

Engaging immigrants in preventive health care programs, such as vaccination, constitutes a challenge. Existing programs tend to conflate issues related to immigrant status with ethnic or racial minorities. These programs also tend to ignore that acculturation and cultural discourse in health may vary depending on the immigrant subgroup and the host community's social environment. This paper addresses the gap in the literature by proposing a conceptual framework that uses a socioecological perspective to outline acculturation and cultural factors in immigrants' preventive health behaviours. To this end, we synthesized the literature on acculturation and cultural perspectives on preventive health among immigrants. We used a case study on influenza vaccination among Chinese immigrants to illustrate the importance of targeting and tailoring approaches to specific immigrant subgroups. We performed a critical examination of 10 existing influenza vaccination programs adapted for immigrants and ethnic minorities to outline their cultural sensitivity in surface- and deep- structure components. Finally, we proposed a conceptual framework integrating the acculturation factors, cultural elements, and cultural anatomy of the reviewed programs with application to Chinese immigrants as a demonstration of cultural sensitivity. The discussion includes limitations, recommendations, and future directions resulting from this framework to help inform cultural adaptation of preventive health programs for immigrants.

• 出版日期2016-11