Assuntos
Bolsas de Estudo , Equidade em Saúde , Humanos , Saúde Global , Haiti , Cooperação Internacional , Países em DesenvolvimentoRESUMO
Haitians are the fourth largest Afro-Caribbean immigrant group in the USA, and there is a dearth of research focusing on the factors impacting their lives. As a marginalized group with extensive pre-existing conditions, Haitian immigrants are disproportionately affected by the pandemic in areas such as education, health, and economics. This paper provides a summary of existing disparities among Haitians in the USA and how COVID-19 has significantly impacted this group. It concludes with an analysis of how the Strategic Framework for Improving Racial and Ethnic Minority Health and Eliminating Racial and Ethnic Health Disparities can be used to guide, organize, and coordinate systematic planning for sustainable changes to address these disparities. Addressing immigrant and minority health in the USA requires a deeper dive into the various immigrant groups. This paper concludes with recommendations for research and policy changes necessary to eliminate disparities in the USA.
Assuntos
COVID-19 , Etnicidade , Humanos , Estados Unidos/epidemiologia , Haiti/epidemiologia , Grupos Minoritários , Educação em SaúdeRESUMO
Notwithstanding the cessation of the transatlantic slave trade in the 19th century and the end of "classical" colonization in African and Caribbean nations in the last century, racialized violence persists and continues to adversely impact the lives of African-descended people throughout the world. In this article, racialized violence involving Black people refers to physical acts and structural processes that prove injurious or deadly to Black people as Black people. The structural manifestations of racialized violence include unjust laws and normative practices that constrain the fulfillment of Black people's basic needs (like safety) and diminish their pursuit of liberation from persistent oppression. Using Nicolas's systemic and long-standing work in Haiti (Ayiti) as an illustration, we describe how the objectives of ending Black racialized violence and achieving genuine liberation from racism are integral to Black psychological health. Highlighting how racialized violence "works" in maintaining societal racism over the course of history in 2 settings-Ayiti and the United States, we urge psychologists worldwide to improve their practices with Black people by (a) instituting (new) norms that unsilence Black voices in treatment and research, (b) (re)committing to a process of peace promotion that forcefully disrupt the systemic perpetuation of racism, and (c) advancing an agenda of every-day activism aimed at increasing the health and life chances of Black people within and across the diaspora. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Assuntos
População Negra/psicologia , Racismo/psicologia , Violência/psicologia , Escravização/psicologia , Haiti , Humanos , Estados UnidosRESUMO
The earthquake in Haiti led to an outpouring of outreach from groups of the Haitian international community as well as to residents of the island. Thus, an understanding of the help-seeking behavior patterns of this group is necessary to make meaning of their receptivity of assistance in a time of need. This paper summarizes help-seeking behavior patterns of 150 Haitian immigrants residing in the US. The results indicate that, overall, this sample was more likely to go to their family for assistance, regardless of the nature of the problem. In contrast, they were least likely to go to professionals for help, even when in need of emotional assistance. Given the increased rate of Haitians living outside of Haiti and around the world, a more comprehensive understanding of their mental health needs, coping patterns, and barriers to seeking help from mental health professionals is warranted.
Assuntos
Transtornos Mentais/terapia , Aceitação pelo Paciente de Cuidados de Saúde , Adaptação Psicológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Demografia , Terremotos , Feminino , Haiti/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados UnidosRESUMO
In January 2010, a massive earthquake struck Haiti resulting in unprecedented damage. Little attention, however, has focused on the earthquake's mental health impact in the Haitian diaspora community. As part of an established community-based participatory research initiative in Little Haiti, the predominately Haitian neighborhood in Miami, FL, USA, community health workers conducted surveys with neighborhood residents about earthquake-related losses, coping strategies, and depressive/traumatic symptomology. Findings reveal the earthquake strongly impacted the diaspora community and highlights prominent coping strategies. Following the earthquake, only a small percentage of participants self-reported engaging in any negative health behaviors. Instead, a majority relied on their social networks for support. This study contributes to the discourse on designing culturally-responsive mental health initiatives for the Haitian diaspora and the ability of existing community-academic partnerships to rapidly adapt to community needs.
Assuntos
Adaptação Psicológica , Desastres , Terremotos , Adulto , Feminino , Florida , Haiti/etnologia , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Apoio Social , Inquéritos e QuestionáriosRESUMO
Research on familial experiences has documented the important role of receiving family support, but has not examined the effects of providing such support. Empathic family stress refers to the stress that individuals experience in response to difficult life circumstances of family members. The current study took a first step in examining the empathic family stress of 134 Haitian immigrants. Results from hierarchical regressions indicate that empathic family stress is a significant predictor of depressive symptoms, but not acculturative stress, for Haitian immigrants. Findings from the study are examined from a strengths-based perspective, where empathic family stress is viewed as a sign of strong family connections among Haitian immigrants. Recommendations are provided for clinicians working with Haitian immigrants to help them experience empathic family stress in a healthy manner.
Assuntos
Emigrantes e Imigrantes/psicologia , Empatia , Relações Familiares/etnologia , Estresse Psicológico/etnologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Depressão , Feminino , Haiti/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos , Adulto JovemRESUMO
Existing research demonstrates that culture has a profound impact on the expression and manifestation of mental illness, especially on depressive disorders among ethnically diverse populations. Currently, little research has focused on the Haitian population, despite the growing number of Haitians living in the United States. This paper discusses clinical observations of the expression of depression among Haitian immigrant women living in the United States. Specifically, this paper examines three distinctive types of depression (pain in the body, relief through God, and fighting a winless battle), explains their symptoms, and provides case examples to illustrate the expression of each type of depression. Additionally, the paper describes treatment processes for each type of depression and makes recommendations to mental health providers with respect to each type of depression. The information provided in this paper highlights the importance of a more systematic and scientific investigation of depression among Haitian women, men, and youths in the United States.