African Diaspora in Guangzhou, China: A Healthcare Needs Assessment Open Access

Abstract

Abstract
African Diaspora in Guangzhou, China: A Healthcare Needs Assessment

Objectives: We qualitatively assessed healthcare access and perceived barriers to the use of health services among African migrants in Guangzhou, China.

Methods: A total of 25 semi-structured interviews and two focus groups with five members of each were conducted.

Results: Barriers to the utilization of health services identified by participants could be classified as predisposing factors (e.g., race, different health beliefs, and negative perceptions toward health personnel) and enabling factors (e.g., legal status, language barriers, providers' characteristics, costs, interpretation services and translated material, and hours). Participants were dissatisfied with the healthcare services and reported distrust of the medical system.

Conclusions: This is the first study to assess healthcare access and perceived barriers to health services among non-natives in China. This paper posits that there are many health challenges associated with international migrants as well as current gaps in China's healthcare system. As several middle-income nations continue to receive more foreigners, formal interpreter services and culturally appropriate services should be considered.

Table of Contents

Table of Contents
Introduction...1
Literature Review...5
Method...11
Results...14
Discussion...21
References...25
Figures & Tables...29
Appendices...35

Appendix I: IRB Approval
Appendix II: In-depth Interview Guide
Appendix III: Focus Group Discussion Guide
Appendix IV: Codebook

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Behavioral Sciences and Health Education
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Keyword	barriers international migrants China healthcare African
Committee Chair / Thesis Advisor	Wong, Frank Y, Emory University
Committee Members	Tucker, Joseph, University of North Carolina Nehl, Eric J., Emory University
Partnering Agencies	Hospital or other health care provider

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