Ana P Cabrera’s research while affiliated with University of California, San Francisco and other places

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Publications (1)


Table 1 . Characteristics of Participants and Their Deceased Children 
Perceptions of Discrimination among Mexican American Families of Seriously III Children
  • Article
  • Full-text available

January 2011

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76 Reads

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25 Citations

Journal of Palliative Medicine

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Judith Larson

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Ana P Cabrera

This paper describes Mexican American family members' descriptions of perceived discrimination by pediatric health care providers (HCPs) and the families' reactions to the HCPs' discriminatory conduct. A retrospective, grounded theory design guided the overall study. Content analysis of interviews with 13 participants from 11 families who were recruited from two children's hospitals in Northern California resulted in numerous codes and revealed that participants perceived discrimination when they were treated differently from other, usually white, families. They believed they were treated differently because they were Mexican, because they were poor, because of language barriers, or because of their physical appearance. Participants reported feeling hurt, saddened, and confused regarding the differential treatment they received from HCPs who parents perceived "should care equally for all people." They struggled to understand and searched for explanations. Few spoke up about unfair treatment or complained about poor quality of care. Most assumed a quiet, passive position, according to their cultural norms of respecting authority figures by being submissive and not questioning them. Participants did not perceive all HCPs as discriminatory; their stories of discrimination derived from encounters with individual nurses or physicians. However, participants were greatly affected by the encounters, which continue to be painful memories. Despite increasing efforts to provide culturally competent palliative care, there is still need for improvement. Providing opportunities for changing HCPs' beliefs and behaviors is essential to developing cultural competence.

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Citations (1)


... Therefore, a strong social support system is necessary to cope effectively with acculturative stress. Immigrants must learn to navigate new educational systems and workplaces, contend with language barriers, and may generally experience feelings of inadequacy due to a change in job or socioeconomic status (Davies et al., 2011;Martinez et al., 2013). Research indicates that having a network of social support and a sense of belonging with one's ethnic community is predictive of positive mental health outcomes (Schweitzer et al., 2006). ...

Reference:

Coping with trauma: Resilience among immigrants of color in the United States.
Perceptions of Discrimination among Mexican American Families of Seriously III Children

Journal of Palliative Medicine