Volume 10, Issue 3 (Summer 2021)                   J Occup Health Epidemiol 2021, 10(3): 150-157 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hashemi Z, Sadeghi T, Amiri A, Ghanbari M, shokrpour N. Afghan Refugee Women's Experiences of Communication Apprehension and Fear of Physician in the Iranian Health Care System, during COVID-19 Pandemic, Rafsanjan, Iran (2020). J Occup Health Epidemiol 2021; 10 (3) :150-157
URL: http://johe.rums.ac.ir/article-1-456-en.html

Related article in
Google Scholar

1- PhD Candidate in English Literature, Dept. of General Subjects, School of Medicine, Head of International Relations Office, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2- Associate Prof., Dept. of Pediatric Nursing, School of Nursing and Midwifery; Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3- MA in Educational Research, International Relations Office Executive, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4- General Physician, Payambar Azam Health Clinic, Rafsanjan, Iran.
5- Professor, English Dept, Shiraz University of Medical Sciences, Shiraz, Iran. , shokrpourn@gmail.com
Article history
Received: 2021/08/12
Accepted: 2021/11/3
ePublished: 2021/12/1
Subject: Epidemiology
Abstract:   (1546 Views)

Background: Information about the refugees' experiences in the health care system is needed to improve the quality of health care delivered. This study aimed to investigate the experiences of Communication Apprehension (CA) and Fear of Physician (FoP) in the Afghan refugee women referred to the Iranian health care clinics during the COVID-19 pandemic in the year 2020 in Rafsanjan, Iran.
Materials and Methods: In this descriptive cross-sectional study, conducted between March-July 2020, two hundred forty Afghan women in Rafsanjan, Iran, were selected using convenience sampling. Data collection included the demographic, Personal Report of Communication Apprehension (PRCA-24: score range of 24-120), and Fear of Physician (FoP: score range of 5-20) questionnaires. Data were analyzed using an Independent t-test, as well as ANOVA, Chi-square, and Fisher exact tests. The significance level was p<0.05.
Results: The mean age of the participants was 28.81 ± 7.21 years old, and their ages ranged from 16 to 60; further, 97.9% of them were married. Based on the results, the overall mean score of PRCA was 67.07±15.68. Moderate to severe communication apprehension was revealed in 199 participants (82.9%), while 235 participants (97.9%) had moderate to severe fear of physician.
Conclusion: Although many factors could contribute to CA and FoP, as the COVID pandemic had just spread and fear of this unknown virus was at its very peak during this study, the researchers assume that the high rate of CA and FoP level could be related to the COVID pandemic. It is suggested that educational workshops should be held for medical care providers to prevent further communication problems. 

Full-Text [PDF 470 kb]   (560 Downloads) |   |   Full-Text (HTML)  (342 Views)  

References
1. Liu BF, Bartz L, Duke N. Communicating crisis uncertainty: A review of the knowledge gaps. Public Relat Rev 2016; 42(3):479-87. [DOI]
2. Back A, Tulsky JA, Arnold RM. Communication Skills in the Age of COVID-19. Am Intern Med 2020; 172(11):759-60. [DOI] [PMID] [PMCID]
3. Paital B, Das K. Spike in pollution to ignite the bursting of COVID-19 second wave is more dangerous than spike of SAR-CoV-2 under environmental ignorance in long term: a review. Environ Sci Pollut Res Int 2021:1-17. [DOI] [PMID] [PMCID]
4. Fallowfield L, Jenkins V. Effective communication skills are the key to good cancer care. Eur J Cancer 1999; 35(11):1592-7. [DOI] [PMID]
5. Campbell RM, Klei AG, Hodges BD, Fisman D, Kitto S. A comparison of health access between permanent residents, undocumented immigrants and refugee claimants in Toronto, Canada. J Immigr Minor Health 2014; 16(1):165-76. [DOI] [PMID]
6. Fawad M, Rawashdeh F, Parmar PK, Ratnayake R. Simple ideas to mitigate the impacts of the COVID-19 epidemic on refugees with chronic diseases. Confl Health 2020; 14:23. [DOI] [PMID] [PMCID]
7. Beatty MJ, Pascual‐Ferrá P. Communication Apprehension. In: The International Encyclopedia of Interpersonal Communication. York, United States: John Wiley & Sons, Inc; 2015. P. 1-9. [DOI]
8. McCroskey JC. Oral Communication Apprehension: A Summary of Recent Theory and Research. Hum Commun Res 1977; 4(1):78-96. [DOI]
9. Croucher SM. Communication Apprehension, Self-Perceived Communication Competence, and Willingness to Communicate: A French Analysis. J Int Intercult Commun 2013; 6(4):298-316. [DOI]
10. Prevoo MJ, Malda M, Mesman J, Emmen RA, Yeniad N, Van Ijzendoorn MH, et al. Predicting ethnic minority children's vocabulary from socioeconomic status, maternal language and home reading input: different pathways for host and ethnic language. J Child Lang 2014; 41(5):963-84. [DOI] [PMID]
11. Mangrio E, Sjögren Forss K. Refugees’ experiences of healthcare in the host country: a scoping review. BMC Health Serv Res 2017; 17(1):814. [DOI] [PMID] [PMCID]
12. Rees S, Fisher J. COVID-19 and the Mental Health of People From Refugee Backgrounds. Int J Health Serv 2020; 50(4):415-7. [DOI] [PMID]
13. Merry LA, Gagnon AJ, Kalim N, Bouris SS. Refugee claimant women and barriers to health and social services post-birth. Can J Public Health 2011; 102(4):286-90. [DOI] [PMID] [PMCID]
14. Shishehgar S, Gholizadeh L, DiGiacomo M, Green A, Davidson PM. Health and Socio-Cultural Experiences of Refugee Women: An Integrative Review. J Immigr Minor Health 2017; 19(4):959-73. [DOI] [PMID]
15. Wilkinson R, Marmot M. Social Determinants of Health: The Solid Facts. 2nd ed. Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2003. [Report]
16. Betts A, Loescher G, Milner J. The United Nations High Commissioner for Refugees (UNHCR): The Politics and Practice of Refugee Protection. 2nd ed. London, England, UK: Routledge; 2011. []
17. Yoshihama M. Reinterpreting strength and safety in a socio-cultural context: Dynamics of domestic violence and experiences of women of Japanese descent. Child Youth Serv Rev 2000; 22(3-4):207-29. [DOI]
18. Pessar PR. Women, Gender, and International Migration Across and Beyond the Americas: Inequalities and Limited Empowerment. Peper presented at: Expert Group Meeting on International Migration and Development in Latin America and the Caribbean; 2005 30 Nov - 2 Dec; Mexico City, Mexico. [Conference papers]
19. Richmond VP, Heisel AM, Smith Jr RS, McCroskey JC. The impact of communication apprehension and fear of talking with a physician on perceived medical outcomes. Commun Res Rep 1998; 15(4):344-53. [DOI]
20. Minkler M, Blackwell AG, Thompson M, Tamir H. Community-based participatory research: implications for public health funding. Am J Public Health 2003; 93(8):1210-3. [DOI] [PMID] [PMCID]
21. Ahmed R, Bates BR. Patients’ fear of physicians and perceptions of physicians’ cultural competence in healthcare. J Commun Healthc 2017; 10(1):55-60. [DOI]
22. Cline RJ, McKenzie NJ. The many cultures of health care: Difference, dominance, and distance in physician-patient communication. Health Communication Research: A Guide to Developments and Directions 1998: 57-74.
23. Hashemi Z, Hadavi M, Valinejad M. Communication Apprehension and Fear of Physician in the Patients Referring to the Clinics of Rafsanjan University of Medical Sciences. Med Ethic 2016; 10(37):37-47. [Article] [DOI]
24. Beatty MJ, McCroskey JC, Heisel AD. Communication apprehension as temperamental expression: A communibiological paradigm. Commun Monogr 1998; 65(3):197-219. [DOI]
25. Sheikh‐Mohammed M, Macintyre CR, Wood NJ, Leask J, Isaacs D. Barriers to access to health care for newly resettled sub‐Saharan refugees in Australia. Med J Aust 2006; 185(11-12):594-7. [DOI] [PMID]
26. Heydari A, Amiri R, Dehghan Nayeri N, AboAli V. Afghan refugees’ experience of Iran’s health service delivery. Int J Hum Rights Healthc 2016; 9(2):75-85. [DOI]
27. Carico RR Jr, Sheppard J, Thomas CB. Community pharmacists and communication in the time of COVID-19: Applying the health belief model. Res Social Adm Pharm 2021; 17(1):1984-7. [DOI] [PMID] [PMCID]
28. Delara M. Social Determinants of Immigrant Women’s Mental Health. Adv Public Health 2016; 2016. doi:10.1155/2016/9730162. [DOI]
29. Vydelingum V. South Asian patients’ lived experience of acute care in an English hospital: a phenomenological study. J Adv Nurs 2000; 32(1):100-7. [DOI] [PMID]
30. Ahmed A, Stewart DE, Teng L, Wahoush O, Gagnon AJ. Experiences of immigrant new mothers with symptoms of depression. Arch Womens Ment Health 2008; 11(4):295-303. [DOI] [PMID]
31. Herrel N, Olevitch L, DuBois DK, Terry P, Thorp D, Kind E, et al. Somali refugee women speak out about their needs for care during pregnancy and delivery. J Midwifery Womens Health 2004; 49(4):345-9. [DOI] [PMID]
32. Wångdahl J, Lytsy P, Mårtensson L, Westerling R. Health literacy among refugees in Sweden–a cross-sectional study. BMC Public Health 2014; 14:1030. [DOI] [PMID] [PMCID]
33. World Health Organization. Risk communication and community engagement readiness and response to coronavirus disease (COVID-19): interim guidance, 19 March 2020. Geneva, Switzerland: World Health Organization; 2020. [Report]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Occupational Health and Epidemiology

Designed & Developed by : Yektaweb