Abstract

Arthritis is the leading cause of disability among U.S. adults over the age of 65. Osteoarthritis, the most common form of arthritis, has an incidence rate that increases with age with the highest rates among women. Hispanic women are more affected than any other racial or ethnic group. Little is known about how Hispanic women respond to having osteoarthritis and how they manage its symptoms and limitations. Few studies have examined the specific experiences and perceptions of this population. We do not know how differences in incidence, access to care, disease burden, and activity limitations affect the treatment of Hispanic women, nor do we know if Hispanic women find the care and treatment they receive to be acceptable. Yet, it is crucial to understand how older Hispanic women manage osteoarthritis in order to provide appropriate care. Arthritis as a disparity has not been examined in older Hispanic women (McIlvane, Baker, Chivon, & Haley, 2008). There is a need to understand what older Hispanic women perceive as culturally competent health care services.

This study had two objectives: (a) to describe the experience of older Hispanic women and the factors that affect their quality of life and (b) to obtain the perspective of older Hispanic women with healthcare provider diagnosed osteoarthritis as to the cultural competency of the care they are receiving. The findings from this dissertation may contribute to improving the care and reducing the disparity related to arthritis care among this population and may help healthcare providers design plans that may contribute to a broader understanding of culturally related care needs of this population.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10137631; ProQuest document ID: 1819293752. The author still retains copyright.

Author Details

Claudia A. Oglivie, PhD, MSN, BSN

Sigma Membership

Delta Alpha at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

Qualitative Research

Keywords:

Hispanic Women, Osteoarthritis, Cultural Competencies, Patient Care, Older Adults

Advisor

Kay C. Avant

Second Advisor

Janna Lesser

Third Advisor

Adelita Cantu

Fourth Advisor

Maureen Simmonds

Degree

PhD

Degree Grantor

The University of Texas Health Science Center San Antonio

Degree Year

2016

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-01-14

Full Text of Presentation

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