Critical role of lay health cultural brokers in promoting the health of immigrants and refugees: A case study in the United States of America

Abstract

The United States of America, a home to immigrants and refugees from various cultures and corners of the world continues to encounter waves of mass immigration. Some immigrated due to well-founded fears of persecution (i.e. religious, political, race, or social group) or economic hardships. Others immigrated to, reunite with family members, seek economic and education opportunities, and better standards of living. Notwithstanding their channels of admission or entry and their pivotal role in enriching the culture and the economy of the United States of America, many confront several health and lifestyle related challenges as they acculturate and integrate into the mainstream of American life and culture. Although many individuals and organizations have created numerous programs and activities to help ease these difficulties, minimal documentation is available on the involvement and engagement of the non-traditional work force, such as the lay health cultural brokers. The purpose of this case study was to examine the role of lay health cultural brokers in promoting the health and acculturation of immigrants and refugees in the United States of America. Methods: The participants for this qualitative case study were 10 lay health cultural brokers (5 male and 5 female) from different countries and cultures. The qualitative data was collected through focus group and one-on-one in-depth interviews. Results: The findings indicated that the lay health cultural brokers played a critical role in helping immigrants and refugees acculturate and integrate into the American health care system. They served as interpreters, translators, system navigators, resource guides, educators and mentors among others. Conclusion: The lay health cultural brokers provide essential cultural bridges and linkages that help to reduce the gaps that exist between the immigrants and refugees community and the American health care system.