Characterizing the healthcare experiences of Karen migrants to Middle Tennessee

Abstract

The Karen are a collection of ethnic groups from the mountainous regions of eastern Burma and Thailand. As a result of the ongoing civil war, persecution, and extensive human rights violations happening in Burma, many Karen flee the country as refugees, and some of them have been resettled in Middle Tennessee where they form a tight-knit community. Patients from diverse backgrounds may have unique experiences with their health and receiving healthcare. This qualitative interview study seeks to explore the resources being utilized by the Karen community in Middle Tennessee, any needs they may feel, and any other aspects or unique experiences relevant to the health and healthcare of Karen people. Interviews conducted with individuals who identify as Karen and have received healthcare in Middle Tennessee and providers who have treated Karen patients revealed that: Karen patients benefit from social supports such as caregivers and Karen-English interpreters; communication is a major challenge for patients and providers; and Karen patients may benefit from extra patience and support from their providers and culturally-sensitive health education, particularly when it comes to managing chronic health conditions.