Field Specializations: Medical Anthropology, Urban Health, Qualitative Research Methods, Racial and Ethnic Disparities in Health and Health Care, Latina and Women's Health, HIV/AIDS, Primary Care Research, PCMH Practice Facilitation, Scholarly Writing
As a medical anthropologist specializing in racial and ethnic disparities in health, urban systems and the transformation of primary care, I ask these questions: how do different cultural groups think about health and wellness?
How do they define illness and well-being, and how can urban health professionals best help them heal and maintain good health? How can our urban health care system be reshaped to address their most pressing needs and wants on their own terms?
Finally, how can primary care as a whole be re-imagined and reshaped such that it gives urban citizens consistently high quality care most of the time?
I first became interested in medical anthropology as a graduate student, after learning about female circumcision as it was practiced both in Africa and in the United States circa 1860.
Eventually, my dissertation research focused on the help-seeking pathways of HIV-positive Puerto Rican women living in the greater Newark area. My work led me to follow a group of 17 women as they struggled to take care of themselves and their families over the course of three years.
During my fieldwork, I learned a great deal about the daily challenges faced by HIV-positive Latinas, and I learned even more about our urban health care system.
Unexpectedly, I found that many of the women I worked with were able to advocate for themselves despite stigma, poverty and oppression. This did not diminish the challenges they faced, nor did it suggest that our health care system was offering them consistently high-quality care.
However, it did suggest that human beings have the potential to retain their own agency in the face of great hardships. Over time, my fieldwork revealed that women who understood the beliefs and practices of many different ethnic and socioeconomic groups had important cultural advantages that they could use to help themselves and others.
French sociologist Pierre Bourdieu referred to these advantages collectively as “social capital”, and women in my study who had more of it also had more power to help themselves. Ultimately, I found that although poor HIV-positive Latinas might not be able to change the challenges they faced, they could retain their own agency, their own dignity, and a fair measure of their own power.
Today, I am especially interested in the transformation of primary care and the potential of new, innovative health care models to change the ways in which urban health care is imagined and delivered. Currently, I partner with both primary care researchers and urban nurse-researchers to explore promising new possibilities for improving the health care “safety net” and the health of our urban citizens.
(Rutgers University Press, 2011) explores the survival strategies of poor, HIV-positive Puerto Rican women by asking four key questions: Given their limited resources, how did they manage an illness as serious as HIV/AIDS? Did they look for alternatives to conventional medical treatment? Did the challenges they faced deprive them of self-determination, or could they help themselves and each other? What can we learn from these resourceful women?
Based on my work with minority women living in Newark, New Jersey, I sought to illuminate the hidden traps and land mines burdening our current health care system as a whole. For the women that I studied, alliances with doctors, nurses, and social workers could literally mean the difference between life and death.
By applying the theories of sociologist Pierre Bourdieu to the day-to-day experiences of HIV-positive Latinas, I strove to explain why some struggled and even died while others flourished and thrived under difficult conditions. These gripping, true-life stories advocate for those living with chronic illness who depend on the health care "safety net."
Through my exploration of life and death among Newark's resourceful women, I work to provide the groundwork for inciting positive change in the U.S. health care system. View my Amazon.com author page and book reviews here. Read reviews of Surviving HIV/AIDS in the Inner City here at Project Muse, in Centro, Journal of the Center for Puerto Rican Studies, and in Medical Anthropology Quarterly.
Sickora C, Chase SM
(Forthcoming, Journal of Nursing Education)
Successful healthcare reform will require more than insuring 32 million additional Americans. It will demand that our expensive, hospital-and-provider-driven model of care succumb to a community-driven wellness model that emphasizes disease prevention. Nursing is perfectly situated to lead this transformation.
By educating students in ways that build on nursing’s legacy of health promotion and disease prevention, nurse educators can prepare them to partner with underserved communities in order to offer low cost, prevention-based services that meet local needs. We use preliminary data from the Jordan and Harris Community Health Center in Newark, NJ to demonstrate how nurses can serve as role models in microsystem healthcare that follows the Institute of Medicine’s recommendations for healthcare reform.
In an effort to explore effective time-management strategies for Family Practice physicians, our research group explored the common challenges of hundreds of family medicine practices over the last 15 years, and in our most recent review of 60 practices we found that most do not schedule meetings on a consistent and that, when they do, it's rare for team members to have input and discussions that involve the entire practice. To help overcome this gap in practice, we developed what we call the reflective adaptive process, or RAP. Read more about the RAP approach here.
I am currently collaborating with Dr. Cindy Sickora and Dr. Peijia Zha to develop a series of health care delivery pilot studies in conjunction with the Community Advisory Board (CAB) of the Jordan and Harris Community Health Center in Newark, NJ.
The Joint Ph.D. Program in Urban Systems Health Track utilizes the National Center for Faculty Development & Diversity’s approach to scholarship training to structure its graduate student mentorship program. All Urban Health graduate students are offered NCFDD memberships upon enrollment, and in the Spring of 2014, I will conduct a series of conference calls to guide interested graduate students in the use of NCFDD resources.
I also direct a three-semester Rutgers School of Nursing faculty development project based on the NCFDD Faculty Success Program with the support of Dr. Kerry Ann Rockquemore, who developed the approach. This pilot study will run from Spring 2014 through the Fall of 2015.
In 2014, I will attend the following conferences and would be delighted to meet with you there. Please contact me via email or cell phone if you would like to talk to me.