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Uphold CR, Freytes IM, Midolo JP, del Valle L, Easey KL. Cultural Influence on Community Reintegration of OEF/OIF Veterans in Puerto Rico and the U.S. Virgin Islands. Poster session presented at: VA Nursing Polytrauma Annual Conference; 2010 Oct 19; Arlington, VA.
Background: Although culture is known to have a tremendous effect on all aspects of one's life, few studies have examined the impact of culture on Veterans' post-deployment experiences. Objectives: This study examines Veterans' and OEF/OIF healthcare providers' perceptions of how "island" culture affects post-deployment readjustment. Methods: We conducted a total of four focus groups in Puerto Rico (PR) and the U.S. Virgin Islands (US VI) - two with Veterans (n = 28 participants) and two with healthcare providers (n = 21 participants). All interviews were digitally recorded, transcribed, and analyzed using the constant-comparative method. Findings: Participants stated that Veterans were not respected, supported, and often viewed as "crazy" when they returned home. Participants stated that the communities on their islands are close-knit and that privacy is of central importance. Mental health problems are a sign of weakness and seeking care for these problems is strongly discouraged. Although it is acceptable for male Veterans to socialize and drink with their "buddies", females are expected to stay at home. Veterans are stereotyped by persons from the mainland as being less educated and intelligent. Impact: Providers need to be culturally sensitive and tailor their care to the unique needs of OEF/OIF Veterans from different cultures.
