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少数群体的健康风险行为:性传播疾病、暴力、预防怀孕及药物使用研究导论

Minority health risk behaviors: an introduction to research on sexually transmitted diseases, violence, pregnancy prevention and substance use.

作者信息

Browne D C, Clubb P A, Aubrecht A M, Jackson M

机构信息

Drug Abuse Research Program, Morgan State University, Baltimore, Maryland 21251, USA.

出版信息

Matern Child Health J. 2001 Dec;5(4):215-24. doi: 10.1023/a:1013077404562.

Abstract

AIMS

The goal of this article is to introduce the Research on Sexually Transmitted Diseases, Violence, and Pregnancy Prevention Project (RSVPP), which represents one response of the National Institutes of Health to reduce health disparities in racial and ethnic populations.

METHODS

As part of this effort, seven independent projects were funded to design, implement, and evaluate community-based intervention strategies aimed at reducing risk behaviors among minority youth. The interventions and research designs varied across the sites; however, all sites included a common set of questions in their questionnaires. This study focuses on the lessons learned about community-based research across all sites.

RESULTS

Sites learned many lessons regarding community-based research, including: the value of building trust, the dynamic nature of communities, the intensive time and resources necessary for success, dissimilarities between researcher and community goals, the value of clear communication, the importance of recognizing the contribution of community members and expressing gratitude for their efforts; the difficulty of disseminating findings regarding sensitive topics, and the need for continuation of interventions.

CONCLUSION

Community involvement posed challenges, but enhanced the quality of the implementation and the evaluation of the interventions. This special issue includes findings from the RSVPP sites.

摘要

目的

本文旨在介绍性传播疾病、暴力与妊娠预防研究项目(RSVPP),该项目是美国国立卫生研究院为减少种族和族裔人群健康差距所做出的一项举措。

方法

作为此项工作的一部分,七个独立项目获得资助,以设计、实施和评估旨在减少少数族裔青少年风险行为的社区干预策略。各项目地点的干预措施和研究设计各不相同;然而,所有地点在问卷中都包含一组共同的问题。本研究聚焦于从所有项目地点开展的社区研究中汲取的经验教训。

结果

各项目地点在社区研究方面学到了很多经验教训,包括:建立信任的价值、社区的动态性质、成功所需的大量时间和资源、研究人员与社区目标的差异、清晰沟通的价值、认可社区成员贡献并对其努力表示感谢的重要性;传播敏感话题研究结果的困难,以及持续开展干预措施的必要性。

结论

社区参与带来了挑战,但提高了干预措施实施和评估的质量。本期特刊包含RSVPP各项目地点的研究结果。

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