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“你必须了解社区”:少数族裔女性对以社区为重点的健康研究提出建议。

"You've gotta know the community": minority women make recommendations about community-focused health research.

作者信息

Pinto Rogério M, McKay Mary M, Escobar Celeste

机构信息

Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY 10027, USA.

出版信息

Women Health. 2008;47(1):83-104. doi: 10.1300/J013v47n01_05.

Abstract

OBJECTIVES

To determine what ethnic and racial minority women recommend as the best approaches to participatory health research in their communities. To achieve this goal, this study focused on HIV prevention research.

METHODS

In 2003, Seven African American and seven Latina women (ages 33 to 52), all members of an HIV Prevention Collaborative Board, participated in individual interviews, lasting about 90 minutes each. Participants discussed their involvement in participatory research, and made recommendations as to how health researchers might better engage their communities. Data were coded independently by two coders following standard procedure for content analysis.

RESULTS

Women's voices and expertise can help guide health-related research. This study shows that: (1) participatory HIV prevention research should be founded on trust and commitment, leading to social support; (2) research partners ought to come from diverse backgrounds and be knowledgeable about the community and willing to work on common objectives; and (3) collaborative partnerships ought to portray an image of strength and cohesion, and a clear articulation of the mission around a research project.

IMPLICATIONS

To develop meaningful health research, researchers need to establish long-term ongoing relationships with community collaborators, including minority women from diverse backgrounds. Researchers ought to take a holistic approach working with communities, and ought to consider their research interests vis-a-vis the community's needs.

摘要

目标

确定少数族裔和种族女性认为在其社区开展参与式健康研究的最佳方法是什么。为实现这一目标,本研究聚焦于艾滋病预防研究。

方法

2003年,7名非裔美国女性和7名拉丁裔女性(年龄在33至52岁之间),她们均为艾滋病预防协作委员会成员,参与了个人访谈,每次访谈约持续90分钟。参与者讨论了她们在参与式研究中的参与情况,并就健康研究人员如何更好地与她们的社区互动提出了建议。两名编码员按照内容分析的标准程序对数据进行了独立编码。

结果

女性的声音和专业知识有助于指导与健康相关的研究。本研究表明:(1)参与式艾滋病预防研究应以信任和承诺为基础,从而获得社会支持;(2)研究伙伴应来自不同背景,了解社区情况并愿意为共同目标努力;(3)合作关系应展现出强大和团结的形象,并清晰阐明围绕研究项目的使命。

启示

为开展有意义的健康研究,研究人员需要与社区合作者建立长期持续的关系,包括来自不同背景的少数族裔女性。研究人员应采取整体方法与社区合作,并应根据社区需求考虑自身研究兴趣。

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