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初级卫生保健:在一个始于加拿大女子监狱的基于社区的参与式健康研究项目中应用原则。

Primary health care: applying the principles within a community-based participatory health research project that began in a Canadian women's prison.

机构信息

Department of Family Practice, University of British Columbia, 300-5950 University Blvd, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Glob Health Promot. 2009 Dec;16(4):43-53. doi: 10.1177/1757975909348114.

DOI:10.1177/1757975909348114
PMID:20028668
Abstract

OBJECTIVES

the purpose of this research was to determine the feasibility of engaging incarcerated women in community-based participatory research and to identify, by and with the women, the health concerns to be addressed.

DESIGN

the integration of primary health care, community-based participatory research, a settings approach to health promotion and transformative action research guided the overall design of this study.

PARTICIPANTS

Incarcerated women, correctional centre staff and academic researchers participated collaboratively. Setting. The study was conducted in the main short sentence (two years or less) minimum/medium security women's correctional centre in a Canadian province.

RESULTS

In-depth interviews were conducted with 16 incarcerated women; in-depth group interviews were facilitated with 16 correctional centre staff. Twenty-one themes, which emerged from participatory, inductive and content analysis of the data, were presented at a face-to-face meeting attended by 120 incarcerated women, 10 correctional centre staff and 5 academic researchers. Underlying values and principles for the project were identified prior to a discussion of the results. During the course of this meeting, the themes were converged into five major categories: addictions and mental health; HIV, hepatitis and infections; health care in prison; life skills and re-entry into society (including homelessness and housing); and children, family and relationships. Numerous suggestions for health interventions and participatory projects were generated, each relating to one of the five major categories.

CONCLUSIONS

this study was unique in that, to our knowledge, no other studies have utilized community-based participatory research methods in which incarcerated women played a role in designing the research questions and tools, collecting the data, analyzing the data, interpreting the data and authoring the publications and presentations. This study demonstrated that it is feasible for incarcerated women to engage in developing and utilizing community-based participatory research methods and that these methods can be grounded in a settings approach to whole prison health promotion.

摘要

目的

本研究旨在确定让女性囚犯参与社区参与式研究的可行性,并确定女性囚犯所关注的健康问题。

设计

本研究以初级保健、社区参与式研究、健康促进的环境方法和变革行动研究为指导,总体设计了这项研究。

参与者

女性囚犯、惩教中心工作人员和学术研究人员共同参与。研究地点是加拿大某省的主要短期(两年或以下)最低/中度安全女性惩教中心。

结果

对 16 名女性囚犯进行了深入访谈;对 16 名惩教中心工作人员进行了深入小组访谈。通过对数据进行参与式、归纳式和内容分析,共出现 21 个主题,并在一次面对面会议上展示,会议邀请了 120 名女性囚犯、10 名惩教中心工作人员和 5 名学术研究人员参加。在讨论结果之前,确定了项目的基本原则。在会议期间,将主题融合成五个主要类别:成瘾和心理健康;艾滋病毒、肝炎和感染;监狱内的医疗保健;生活技能和重返社会(包括无家可归和住房);以及儿童、家庭和关系。提出了许多健康干预和参与式项目的建议,每个建议都与五个主要类别之一有关。

结论

本研究是独特的,据我们所知,没有其他研究利用社区参与式研究方法,让女性囚犯在设计研究问题和工具、收集数据、分析数据、解释数据以及撰写出版物和报告方面发挥作用。本研究表明,女性囚犯参与制定和利用社区参与式研究方法是可行的,这些方法可以基于整个监狱健康促进的环境方法。

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