Reinschmidt Kerstin M, Teufel-Shone Nicolette I, Bradford Gail, Drummond Rebecca L, Torres Emma, Redondo Floribella, Elenes Jo Jean, Sanders Alicia, Gastelum Sylvia, Moore-Monroy Martha, Barajas Salvador, Fernandez Lourdes, Alvidrez Rosy, de Zapien Jill Guernsey, Staten Lisa K
Canyon Ranch Center for Prevention and Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Avenue, Room A210, P.O. Box 245209, Tucson, AZ 85724-5209, USA.
J Prim Prev. 2010 Apr;31(1-2):69-83. doi: 10.1007/s10935-010-0208-6.
Diabetes health disparities among Hispanic populations have been countered with federally funded health promotion and disease prevention programs. Dissemination has focused on program adaptation to local cultural contexts for greater acceptability and sustainability. Taking a broader approach and drawing on our experience in Mexican American communities at the U.S.-Mexico Border, we demonstrate how interventions are adapted at the intersection of multiple cultural contexts: the populations targeted, the community- and university-based entities designing and implementing interventions, and the field team delivering the materials. Program adaptation involves negotiations between representatives of all contexts and is imperative in promoting local ownership and program sustainability.
西班牙裔人群中的糖尿病健康差异已通过联邦资助的健康促进和疾病预防项目得到应对。传播工作重点在于使项目适应当地文化背景，以提高可接受性和可持续性。我们采用更广泛的方法，并借鉴在美国 - 墨西哥边境的墨西哥裔美国人社区的经验，展示了如何在多种文化背景的交叉点上调整干预措施：目标人群、设计和实施干预措施的社区及大学实体，以及提供材料的实地团队。项目调整涉及所有背景代表之间的协商，对于促进地方自主性和项目可持续性至关重要。
