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小海地社区参与式研究:挑战与经验教训

Community-based participatory research in Little Haiti: challenges and lessons learned.

作者信息

Kobetz Erin, Menard Janelle, Diem Joshua, Barton Betsy, Blanco Jenny, Pierre Larry, Auguste Pascale D, Etienne Marie, Brewster Cheryl

机构信息

Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, USA.

出版信息

Prog Community Health Partnersh. 2009 Summer;3(2):133-7. doi: 10.1353/cpr.0.0072.

DOI:10.1353/cpr.0.0072
PMID:20208260
Abstract

BACKGROUND

Community-based participatory research (CBPR) is an effective methodology for developing relevant interventions with socially marginalized communities. However, implementing CBPR methods is challenging for several reasons. This paper presents challenges encountered in the context of an ongoing CBPR initiative in Little Haiti in Miami, Florida, and describes the solutions used to address them.

OBJECTIVES

We sought to describe the challenges faced and lessons learned while conducting CBPR in Little Haiti.

METHODS

Community-academic partnerships were created to guide the creation of culturally relevant cancer interventions and research.

LESSONS LEARNED

Historical distrust of research, cultural constructions of health and illness, and literacy issues are key considerations when developing partnerships with Haitian and other marginalized, immigrant communities.

CONCLUSIONS

Partnerships are fostered over time through demonstrated mutual commitment to improving health and building community capacity. Communities must play an active role throughout the research process to ensure that studies are culturally relevant, and ensuing intervention, sustainable.

摘要

背景

基于社区的参与性研究(CBPR)是一种与社会边缘化社区共同开发相关干预措施的有效方法。然而,实施CBPR方法面临诸多挑战。本文介绍了在佛罗里达州迈阿密小海地正在进行的CBPR倡议中遇到的挑战,并描述了用于应对这些挑战的解决方案。

目的

我们试图描述在小海地开展CBPR时所面临的挑战以及吸取的经验教训。

方法

建立社区-学术伙伴关系以指导创建具有文化相关性的癌症干预措施和研究。

经验教训

在与海地及其他边缘化移民社区建立伙伴关系时,对研究的历史不信任、健康与疾病的文化建构以及识字问题是关键考虑因素。

结论

通过展示对改善健康和建设社区能力的共同承诺,伙伴关系会随着时间的推移而得到加强。社区必须在整个研究过程中发挥积极作用,以确保研究具有文化相关性,并确保后续干预措施具有可持续性。

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