Livaudais Jennifer C, Thompson Beti, Islas Ilda, Ibarra Genoveva, Godina Ruby, Coronado Gloria D
Cancer Prevention Program at Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109, USA.
Health Promot Pract. 2010 Jul;11(4):589-99. doi: 10.1177/1524839909354458. Epub 2010 May 20.
During February-March 2006, elicitation interviews were conducted with 23 community stakeholders in the Yakima Valley, Washington State, to examine concerns about diabetes and to obtain recommendations for how to address concerns among Hispanics in this rural community. Using a snowball approach, stakeholders were identified from organizations providing care and outreach for Hispanics with diabetes. Interviews were guided by a social ecology approach and were conducted as part of a larger parent study using principles of community-based participatory research. Audiotaped interviews were transcribed and then coded by three staff members who identified common themes independently before meeting to reach consensus. Stakeholders represented health care delivery or social service organizations, churches, or local radio stations. Diabetes was perceived as an important problem among community members, who often underwent delayed diagnosis of the disease. Lack of disease knowledge, access to appropriate information or services, health insurance, and personal responsibility were perceived as barriers. Stakeholders recommended using exiting organizations and businesses as intervention channels, promoting cultural sensitivity of health professionals and volunteers, creating and distributing appropriate information, and organizing activities to promote awareness and disease management. Recommendations have informed the design of community interventions to lessen the impact of diabetes in the Yakima Valley.
2006年2月至3月期间，对华盛顿州亚基马山谷的23名社区利益相关者进行了启发式访谈，以调查对糖尿病的担忧，并获取如何解决该农村社区中西班牙裔人群担忧的建议。采用滚雪球的方法，从为患有糖尿病的西班牙裔人群提供护理和外展服务的组织中确定利益相关者。访谈以社会生态学方法为指导，作为一项更大的母体研究的一部分进行，该研究采用基于社区的参与性研究原则。对录音访谈进行了转录，然后由三名工作人员进行编码，他们在开会达成共识之前各自确定了共同主题。利益相关者代表医疗保健提供或社会服务组织、教会或当地广播电台。糖尿病在社区成员中被视为一个重要问题，他们往往疾病诊断延迟。缺乏疾病知识、获取适当信息或服务、医疗保险以及个人责任感被视为障碍。利益相关者建议利用现有的组织和企业作为干预渠道，提高卫生专业人员和志愿者的文化敏感性，创建并分发适当的信息，并组织活动以提高认识和疾病管理。这些建议为减少亚基马山谷糖尿病影响的社区干预措施设计提供了参考。
