Nguyen Anh B, Belgrave Faye Z, Sholley Barbara K
Virginia Commonwealth University, 806 W. Franklin St., Richmond, VA 23220, USA.
Health Promot Pract. 2011 Nov;12(6):876-86. doi: 10.1177/1524839909355518. Epub 2010 Jun 8.
Community-based participatory research (CBPR) is a collaborative partnership approach to research that combines the efforts of researchers and stakeholders. CBPR can effectively be used to target local community populations in increasing knowledge and improving behaviors in cancer prevention as participants have a voice and active role in the research process. This article describes how CBPR was used in the development, implementation, and evaluation of a pilot intervention for breast and cervical cancer screening among a Vietnamese female population. The authors outline the use of CBPR in three phases: (a) the identification of preventive health topics important in the local Vietnamese community, (b) the development and administration of a survey to gain a deeper understanding of barriers to breast and cancer screening among Vietnamese women, and (c) the development of a culturally appropriate pilot intervention to promote cancer screening behavior among a local Vietnamese population. In Study 1, it was found that Vietnamese women experienced disparities in breast and cervical cancer screening. In Study 2, it was found that having health insurance and a regular physician were predictive of breast and cervical cancer screening. It was also found that participants had low levels of acculturation and lacked cancer screening knowledge. In Study 3, it was found that the culturally relevant intervention used in this study improved cancer screening-related outcomes in knowledge, self-efficacy, intention, and behavior.
基于社区的参与性研究（CBPR）是一种合作性的研究伙伴关系方法，它将研究人员和利益相关者的努力结合在一起。由于参与者在研究过程中有发言权并发挥积极作用，CBPR可以有效地用于针对当地社区人群，以增加癌症预防方面的知识并改善行为。本文描述了CBPR如何用于越南女性人群乳腺癌和宫颈癌筛查试点干预措施的开发、实施和评估。作者概述了CBPR在三个阶段的应用：（a）确定越南当地社区重要的预防性健康主题；（b）开展并管理一项调查，以更深入地了解越南女性乳腺癌和宫颈癌筛查的障碍；（c）开发一种符合文化习惯的试点干预措施，以促进越南当地人群的癌症筛查行为。在研究1中，发现越南女性在乳腺癌和宫颈癌筛查方面存在差异。在研究2中，发现拥有医疗保险和有固定的医生是乳腺癌和宫颈癌筛查的预测因素。还发现参与者的文化适应程度较低且缺乏癌症筛查知识。在研究3中，发现本研究中使用的与文化相关的干预措施改善了癌症筛查相关的知识、自我效能感、意愿和行为等结果。
