Texas Tech University Health Science Center, Leadership Studies, Lubbock, Texas 79430, USA.
Issues Ment Health Nurs. 2010 Nov;31(11):739-47. doi: 10.3109/01612840.2010.512697.
Reproductive health needs for ethnic minority adolescents are a national priority given the population growth of minority adolescents in the United States. United States census reports predict minority adolescents will comprise one-third of all young persons less than 20 years of age early in the twenty-first century. Developing culturally sensitive interventions for minority adolescents includes ecological assessments of cultural priorities, community resources, disease burden, and socioeconomic conditions. These assessments must be accomplished in partnership with the local community. Understanding reproductive health needs necessarily includes an evaluation of the absence of reproductive health, namely, the prevalence of sexually transmitted infection (STI), sexual or physical abuse, unplanned pregnancy, and the risk factors that contribute to such adverse outcomes. This article describes the methodological processes utilized to conduct an ecological assessment of a community including the health, economic, and psychosocial status of, and resources available to, a target population prior to the implementation of a community-based, cognitive behavioral intervention to reduce STI, abuse, and unplanned pregnancy.
少数民族青少年的生殖健康需求是国家的优先事项，因为美国少数民族青少年的人口增长。美国人口普查报告预测，在 21 世纪初，少数民族青少年将占所有 20 岁以下年轻人的三分之一。为少数民族青少年制定文化敏感的干预措施包括对文化优先事项、社区资源、疾病负担和社会经济状况进行生态评估。这些评估必须在与当地社区合作的基础上进行。了解生殖健康需求必然包括对生殖健康缺失的评估，即性传播感染 (STI) 的流行率、性或身体虐待、意外怀孕以及导致这些不良后果的风险因素。本文描述了在实施基于社区的认知行为干预以减少 STI、虐待和意外怀孕之前，对一个社区进行生态评估所使用的方法学过程，包括目标人群的健康、经济和社会心理状况以及可利用的资源。
