Javier Joyce R, Chamberlain Lisa J, Rivera Kahealani K, Gonzalez Sarah E, Mendoza Fernando S, Huffman Lynne C
Children's Hospital Los Angeles, CA, USA.
Prog Community Health Partnersh. 2010 Winter;4(4):305-13. doi: 10.1353/cpr.2010.0023.
Filipino Americans have more adolescent pregnancies than other Asian-Pacific Islanders (APIs). Few community-academic collaborations have addressed adolescent pregnancy prevention in this community.
We sought to describe the lessons learned from and impact of a community-based teen pregnancy prevention program for Filipino Americans implemented by a Filipina pediatrics resident.
We formed a community-academic partnership between the Filipino Youth Coalition, a community-based organization (CBO) in San Jose, California, and the Stanford School of Medicine's Pediatric Advocacy Program. We developed a culturally tailored parent-teen conference addressing adolescent pregnancy prevention in Filipino Americans. We qualitatively and quantitatively evaluated this intervention by collecting both pre- and post-conference data using a convenience sample design.
Engaging particular aspects of Filipino culture (i.e., religion and intergenerational differences) helped to make this community-academic partnership successful. For physicians-in-training who are conducting community-based participatory research (CBPR), project challenges may include difficulties in building and maintaining academic- community relationships, struggles to promote sustainability, and conflicting goals of "community insiders" and "academic outsiders." Authors offer insights and implications for residents interested in practicing CBPR.
CBPR is a key tool for exploring health issues in understudied populations. CBPR experiences can provide meaningful educational opportunities for physicians-in-training and can build sustained capacity in CBOs. They can also help residents to develop analytic skills, directly affect the health of the communities they serve, and, for minority physicians, give back to the communities they call home.
菲律宾裔美国人的青少年怀孕率高于其他亚太岛民（API）。很少有社区与学术机构的合作致力于该社区的青少年怀孕预防工作。
我们试图描述由一名菲律宾裔儿科住院医师为菲律宾裔美国人实施的基于社区的青少年怀孕预防项目所吸取的经验教训及其影响。
我们在加利福尼亚州圣何塞的一个社区组织菲律宾青年联盟与斯坦福大学医学院的儿科宣传项目之间建立了社区与学术的伙伴关系。我们开展了一次针对菲律宾裔美国人青少年怀孕预防的文化定制家长 - 青少年会议。我们采用便利抽样设计收集会议前后的数据，对该干预措施进行了定性和定量评估。
融入菲律宾文化的特定方面（即宗教和代际差异）有助于使这种社区与学术的伙伴关系取得成功。对于正在进行基于社区的参与性研究（CBPR）的住院医师而言，项目挑战可能包括建立和维持学术 - 社区关系的困难、促进可持续性的努力以及“社区内部人员”和“学术外部人员”相互冲突的目标。作者为有兴趣开展CBPR的住院医师提供了见解和启示。
CBPR是探索研究不足人群健康问题的关键工具。CBPR经验可以为住院医师提供有意义的教育机会，并可以增强社区组织的持续能力。它们还可以帮助住院医师培养分析技能，直接影响他们所服务社区的健康，并且对于少数族裔医生来说，可以回馈他们称之为家的社区。
