一种针对韩裔美国人的基于社区参与式的乙肝干预方法。
A community-based participatory approach to a hepatitis B intervention for Korean Americans.
作者信息
Ma Grace X, Gao Wanzhen, Tan Yin, Chae Wang G, Rhee Joanne
机构信息
Department of Public Health, Center for Asian Health, Temple University, USA.
出版信息
Prog Community Health Partnersh. 2012 Spring;6(1):7-16. doi: 10.1353/cpr.2012.0002.
BACKGROUND
Hepatitis B virus (HBV) infection and liver cancer are severe health problems among Korean Americans. Most Korean Americans are neither screened nor vaccinated against HBV owing to substantial access barriers.
OBJECTIVES
The primary objective of this article is to highlight how our team of academic researchers and community partners worked together to apply a community-based participatory research (CBPR) approach to developing, implementing, and evaluating a culturally appropriate, church-based HBV screening and vaccination intervention program for Korean Americans.
METHODS
Guided by CBPR, multiple strategies were used to form academic-community partnerships in the development and implementation of the culturally appropriate HBV intervention program in the Korean-American community. These include the formation of a community advisory board (CAB) and adoption of CBPR principles, community needs assessment, development and evaluation of the pilot intervention program, and the full-scale community controlled trial.
RESULTS
The pilot intervention results indicated significant increases in screening and vaccination rates in the intervention group compared with the control group. With the success of the partnership and pilot study, Korean church leaders, CAB members, and researchers are currently co-leading a full-scale intervention study to further evaluate the effectiveness of the intervention program.
CONCLUSION
The current study highlights the role and contributions of multiple partners through five phases and discusses the challenges and lessons learned for how to sustain intervention programs by emphasizing common vision, trust development, shared recognition, capacity building, long-term commitments to partnership building, and balance between science and community needs.
背景
乙肝病毒（HBV）感染和肝癌是韩裔美国人面临的严重健康问题。由于存在诸多获取医疗服务的障碍，大多数韩裔美国人既未接受乙肝病毒筛查，也未接种乙肝疫苗。
目的
本文的主要目的是强调我们的学术研究团队和社区合作伙伴如何共同努力，运用基于社区的参与性研究（CBPR）方法，为韩裔美国人开发、实施和评估一项适合其文化背景的、以教会为基础的乙肝病毒筛查和疫苗接种干预项目。
方法
在CBPR的指导下，我们运用多种策略，在为韩裔美国人社区开发和实施适合其文化背景的乙肝病毒干预项目过程中，建立学术 - 社区伙伴关系。这些策略包括组建社区咨询委员会（CAB）并采用CBPR原则、进行社区需求评估、开发和评估试点干预项目以及开展全面的社区对照试验。
结果
试点干预结果表明，与对照组相比，干预组的筛查率和疫苗接种率显著提高。随着伙伴关系和试点研究的成功，韩国教会领袖、CAB成员和研究人员目前正在共同领导一项全面的干预研究以便进一步评估干预项目的效果。
结论
本研究通过五个阶段突出了多个合作伙伴的作用和贡献，并讨论了在强调共同愿景、建立信任、共享认可、能力建设、对伙伴关系建设的长期承诺以及科学与社区需求之间的平衡等方面，维持干预项目所面临的挑战和经验教训。
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