从设计到传播：在灾后社区实施基于社区的参与式研究
From Design to Dissemination: Implementing Community-Based Participatory Research in Postdisaster Communities.
作者信息
Lichtveld Maureen, Kennedy Suzanne, Krouse Rebecca Z, Grimsley Faye, El-Dahr Jane, Bordelon Keith, Sterling Yvonne, White LuAnn, Barlow Natasha, DeGruy Shannon, Paul Dorothy, Denham Stacey, Hayes Claire, Sanders Margaret, Mvula Mosanda M, Thornton Eleanor, Chulada Patricia, Mitchell Herman, Martin William J, Stephens Kevin U, Cohn Richard D
机构信息
At the time of the study, Maureen Lichtveld, Faye Grimsley, LuAnn White, Natasha Barlow, Shannon DeGruy, and Dorothy Paul were with the School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA. Suzanne Kennedy, Rebecca Z. Krouse, and Herman Mitchell were with Rho Federal Systems Division Inc, Chapel Hill, NC. Jane El-Dahr was with the Department of Pediatrics, Tulane University School of Medicine, New Orleans. Keith Bordelon and Richard D. Cohn were with the Constella Group, LLC, Durham, NC. Yvonne Sterling was with the Health Sciences Center School of Nursing, Louisiana State University, New Orleans. Stacey Denham, Claire Hayes, Margaret Sanders, Mosanda M. Mvula, and Kevin U. Stephens were with the New Orleans Health Department, New Orleans. Eleanor Thornton was with Visionary Consulting Partners, LLC, Fairfax, VA. Patricia Chulada and William J. Martin II were with the National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC.
出版信息
Am J Public Health. 2016 Jul;106(7):1235-42. doi: 10.2105/AJPH.2016.303169. Epub 2016 May 19.
OBJECTIVES
To review how disasters introduce unique challenges to conducting population-based research and community-based participatory research (CBPR).
METHODS
From 2007-2009, we conducted the Head-off Environmental Asthma in Louisiana (HEAL) Study in the aftermath of Hurricane Katrina in a Gulf Coast community facing an unprecedented triple burden: Katrina's and other disasters' impact on the environment and health, historic health disparities, and persistent environmental health threats.
RESULTS
The unique triple burden influenced every research component; still, most existing CBPR principles were applicable, even though full adherence was not always feasible and additional tailored principles govern postdisaster settings.
CONCLUSIONS
Even in the most challenging postdisaster conditions, CBPR can be successfully designed, implemented, and disseminated while adhering to scientific rigor.
目的
回顾灾难如何给开展基于人群的研究和社区参与性研究（CBPR）带来独特挑战。
方法
2007年至2009年，我们在卡特里娜飓风过后，于墨西哥湾沿岸一个社区开展了路易斯安那州预防环境性哮喘（HEAL）研究，该社区面临前所未有的三重负担：卡特里娜飓风及其他灾难对环境和健康的影响、长期存在的健康差距以及持续的环境卫生威胁。
结果
独特的三重负担影响了研究的各个组成部分；尽管如此，大多数现有的社区参与性研究原则仍然适用，即使完全遵循并不总是可行，且在灾后环境中还需要额外的针对性原则。
结论
即使在最具挑战性的灾后条件下，社区参与性研究也可以在坚持科学严谨性的同时成功设计、实施和推广。
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