Peiris-John Roshini, Wong Agnes, Sobrun-Maharaj Amritha, Ameratunga Shanthi
School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand. Email:
School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.
J Prim Health Care. 2016 Mar;8(1):35-43. doi: 10.1071/HC15011.
INTRODUCTION In New Zealand, while the term 'Asians' in popular discourse means East and South-east Asian peoples, Statistics New Zealand's definition includes people of many nationalities from East, South and South-east Asia, all with quite different cultural norms, taboos and degrees of conservatism. In a context where 'Asian' youth data are typically presented in aggregate form, there are notable gaps in knowledge regarding the contextual determinants of health in this highly heterogeneous group. This qualitative study explored key stakeholder views on issues that would be most useful to explore on the health and wellbeing of Asian youth and processes that would foster engagement of Asian youth in health research. METHODS Interviews were conducted with six key stakeholders whose professional activities were largely focused on the wellbeing of Asian people. The general inductive approach was used to identify and analyse themes in the qualitative text data. FINDINGS Six broad themes were identified from the key stakeholder interviews framed as priority areas that need further exploration: cultural identity, integration and acculturation; barriers to help-seeking; aspects to consider when engaging Asian youth in research (youth voice, empowerment and participatory approach to research); parental influence and involvement in health research; confidentiality and anonymity; and capacity building and informing policy. CONCLUSION With stakeholders strongly advocating the engagement of Asian youth in the health research agenda this study highlights the importance of engaging youth alongside service providers to collaborate on research and co-design responsive primary health care services in a multicultural setting. KEYWORDS Asian youth; New Zealand; health research; minority health; Community and social participation.
引言 在新西兰，虽然大众话语中的“亚洲人”一词指东亚和东南亚民族，但新西兰统计局的定义包括来自东亚、南亚和东南亚的许多不同国籍的人，他们都有着截然不同的文化规范、禁忌和保守程度。在“亚洲”青年数据通常以汇总形式呈现的背景下，对于这个高度异质群体健康的背景决定因素，我们的了解存在显著差距。这项定性研究探讨了关键利益相关者对哪些问题对于探索亚洲青年的健康和福祉最为有用，以及哪些过程能够促进亚洲青年参与健康研究的看法。
方法 对六位关键利益相关者进行了访谈，他们的专业活动主要集中在亚洲人的福祉方面。采用一般归纳法来识别和分析定性文本数据中的主题。
结果 从关键利益相关者访谈中确定了六个广泛的主题，这些主题被确定为需要进一步探索的优先领域：文化认同、融合与文化适应；寻求帮助的障碍；让亚洲青年参与研究时需要考虑的方面（青年声音、赋权和参与式研究方法）；父母对健康研究的影响和参与；保密和匿名；以及能力建设和为政策提供信息。
结论 利益相关者强烈主张让亚洲青年参与健康研究议程，这项研究强调了让青年与服务提供者合作进行研究，并在多元文化环境中共同设计响应式初级卫生保健服务的重要性。
关键词 亚洲青年；新西兰；健康研究；少数族裔健康；社区与社会参与
