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身心健康的障碍:了解城市社区中柬埔寨和拉丁裔居民的交叉需求

Barriers to Physical and Mental Health: Understanding the Intersecting Needs of Cambodian and Latino Residents in Urban Communities.

作者信息

D'Anna L H, Peong V, Sabado P, Valdez-Dadia A, Hansen M C, Canjura C, Hong M

机构信息

Center for Health Equity Research, California State University, Long Beach, 1250 Bellflower Blvd., F05-120, Long Beach, CA, 90840, USA.

The Cambodian Family, Santa Ana, CA, USA.

出版信息

J Immigr Minor Health. 2018 Oct;20(5):1243-1260. doi: 10.1007/s10903-017-0677-2.

DOI:10.1007/s10903-017-0677-2
PMID:29189993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5976518/
Abstract

A community needs assessment was conducted to explore barriers and facilitators to good physical and mental health among Cambodian and Latino residents in an urban community in Southern California. Thirty-six Cambodians and 29 Latinos completed the interviewer-facilitated survey administered door-to-door, and another 20 Cambodian and 18 Latino residents participated in focus groups. Crime, limited knowledge of positive health behaviors, lack of access to affordable healthcare, and lack of access to safe spaces for recreational activities were identified as threats to good health. Participant recommendations to support health in the community included increasing police presence to improve safety and reduce violence, and increasing opportunities/locations for physical exercise. While differences between Cambodian and Latino residents exist, the identified threats and suggested improvements were primarily associated with environmental factors, highlighting the need for systems level approaches that recognize the relationship between community context and health.

摘要

开展了一项社区需求评估,以探究南加州一个城市社区中柬埔寨和拉丁裔居民在身心健康方面面临的障碍和促进因素。36名柬埔寨人和29名拉丁裔人完成了挨家挨户进行的由访谈员协助的调查,另外20名柬埔寨居民和18名拉丁裔居民参加了焦点小组。犯罪、对积极健康行为的了解有限、难以获得负担得起的医疗保健以及缺乏进行娱乐活动的安全空间被确定为对健康的威胁。参与者提出的支持社区健康的建议包括增加警察巡逻以提高安全性并减少暴力,以及增加体育锻炼的机会/场所。虽然柬埔寨和拉丁裔居民之间存在差异,但所确定的威胁和建议的改进措施主要与环境因素有关,这凸显了需要采用系统层面的方法,认识到社区环境与健康之间的关系。

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本文引用的文献

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Diabetes and Cardiovascular Disease Risk in Cambodian Refugees.柬埔寨难民中的糖尿病与心血管疾病风险
J Immigr Minor Health. 2016 Feb;18(1):110-7. doi: 10.1007/s10903-014-0142-4.
2
Examining functional and social determinants of depression in community-dwelling older adults: implications for practice.探究社区居住老年人抑郁症的功能和社会决定因素:对实践的启示。
Geriatr Nurs. 2014 May-Jun;35(3):236-40. doi: 10.1016/j.gerinurse.2014.04.006.
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Do changes in residents' fear of crime impact their walking? Longitudinal results from RESIDE.居民对犯罪的恐惧变化会影响他们的步行情况吗?来自RESIDE的纵向研究结果。
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Revisiting the Hispanic health paradox: the relative contributions of nativity, country of origin, and race/ethnicity to childhood asthma.重新审视西班牙裔健康悖论:出生地、原籍国以及种族/族裔对儿童哮喘的相对影响。
J Immigr Minor Health. 2015 Jun;17(3):826-33. doi: 10.1007/s10903-013-9974-6.
5
Parental styles in the intergenerational transmission of trauma stemming from the Khmer Rouge regime in Cambodia.柬埔寨红色高棉政权导致的代际创伤的父母教养方式。
Am J Orthopsychiatry. 2013 Oct;83(4):483-94. doi: 10.1111/ajop.12057.
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Health beliefs about chronic disease and its treatment among aging Cambodian Americans.美籍柬埔寨老年人对慢性病及其治疗的健康观念。
J Cross Cult Gerontol. 2013 Dec;28(4):481-9. doi: 10.1007/s10823-013-9214-5.
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Effects of neighborhood violence and perceptions of neighborhood safety on depressive symptoms of older adults.邻里暴力和对邻里安全的看法对老年人抑郁症状的影响。
Soc Sci Med. 2013 May;85:43-9. doi: 10.1016/j.socscimed.2013.02.028. Epub 2013 Feb 27.
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Heart disease and stroke statistics--2013 update: a report from the American Heart Association.《2013年心脏病和中风统计数据更新:美国心脏协会报告》
Circulation. 2013 Jan 1;127(1):e6-e245. doi: 10.1161/CIR.0b013e31828124ad. Epub 2012 Dec 12.
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Using community-based participatory research (CBPR) to develop a community-level HIV prevention intervention for Latinas: a local response to a global challenge.运用社区参与式研究(CBPR)为拉丁裔群体开发社区层面的艾滋病预防干预措施:应对全球性挑战的本土化反应。
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Pathways to depression care: help-seeking experiences of low-income Latinos with diabetes and depression.抑郁治疗途径:患有糖尿病和抑郁症的低收入拉丁裔人群的求治经历。
J Immigr Minor Health. 2012 Dec;14(6):1097-106. doi: 10.1007/s10903-012-9590-x.