Swanberg Jennifer E, Nichols Helen M, Clouser Jessica M, Check Pietra, Edwards Lori, Bush Ashley M, Padilla Yancy, Betz Gail
University of Maryland School of Social Work, Baltimore, MD, USA.
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
J Immigr Minor Health. 2018 Dec;20(6):1516-1531. doi: 10.1007/s10903-018-0711-z.
We systematically reviewed the literature to describe how community health workers (CHWs) are involved in occupational health and safety research and to identify areas for future research and research practice strategies. We searched five electronic databases from July 2015 through July 2016. Inclusion criteria were as follows: (1) study took place in the United States, (2) published as a full peer-review manuscript in English, (3) conducted occupational health and safety research, and (4) CHWs were involved in the research. The majority of 17 included studies took place in the agriculture industry (76%). CHWs were often involved in study implementation/design and research participant contact. Rationale for CHW involvement in research was due to local connections/acceptance, existing knowledge/skills, communication ability, and access to participants. Barriers to CHW involvement in research included competing demands on CHWs, recruitment and training difficulties, problems about research rigor and issues with proper data collection. Involving CHWs in occupational health and safety research has potential for improving inclusion of diverse, vulnerable and geographically isolated populations. Further research is needed to assess the challenges and opportunities of involving CHWs in this research and to develop evidence-based training strategies to teach CHWs to be lay-health researchers.
我们系统地回顾了文献，以描述社区卫生工作者（CHW）如何参与职业健康与安全研究，并确定未来研究的领域以及研究实践策略。我们在2015年7月至2016年7月期间检索了五个电子数据库。纳入标准如下：（1）研究在美国进行；（2）以英文发表为完整的同行评审手稿；（3）进行职业健康与安全研究；（4）CHW参与了该研究。纳入的17项研究中，大多数（76%）发生在农业行业。CHW经常参与研究实施/设计以及与研究参与者的联系。CHW参与研究的理由包括当地联系/接受度、现有的知识/技能、沟通能力以及接触参与者的机会。CHW参与研究的障碍包括对CHW的需求相互竞争、招募和培训困难、研究严谨性问题以及正确数据收集方面的问题。让CHW参与职业健康与安全研究有潜力改善对不同、脆弱和地理上孤立人群的纳入。需要进一步研究以评估让CHW参与这项研究的挑战和机遇，并制定基于证据的培训策略，教导CHW成为非专业健康研究人员。
