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城市创伤单元中针对暴力伤害黑人男性受害者的研究的方法学考量

Methodological Considerations for Research With Black Male Victims of Violent Injury in an Urban Trauma Unit.

作者信息

St Vil Christopher, Richardson Joseph, Cooper Carnell

出版信息

Violence Vict. 2018 Apr 1;33(2):383-396. doi: 10.1891/0886-6708.VV-D-17-00065.

Abstract

There is a body of research over the last three decades that has focused on the etiology of violence among victims of violent injury. This body of literature indicates that Black men are disproportionately represented among victims of violent injury seen in emergency departments and trauma centers across the country. Despite the disproportionate number of low-income young Black men treated for violent injury in urban trauma units and the growing body of literature accompanying it, little is known about the unique methodological challenges violent injury researchers face when conducting research on this vulnerable population in a clinical setting. This article describes the unique and often nuanced methodological difficulties a research team encountered while conducting a longitudinal qualitative study on risk factors for repeat violent injury among low-income young Black male victims of violent injury treated at a Level II trauma center in the Eastern United States. Four methodological challenges are identified: (a) the identification and screening of participants, (b) recruitment and interviewing, (c) understanding hospital culture, policies, and procedures, and (d) retention and attrition of sample. Recommendations to overcome these challenges are offered.

摘要

在过去三十年里,有大量研究聚焦于暴力伤害受害者中的暴力行为病因。这一系列文献表明,在全国各地急诊室和创伤中心所见到的暴力伤害受害者中,黑人男性所占比例过高。尽管在城市创伤病房接受暴力伤害治疗的低收入年轻黑人男性数量过多,且相关文献不断增加,但对于暴力伤害研究人员在临床环境中对这一弱势群体进行研究时所面临的独特方法学挑战,人们却知之甚少。本文描述了一个研究团队在美国东部一家二级创伤中心对暴力伤害的低收入年轻黑人男性受害者再次遭受暴力伤害的风险因素进行纵向定性研究时所遇到的独特且往往细微的方法学难题。确定了四个方法学挑战:(a) 参与者的识别与筛选,(b) 招募与访谈,(c) 了解医院文化、政策和程序,以及 (d) 样本的保留与流失。并给出了克服这些挑战的建议。

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