Community Capacity Builders, Atlantic City, NJ 08401, USA.
College of Health Sciences, University of Kentucky, Lexington, KY 40506, USA.
Int J Environ Res Public Health. 2018 Oct 29;15(11):2391. doi: 10.3390/ijerph15112391.
Ensuring equitable access to health information is one strategy to promote health equity for underserved communities, especially for low-income African Americans (AAs). Childcare centers are one viable site to deliver health information to address this disparity. This paper describes the methods used in a community-based participatory research project with a childcare facility that aimed to reduce environmental tobacco smoke (ETS) exposure among low-income AA children. Through collaboration and multiple data collection methods, partners identified communication strategies to overcome informational barriers. These initial findings indicated a peer-to-peer health information intervention, entitled "Set the Rules", as the best strategy to increase awareness. The goal of the intervention was to build knowledge in reducing the harms of ETS exposure. Twelve community members were trained as parent leaders for the "Set the Rules" workshops and conducted workshops with parents. Even though there were barriers interfacing with all centers, parents that attended the workshop ( = 32) found the peer-to-peer intervention novel and quite helpful and will share the information learned with others. This intervention suggests that a childcare setting is a relevant space to increase access to health information to optimize child health outcomes. More research is necessary to determine if this intervention has salience in other childcare settings and across racial/ethnic groups.
确保公平获取健康信息是促进服务不足社区（尤其是低收入非裔美国人）健康公平的策略之一。儿童保育中心是向这些社区提供健康信息以解决这一差距的一个可行场所。本文介绍了一个与儿童保育机构合作的基于社区的参与式研究项目中使用的方法，该项目旨在减少低收入非裔美国儿童接触环境烟草烟雾（ETS）。通过合作和多种数据收集方法，合作伙伴确定了克服信息障碍的沟通策略。这些初步发现表明，一种名为“制定规则”的同伴健康信息干预措施是提高认识的最佳策略。该干预措施的目标是建立减少 ETS 暴露危害的知识。12 名社区成员接受了培训，成为“制定规则”工作坊的家长领袖，并与家长一起开展工作坊。尽管与所有中心都存在接口障碍，但参加工作坊的家长（n=32）认为这种同伴干预措施新颖且非常有帮助，并将与他人分享所学到的信息。该干预措施表明，儿童保育环境是增加健康信息获取的相关场所，以优化儿童健康结果。需要进一步研究以确定这种干预措施在其他儿童保育环境和不同种族/族裔群体中是否具有重要意义。
