Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, MS F800, 13055 E. 17th Avenue, Room 333, Aurora, CO, 80045, USA.
National Native Children's Trauma Center, University of Montana, 32 Campus Drive, Missoula, MT, 59812, USA.
Prev Sci. 2020 Jan;21(Suppl 1):5-12. doi: 10.1007/s11121-018-0954-x.
Research in indigenous communities is at the forefront of innovation currently influencing several new perspectives in engaged intervention science. This is innovation born of necessity, involving efforts to create health equity complicated by a history of distrust of research. Immense diversity across indigenous cultures, accompanied by variation in associated explanatory models, health beliefs, and health behaviors, along with divergent structural inequities add further complexity to this challenge. The aim of this Supplemental Issue on Promoting Health Equity through Rigorous, Culturally Informed Intervention Science: Innovations with Indigenous Populations in the United States is to highlight the promising new approaches and perspectives implemented by a group of engaged researchers and their community partners, as they seek to move intervention research forward within indigenous communities. Case studies presented are from projects led by members of the National Institutes of Health Intervention Research to Improve Native American Health (IRINAH) consortioum, investigators who conduct health promotion and disease prevention research among American Indians, Alaska Natives, and Native Hawaiians. The promising practices profiled include new strategies in (a) community partnerships, engagement, and capacity building; (b) integration of indigenous and academic perspectives; (c) alignment of interventions with indigenous cultural values and practices; and (d) implementation and evaluation of multilevel interventions responsive to complex cultural contexts. The IRINAH projects illustrate the evolution of an intervention science responsive to the needs, realities, and promise of indigenous communities, with application to health research among other culturally distinct health inequity groups.
当前，在创新方面，本土社区的研究处于前沿位置，其正在为参与式干预科学带来若干新视角。这种创新源于现实需要，旨在解决研究中存在的固有不信任问题，以实现健康公平。本土文化极其多样化，与之相关的解释模型、健康信念和健康行为也存在差异，此外还存在结构不平等问题，所有这些都使这一挑战更加复杂。本期增刊的目的是强调一组参与式研究人员及其社区合作伙伴实施的有前途的新方法和新视角，他们希望在本土社区中推进干预研究。本增刊介绍了来自美国国家卫生研究院改善美国原住民健康的干预研究（IRINAH）联盟成员主导的项目的案例研究，这些研究人员在美洲印第安人、阿拉斯加原住民和夏威夷原住民中开展促进健康和预防疾病的研究。本期增刊介绍的有前景的实践包括以下几个方面：（a）在社区伙伴关系、参与和能力建设方面的新策略；（b）本土和学术观点的融合；（c）将干预措施与本土文化价值观和实践相协调；（d）实施和评估针对复杂文化背景的多层次干预措施。IRINAH 项目说明了干预科学的发展演变，该科学针对本土社区的需求、现实和潜力做出回应，可应用于其他具有不同文化的健康不平等群体的健康研究。
