Joseph J. Zilber School of Public Health, University of Wisconsin, Milwaukee, USA.
Center for Urban Population Health, Milwaukee, WI, USA.
Am J Mens Health. 2020 Mar-Apr;14(2):1557988320913387. doi: 10.1177/1557988320913387.
The aim of this study was to assess outcomes from a multilevel social network intervention to promote the health of Black men. Through a community-academic collaboration and using a participatory research approach, we implemented the intervention over 4 years in a 110-block area of an urban neighborhood. The project aimed to implement a neighborhood peer outreach and leadership network to strengthen social support of Black men and increase community and family engagement. Intervention activities included three 12-month intergenerational peer support groups ( = 46), a door-to-door outreach campaign ( = 186), media and communication efforts, and a community partner network. Primary outcomes for the peer support groups were measured using a pretest/posttest cohort design and included social support, perceived stress, social capital, and global self-esteem. Primary outcomes for the door-to-door outreach campaign were measured using a repeated cross-sectional design and included a sense of community, neighborhood social interaction, perceived neighborhood control, and self-rated health status. Significant findings from the peer support groups included an increase in social support overall ( = .027), driven by improvements in guidance, reliable alliance, and reassurance of worth; and an improvement in perceived stress ( = .047). Significant findings from the door-to-door outreach campaign included increases in neighborhood social interaction ( < .0001) and perceived neighborhood control ( = .036). This project provides evidence that a participatory approach to planning and delivering a health promotion intervention aimed at creating positive social spaces and enhancing social connections can result in significant outcomes and successful engagement of Black men.
本研究旨在评估一项多层次社会网络干预措施对促进黑人男性健康的效果。通过社区-学术合作，并采用参与式研究方法，我们在一个城市社区的 110 个街区区域内实施了该干预措施 4 年。该项目旨在实施邻里同辈外展和领导力网络，以加强对黑人男性的社会支持，并增加社区和家庭参与。干预活动包括三个为期 12 个月的代际同辈支持小组（=46 人）、挨家挨户外展运动（=186 人）、媒体和传播工作以及社区合作伙伴网络。同辈支持小组的主要结果采用预测试/后测试队列设计进行衡量，包括社会支持、感知压力、社会资本和整体自尊。挨家挨户外展运动的主要结果采用重复横断面设计进行衡量，包括社区意识、邻里社会互动、感知邻里控制和自我评估的健康状况。同辈支持小组的显著发现包括总体社会支持增加（=0.027），这是由指导、可靠联盟和价值保证方面的改善驱动的；感知压力也有所改善（=0.047）。挨家挨户外展运动的显著发现包括邻里社会互动增加（<0.0001）和感知邻里控制增强（=0.036）。该项目提供了证据表明，采用参与式方法规划和实施旨在创造积极社交空间和增强社会联系的健康促进干预措施，可以带来显著效果，并使黑人男性成功参与。
