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用心付出:社区健康工作者的转变、职业挑战及与社区的关系

Laboring With the Heart: Promotoras' Transformations, Professional Challenges, and Relationships With Communities.

作者信息

Gutiérrez Ángela, Young Maria-Elena De Trinidad, Dueñas Marisela, García Alma, Márquez Guadalupe, Chávez Maria-Elena, Ramírez Silvia, Rico Silvia, Bravo Rosana L

机构信息

USC Edward R. Roybal Institute on Aging, USC Suzanne Dworak-Peck School of Social Work, Los Angeles, California (Dr Gutiérrez); Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced (Dr Young); Corazón y Carácter , Los Angeles, California (Mss Dueñas, García, Márquez, Chávez, Ramírez, and Rico); and Department of Health Sciences Education, College of Health Sciences, Western University of Health Sciences, Pomona, California (Dr Bravo).

出版信息

Fam Community Health. 2021;44(3):162-170. doi: 10.1097/FCH.0000000000000286.

DOI:10.1097/FCH.0000000000000286
PMID:33284157
Abstract

Little is known about promotoras' professional experiences engaging in Latinx health promotion. In this promotora-led community-based participatory study, we purposively recruited and interviewed 30 Spanish-speaking promotoras who worked in Los Angeles County and who had at least 5 years of experience as promotoras. Using a constructivist grounded theory approach, findings revealed promotoras self-identified as health professionals who offered unique, insider perspectives. Challenges arose as employers viewed promotoras as volunteer lay health workers, while promotoras desired opportunities for professional growth. Motivation to continue working as promotoras stemmed from their commitment to Latinx communities. We provide recommendations to strengthen community-based capacity for advancing Latinx health.

摘要

关于促进者参与拉丁裔健康促进的专业经历,我们所知甚少。在这项由促进者主导的社区参与式研究中,我们有目的地招募并采访了30名在洛杉矶县工作、至少有5年促进者经验的讲西班牙语的促进者。采用建构主义扎根理论方法,研究结果显示,促进者自我认同为提供独特内部视角的健康专业人员。挑战在于雇主将促进者视为志愿非专业健康工作者,而促进者渴望获得职业发展机会。继续担任促进者的动力源于他们对拉丁裔社区的承诺。我们提出了加强社区推进拉丁裔健康能力的建议。

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