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新兴移民社区的社区伙伴关系:解决拉丁裔儿童体重差异的经验教训。

Community partnerships in emerging immigrant communities: Lessons learned addressing Latino childhood weight disparities.

机构信息

ACCORDS (Adult and Child Consortium for Health Outcomes Research and Delivery Science), Department of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, USA.

Latino Research and Policy Center, Colorado School of Public Health, Aurora, CO, USA.

出版信息

Public Health Nurs. 2021 Mar;38(2):288-295. doi: 10.1111/phn.12875. Epub 2021 Feb 14.

Abstract

Latino children have disproportionately high childhood obesity rates, and U.S.-born Latino children of immigrant parents experience higher overweight/obesity rates than other Latino children. Community-based participatory research (CBPR) to engage Latino immigrant families and Latino-serving community organizations is one mechanism to address the lack of effective and practical interventions addressing childhood obesity disparities among Latino children. We present lessons learned from applying CBPR methods to a partnership focused on developing a child obesity treatment program for Latino immigrant families in an emerging Latino immigrant destination to inform the use of CBPR methods in other partnerships in emerging immigrant communities. We encountered challenges working within the partnership related to entrenched sociopolitical hierarchies that were not inclusive of immigrant community leaders, capacity building for partners with limited literacy and administrative experience, and how best to use complementary methods and frameworks to support a community-engaged research process. This work is one way to promote shared learning among the community of researchers using CBPR and other engagement methods to partner with emerging immigrant communities. Together with our community partners, we can identify strategies to more effectively partner to promote health equity and work toward social justice for all members of our communities.

摘要

拉美裔儿童的肥胖率极高,而父母为移民的美国本土拉美裔儿童的超重/肥胖率高于其他拉美裔儿童。基于社区的参与式研究(CBPR)是一种让拉美裔移民家庭和服务于拉美裔社区的组织参与的机制,旨在解决缺乏针对拉美裔儿童肥胖差异的有效和实用干预措施的问题。我们介绍了从应用 CBPR 方法中吸取的经验教训,这些经验教训是针对一个专注于为新兴拉美裔移民目的地的拉美裔移民家庭制定儿童肥胖治疗计划的合作伙伴关系,以告知在新兴移民社区中的其他合作伙伴关系中使用 CBPR 方法。我们在合作伙伴关系中遇到了一些挑战,这些挑战与不包括移民社区领导人的根深蒂固的社会政治等级制度、对文化程度和行政经验有限的合作伙伴的能力建设以及如何最好地使用互补方法和框架来支持社区参与的研究过程有关。这项工作是促进使用 CBPR 和其他参与方法与新兴移民社区合作的研究人员社区之间共享学习的一种方式。我们可以与我们的社区合作伙伴一起确定更有效地合作的策略,以促进我们社区所有成员的健康公平,并为社会正义而努力。

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