University of California, San Francisco, CA, USA.
Loma Linda University, Loma Linda, CA, USA.
Health Educ Behav. 2023 Feb;50(1):107-120. doi: 10.1177/10901981211008378. Epub 2021 Apr 17.
Racial/ethnic minorities (REMs) continue to carry the burden of sexual health disparities in the United States, including increased health risks and lower proportions of preventative care. Community-based participatory research (CBPR) has been useful in developing interventions aimed at reducing these disparities. Specifically, partnership with the target group members has resulted in more culturally relevant intervention strategies.
The purpose of this systematic review was to analyze the existing research on sexual health interventions targeting U.S. REMs that were developed using CBPR, to highlight the role target group members played in the development of these interventions, and to explore the benefits and outcomes of these partnerships.
Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guided the search of 46 thesauri terms for CBPR, sexual health, and REMs across six databases.
The initial search yielded 805 identified studies. After applying limiters, reviewing abstracts, and doing a full-text review, 24 appropriate studies were retained. The key findings indicated significant intervention outcomes such as increased health knowledge, attitude change, and behavioral intention that could reduce sexual risk-taking behaviors. Twelve studies detailed the methods for partnering with target group members to formulate interventions, highlighting the benefits related to recruitment, retention, and cultural relevance.
CBPR is well-positioned to address sexual health disparities among REMs. While community partnership strategies vary, the findings yield evidence that CBPR addressing sexual health disparities is achievable, can influence the effectiveness of interventions, and should be considered as an orientation in future sexual health research.
在美国，少数民族（REM）仍然承受着性健康差距的负担，包括增加的健康风险和较低的预防保健比例。基于社区的参与式研究（CBPR）在开发旨在减少这些差距的干预措施方面非常有用。具体来说，与目标群体成员的合作导致了更具文化相关性的干预策略。
本系统评价的目的是分析使用 CBPR 开发的针对美国 REM 的性健康干预措施的现有研究，强调目标群体成员在这些干预措施的制定中所扮演的角色，并探讨这些合作的好处和结果。
PRISMA（系统评价和荟萃分析的首选报告项目）指导了对六个数据库中的 CBPR、性健康和 REM 进行 46 个词库术语的搜索。
最初的搜索产生了 805 项已识别的研究。在应用限制器、审查摘要和进行全文审查后，保留了 24 项合适的研究。主要发现表明干预措施有显著的效果，如增加健康知识、态度改变和行为意向，这些都可以减少性冒险行为。有 12 项研究详细介绍了与目标群体成员合作制定干预措施的方法，强调了与招募、保留和文化相关性相关的好处。
CBPR 非常适合解决 REM 中的性健康差距问题。虽然社区伙伴关系策略有所不同，但研究结果表明，解决性健康差距的 CBPR 是可行的，可以影响干预措施的效果，应该被视为未来性健康研究的一个方向。
