University of New Mexico, Albuquerque, NM, USA.
Health Educ Behav. 2021 Jun;48(3):361-370. doi: 10.1177/10901981211011926.
. Indigenous () communities have long endured high rates of behavioral and mental health diseases like depression, drug and alcohol dependency, and suicide due to historical trauma and posttraumatic stress disorders. Western research methods used to address these issues have often failed to provide sufficient understanding of the culturally nuanced dynamics underpinning these health disparities in Indigenous contexts. As a result, Indigenous health disparities have actually increased and complex culture-based relationships that influence health outcomes are underconceptualized. . For the first time a community-based participatory research approach from a perspective is introduced to three Navajo communities in New Mexico to collaboratively explore their perspectives about community-engaged research and community well-being from a lens. The overarching research question was: Can a community-based participatory research approach embedded within a research paradigm be utilized to develop a culturally centered intervention approach? . The study utilized a mixed method approach that included surveys and focus groups. . Six overarching themes emerged that underscored the important role of utilizing a community-based participatory -centered approach to define community well-being and increase community agency to address their own health disparities. . Indigenous-centered community-engaged research can potentially become an intervention approach for informing Indigenous communities' understandings of well-being by drawing upon local cultural Indigenous knowledge. This study demonstrated that developing an effective community-engaged research partnership to address health disparities in a context must be informed by a paradigm grounded in local community cultural knowledge.
. 由于历史创伤和创伤后应激障碍,原住民(Indigenous)社区长期以来一直面临着较高的行为和心理健康疾病(如抑郁、药物和酒精依赖以及自杀)的困扰。用于解决这些问题的西方研究方法往往未能充分理解这些健康差异在原住民背景下的文化细微动态。结果,原住民的健康差距实际上有所扩大,而影响健康结果的复杂文化关系也被低估了。. 首次从原住民视角引入一种社区参与式研究方法,在新墨西哥州的三个纳瓦霍社区中进行合作,从原住民视角共同探讨他们对社区参与式研究和社区福祉的看法。总研究问题是:能否将一种嵌入原住民研究范式的社区参与式研究方法用于开发一种以文化为中心的干预方法?. 该研究采用了混合方法,包括问卷调查和焦点小组。. 六个总体主题出现,强调了利用社区参与式的原住民为中心的方法来定义社区福祉并增强社区机构能力以解决其自身健康差异的重要作用。. 以原住民为中心的社区参与式研究可以通过利用当地文化的原住民知识,成为一种为原住民社区提供幸福感理解的干预方法。这项研究表明,在原住民背景下制定有效的社区参与式研究伙伴关系以解决健康差异问题,必须以基于当地社区文化知识的原住民研究范式为指导。