通过社区参与式研究方法关注移民妇女的健康促进。
Health promotion focusing on migrant women through a community based participatory research approach.
机构信息
Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden.
出版信息
BMC Womens Health. 2021 Oct 16;21(1):365. doi: 10.1186/s12905-021-01506-y.
BACKGROUND
Migrants are often more vulnerable to health issues compared to host populations, and particularly the women. Therefore, migrant women's health is important in promoting health equity in society. Participation and empowerment are central concepts in health promotion and in community-based participatory research aimed at enhancing health. The aim of this study was to identify conditions for health promotion together with women migrants through a community-based participatory research approach.
METHODS
A community-based participatory research approach was applied in the programme Collaborative Innovations for Health Promotion in a socially disadvantaged area in Malmö, Sweden, where this study was conducted. Residents in the area were invited to participate in the research process on health promotion. Health promoters were recruited to the programme to encourage participation and a group of 21 migrant women participating in the programme were included in this study. A qualitative method was used for the data collection, namely, the story-dialogue method, where a process involving issue, reflections and actions guided the dialogues. The material was partly analysed together with the women, inspired by the second-level synthesis.
RESULTS
Two main health issues, mental health and long-term pain, were reflected upon during the dialogues, and two main themes were elaborated in the process of analysis: Prioritising spare time to promote mental health and Collaboration to address healthcare dissatisfaction related to long-term pain. The women shared that they wanted to learn more about the healthcare system, and how to complain about it, and they also saw the togetherness as a strategy along the way. A decision was made to start a health circle in the community to continue collaboration on health promotion.
CONCLUSIONS
The community-based participatory research approach and the story dialogues constituted an essential foundation for the empowerment process. The health circle provides a forum for further work on conditions for health promotion, as a tool to support migrant women's health.
背景
与宿主人群相比，移民往往更容易受到健康问题的影响，尤其是女性。因此，移民妇女的健康对于促进社会健康公平至关重要。参与和赋权是健康促进和以社区为基础的参与性研究中的核心概念，旨在增强健康。本研究旨在通过以社区为基础的参与性研究方法，与移民妇女一起确定健康促进的条件。
方法
在瑞典马尔默一个社会弱势地区的以社区为基础的参与性研究方案“合作创新促进健康”中应用了以社区为基础的参与性研究方法，邀请该地区的居民参与健康促进研究过程。招募健康促进人员参与该计划，以鼓励参与，该计划中的 21 名移民妇女参加了本研究。采用定性方法收集数据，即故事对话法，其中一个涉及问题、反思和行动的过程指导对话。该材料部分与妇女一起分析，受二级综合的启发。
结果
在对话过程中，反映了两个主要的健康问题，心理健康和长期疼痛，在分析过程中阐述了两个主要主题：优先考虑业余时间以促进心理健康和合作解决与长期疼痛相关的医疗保健不满。妇女们表示，她们希望更多地了解医疗保健系统，以及如何投诉，她们还将团结视为实现目标的一种策略。决定在社区中成立一个健康圈，继续在健康促进方面合作。
结论
以社区为基础的参与性研究方法和故事对话为赋权过程提供了重要基础。健康圈提供了一个论坛，以进一步开展健康促进条件的工作，作为支持移民妇女健康的工具。
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