Ricks JaNelle M, Arthur Elizabeth K, Stryker Shanna D, Yockey R Andrew, Anderson Avery M, Allensworth-Davies Donald
Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio, USA.
Equitas Health Institute Midwest SGM Health Research Consortium, Columbus, Ohio, USA.
Health Equity. 2022 Aug 29;6(1):640-657. doi: 10.1089/heq.2022.0039. eCollection 2022.
The objective was to review sexual and gender minority (SGM) health research studies to gain an understanding of how the community-based participatory research (CBPR) framework has been operationalized.
We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to conduct a review of all SGM health research studies published in the past 10 years that cited a CBPR approach (PROSPERO Registration No. CRD42016036608). CINAHL, PubMed, and PsycINFO databases were systematically searched in October 2020. Dimensions of community involvement (e.g., shared decision-making; flexibility to community needs and priorities) and the strength of evidence for each dimension were rated using guidance from the Agency of Healthcare Research and Quality.
The 48 eligible articles identified reported a range of 0-11 (out of 13) community elements. Seven studies reported zero elements. Qualitative studies (=28; 58.3%) had an average quality score of 2.32 (range: 1.43-2.5). The 15 (31.3%) cross-sectional studies had an average quality score of 2.08 (range: 1.64-2.27).
Adhering to the CBPR framework is challenging. The benefits of striving toward its principles, however, can move us toward transformative and sustainable social change within SGM communities.
回顾性取向和性别少数群体(SGM)健康研究,以了解基于社区的参与性研究(CBPR)框架是如何实施的。
我们使用系统评价和Meta分析的首选报告项目指南,对过去10年发表的所有引用CBPR方法的SGM健康研究进行回顾(PROSPERO注册号:CRD42016036608)。2020年10月,我们系统检索了CINAHL、PubMed和PsycINFO数据库。根据医疗保健研究与质量局的指导意见,对社区参与的维度(如共同决策;根据社区需求和优先事项的灵活性)以及每个维度的证据强度进行评分。
确定的48篇符合条件的文章报告了0至11个(共13个)社区元素。7项研究报告的元素为零。定性研究(n = 28;58.3%)的平均质量评分为2.32(范围:1.43 - 2.5)。15项(31.3%)横断面研究的平均质量评分为2.08(范围:1.64 - 2.27)。
坚持CBPR框架具有挑战性。然而,努力遵循其原则的好处可以推动我们在SGM社区实现变革性和可持续的社会变革。