Rollins School of Public Health, Emory University, Grace Crum Rollins Building1518 Clifton Road NE, Atlanta, GA, #52630322, USA.
YEAH Community Consultant, Raleigh, NC, USA.
Prev Sci. 2024 Jan;25(1):20-30. doi: 10.1007/s11121-022-01450-9. Epub 2022 Oct 26.
Structural racism inflicts a disproportionate burden of stress and trauma within Black communities, resulting in physical and mental health inequities that impact Black youth. Yet few multilevel interventions exist to address these deeply rooted inequities from a preventive standpoint, and even fewer are informed by the participatory input of the impacted communities. To bridge these gaps, we developed a community-based prevention strategy that promotes agency and active resistance to structural racism, Youth Empowered Advocating for Health (YEAH), and implemented it across various settings. We outline the development, implementation, and expansion of YEAH as a tool for promoting optimal health among Black communities. Lastly, we discuss lessons learned and offer a framework outlining key principles for prevention scientists to partner with Black youth and engage them in translational science to address structural racism. This framework is aimed at driving policies, practices, and procedures that promote equitable and sustainable change for and with Black communities.
结构性种族主义给黑人社区带来了不成比例的压力和创伤负担，导致了影响黑人青年的身心健康不平等。然而，从预防的角度出发，几乎没有多层次的干预措施来解决这些根深蒂固的不平等问题，而这些干预措施中很少有受到受影响社区的参与性投入的指导。为了弥合这些差距，我们开发了一种基于社区的预防策略，即促进黑人青年的机构和积极抵抗结构性种族主义，Youth Empowered Advocating for Health（YEAH），并在各种环境中实施。我们概述了 YEAH 的发展、实施和扩展，将其作为促进黑人社区最佳健康的工具。最后，我们讨论了经验教训，并提供了一个框架，概述了预防科学家与黑人青年合作并让他们参与转化科学以解决结构性种族主义的关键原则。该框架旨在推动促进与黑人社区一起实现公平和可持续变革的政策、实践和程序。
