Department of Public Health, University of Missouri, Columbia, MO, USA.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2261841. doi: 10.1080/17482631.2023.2261841. Epub 2023 Sep 24.
COVID-19 continues to infect and affect college-aged youth. We lack information about how students experienced the pandemic day-to-day and what they need for recovery, from their own perspectives. This study employed peer ethnography to explore student's insights for current and future prevention and care.
A team of eight students were trained as peer ethnographers to observe and record conversations with their peers in 15-minute increments during the COVID-19 pandemic. Transcripts of 200 conversations were collated and analysed via theme analysis to identify patterns.
Student conversations revealed dichotomous perspectives about COVID-19. Some students prioritized safety, captured via three themes-caution, rethinking routines, and protecting others. Other students struggled to follow prevention guidelines and took risks, also captured by three themes-parties, denial, and misinformation. A third category of themes captured the results of this dichotomy-tense campus relationships and a health leadership vacuum.
Our findings identify specific locations for intervention (e.g., off campus parties) and needed community collaborations (e.g., bars and universities) for COVID-19 and future pandemics. Our findings suggest that overarching approaches, like harm reduction or affirmation (versus shame), are helpful intervention frameworks. Findings also celebrate the value of peer-ethnography, to learn about pandemics and solutions from the ground up.
COVID-19 继续感染和影响大学生群体。我们缺乏关于学生如何从自身角度体验大流行日常以及他们在康复方面需要什么的信息。本研究采用同伴民族志来探索学生对当前和未来预防和护理的见解。
一个由八名学生组成的团队接受了同伴民族志培训，以便在 COVID-19 大流行期间以 15 分钟为增量观察和记录与同伴的对话。对 200 次对话的记录进行了整理，并通过主题分析进行了分析，以确定模式。
学生的对话揭示了 COVID-19 的二分法观点。一些学生优先考虑安全，这体现在三个主题中——谨慎、重新思考日常习惯和保护他人。其他学生则难以遵守预防准则并冒险，这也体现在三个主题中——聚会、否认和错误信息。第三个主题类别捕捉到了这种二分法的结果——紧张的校园关系和健康领导真空。
我们的研究结果确定了干预的具体地点（例如，校外聚会）和需要的社区合作（例如，酒吧和大学），以应对 COVID-19 和未来的大流行。我们的研究结果表明，全面的方法，如减少伤害或肯定（而不是羞耻），是有帮助的干预框架。研究结果还肯定了同伴民族志的价值，它可以从基层了解大流行病和解决方案。
