Illinois Institute of Technology, Chicago.
Psychiatr Serv. 2024 Dec 1;75(12):1276-1278. doi: 10.1176/appi.ps.20240156. Epub 2024 Aug 14.
Program development and evaluation that promote health equity are driven by community-based participatory research and led by people from select communities to adhere to the principles of diversity, equity, inclusion, and accessibility (DEIA). This process is enriched when these communities represent intersections within DEIA, such as, for example, Korean American women with depression. Research shows that culture-specific adaptations of services are significantly more effective for these communities than is the standard of care for the broader population. However, cultural specificity decreases generalizability of findings and scalability of interventions. Decisions about intersectionality are affected by implications for science as well as real-world benefits for individuals participating in this process.
以社区为基础的参与式研究推动并指导特定社区的人员进行计划制定和评估,以坚持多样性、公平性、包容性和可及性(DEIA)的原则。当这些社区代表 DEIA 中的交叉点时,例如,患有抑郁症的韩裔美国女性,这个过程就会更加丰富。研究表明,与更广泛人群的标准护理相比,针对这些社区的服务的文化特异性调整要有效得多。但是,文化特异性会降低发现的普遍性和干预措施的可扩展性。关于交叉性的决策受到对科学的影响以及参与该过程的个人的实际利益的影响。