Agudelo-Hernández Felipe, Coral-Vela Lizeth Paola, Pabuena-Yepes Luz Helena
Health Systems and Services Pan American Health Organization/World Health Organization Bogotá Colombia Health Systems and Services, Pan American Health Organization/World Health Organization, Bogotá, Colombia.
School of Medicine Universidad de los Andes Bogotá Colombia School of Medicine, Universidad de los Andes, Bogotá, Colombia.
Rev Panam Salud Publica. 2025 Jan 13;49:e12. doi: 10.26633/RPSP.2025.12. eCollection 2025.
To describe and analyze a community participation process to develop recommendations for adequate communication of mental health risks among the Wayuú people of Colombia.
This qualitative study conducted focus groups in the Indigenous cities of Albania and Uribia, Colombia, from January to June 2024, to assess perspectives on mental health risk communication. Participants were adults (>18 years) residing in two municipalities in La Guajira (Uribia and Albania [the Indigenous capital of Colombia]) and included youth group leaders, Indigenous representatives, migrant population representatives, and representatives of official institutions in the region. Thematic analysis was used for data analysis.
In total, 42 participants (mean [SD] age, 20.1 years; 24 [57.1%] women and 18 [42.9%] men) participated in four focus groups (two in Albania and two in Uribia). Three main themes were identified in the thematic analysis: consequences of poor communication; community advice for social communication; and recommendations for public mental health in health communication. Based on the data analysis, recommendations for mental health risk communication were proposed for both municipalities and for the territory of La Guajira, Colombia.
The findings of this qualitative study highlight the need to improve mental health communication among the Indigenous community by leveraging their perspectives. The involvement of community leaders and the development of mental health communication strategies are needed.
描述和分析一个社区参与过程，以制定关于在哥伦比亚瓦尤族人群中充分传达心理健康风险的建议。
这项定性研究于2024年1月至6月在哥伦比亚的阿尔巴尼亚和乌里比亚这两个原住民城市开展焦点小组讨论，以评估对心理健康风险沟通的看法。参与者为居住在瓜希拉省两个市（乌里比亚和阿尔巴尼亚[哥伦比亚的原住民首府]）的成年人（>18岁），包括青年团体领袖、原住民代表、移民人口代表以及该地区官方机构的代表。采用主题分析法进行数据分析。
共有42名参与者（平均[标准差]年龄为20.1岁；24名[57.1%]女性和18名[42.9%]男性）参与了四个焦点小组（阿尔巴尼亚两个，乌里比亚两个）。主题分析确定了三个主要主题：沟通不畅的后果；社会沟通的社区建议；以及健康沟通中公共心理健康的建议。基于数据分析，为两个市以及哥伦比亚瓜希拉省提出了心理健康风险沟通的建议。
这项定性研究的结果强调了通过利用原住民社区的观点来改善其心理健康沟通的必要性。需要社区领袖的参与以及制定心理健康沟通策略。
