Chen A M, Wismer B A, Lew R, Kang S H, Min K, Moskowitz J M, Tager I B
Asian Health Services, Oakland, CA, USA.
Am J Prev Med. 1997 Nov-Dec;13(6 Suppl):93-100.
This is a preliminary report from a research collaboration between Asian Health Services (community health center); Koreans in Alameda County, California; and the University of California at Berkeley School of Public Health. This five-year Centers for Disease Control and Prevention project supports a collaborative community intervention to improve breast and cervical cancer screening behavior among Korean women.
A Korean Community Advisory Board and Korean-American staff were recruited, and community sensitive research (CSR) and participatory action research (PAR) principles were applied: (1) building community infrastructure for sustainable action, (2) cultural appropriateness, (3) assuring responsiveness to community needs, and (4) a prevention focus that would assist health care providers. We conducted a population-based telephone survey on 676 Korean adults (272 men and 404 women).
The collaborative process yielded (1) a high response rate (79%), (2) baseline health information on Korean Americans, (3) broadening of the original research topic, (4) survey responses that will guide intervention design, (5) culturally competent strategies, and (6) expanded Korean-American Community capacity for local action.
Research collaboration between universities, community-based organizations, and ethnic communities can yield high-quality research. CSR and PAR approaches help break through cultural barriers in otherwise "hard to reach" API sub-populations. Determinants of success include sharing common goals; trust, honesty, and integrity; shared decision making; mutual respect of each partner's expertise; cultural sensitivity and cultural competence; flexibility, good communication, and mutual learning; and continuity of partners. Actively engaging members of the study population in the research process builds community capacity, thus laying the foundation for future projects that improve health status.
这是一份来自亚洲健康服务中心（社区健康中心）、加利福尼亚州阿拉米达县韩裔群体以及加州大学伯克利分校公共卫生学院之间研究合作的初步报告。这个为期五年的疾病控制与预防中心项目支持一项社区合作干预措施，以改善韩裔女性的乳腺癌和宫颈癌筛查行为。
招募了一个韩裔社区咨询委员会和韩裔美籍工作人员，并应用了社区敏感研究（CSR）和参与式行动研究（PAR）原则：（1）建立社区基础设施以实现可持续行动；（2）文化适宜性；（3）确保对社区需求做出响应；（4）以预防为重点，以协助医疗保健提供者。我们对676名韩裔成年人（272名男性和404名女性）进行了基于人群的电话调查。
合作过程产生了以下成果：（1）高回应率（79%）；（2）关于韩裔美国人的基线健康信息；（3）对原始研究主题的拓展；（4）将指导干预设计的调查回应；（5）具有文化胜任力的策略；（6）增强了韩裔美籍社区的本地行动能力。
大学、社区组织和种族社区之间的研究合作能够产生高质量的研究成果。社区敏感研究和参与式行动研究方法有助于突破在其他情况下“难以触及”的亚太裔亚群体中的文化障碍。成功的决定因素包括共享共同目标；信任、诚实和正直；共同决策；相互尊重每个合作伙伴的专业知识；文化敏感性和文化胜任力；灵活性、良好的沟通和相互学习；以及合作伙伴的连续性。让研究人群的成员积极参与研究过程能够建设社区能力，并因此为改善健康状况的未来项目奠定基础。
