The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study.
The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study.
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DOI：
10.3390/ijerph20095703
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发表时间：
2023-05-01
影响因子：
--
通讯作者：
Carvajal, Scott C
中科院分区：
文献类型：
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作者：
Ingram, Maia;Duenas, Karina R;Castro, Idolina;Vazquez, Luis;Crocker, Rebecca M;Larson, Emily K;Guernsey de Zapien, Jill;Torres, Emma;Carvajal, Scott C
美国--墨西哥边境居民经历了普遍的社会和生态压力，导致慢性病的高负担。然而，边境地区主要由高密度的墨西哥裔居民区组成，这是一个最常见的促进健康的特点。了解有助于边境压力和复原力的因素对于有效设计社区一级的健康促进战略至关重要。La维达en La Frontera是一项混合方法的参与性研究，旨在了解可能有助于亚利桑那州圣路易斯边境恢复力的因素。该研究的初始定性阶段包括与30名墨西哥裔成年人的访谈，探讨社区对边境环境，跨境关系和健康相关概念的看法。边境居民将边境描述为墨西哥飞地，其特点是个人使用共同的语言和共同的文化价值观和观点。与居住在墨西哥附近相关的积极特征包括密切的大家庭关系、获得墨西哥食品和产品以及获得更负担得起的医疗保健和其他服务。基于这些发现，我们共同设计了9项边境弹性量表，该量表测量了这些边境属性的心理社会益处。对60名居民的试点数据表明，生活在边境社区具有积极的社会文化属性。进一步的研究应该测试它们是否能减轻环境压力，并有助于为居民创造一个促进健康的环境。
U.S.-Mexico border residents experience pervasive social and ecological stressors that contribute to a high burden of chronic disease. However, the border region is primarily composed of high-density Mexican-origin neighborhoods, a characteristic that is most commonly health-promoting. Understanding factors that contribute to border stress and resilience is essential to informing the effective design of community-level health promotion strategies. La Vida en La Frontera is a mixed-methods, participatory study designed to understand factors that may contribute to border resilience in San Luis, Arizona. The study’s initial qualitative phase included interviews with 30 Mexican-origin adults exploring community perceptions of the border environment, cross-border ties, and health-related concepts. Border residents described the border as a Mexican enclave characterized by individuals with a common language and shared cultural values and perspectives. Positive characteristics related to living in proximity to Mexico included close extended family relationships, access to Mexican food and products, and access to more affordable health care and other services. Based on these findings, we co-designed the 9-item Border Resilience Scale that measures agreement with the psychosocial benefits of these border attributes. Pilot data with 60 residents suggest there are positive sociocultural attributes associated with living in border communities. Further research should test if they mitigate environmental stressors and contribute to a health-promoting environment for residents.