Community engagement as a foundation for improving neighborhood health
Community engagement as a foundation for improving neighborhood health
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DOI：
10.1111/phn.12870
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发表时间：
2021-01-31
影响因子：
2.1
通讯作者：
Tierney, William
中科院分区：
文献类型：
--
作者：
Garcia, Alexandra A.;West Ohueri, Chelsi;Tierney, William
目的：健康不平等和差异与非白人种族/民族、移民身份、收入和地理位置有关。社区参与对于确定卫生和社会需求以及规划卫生保健和社会服务方案至关重要。为了开展更大规模的社区参与性研究，本研究的目的是探讨社区居民对实现和保持健康的障碍和促进因素的看法。设计、样本和测量本定性描述性研究采用焦点小组访谈。我们从社区会议和聚会中招募了一个便利样本（n = 50），为五个使用半结构化访谈指南的录音焦点小组。转录记录被编码以确定每组中的共同主题和跨组的主要主题。参与者主要是女性（58%），西班牙裔/拉丁裔和西班牙语（57%），他们租了自己的房子（69%）。出现了两个主要主题：(a)作为健康障碍的社会决定因素和(b)参与健康规划需要信任。结论：虽然卫生保健提供者经常关注提供保健的机会，但社区成员确定了影响其健康的各种社会决定因素。倾听和响应社区成员的优先事项是改善直接受不平等影响的社区健康的基础。
Objective Health inequities and disparities are associated with non-White race/ethnicity, immigrant status, income, and geographic location. Community engagement is essential to identify health and social needs and to plan health care and social services programs. To begin a larger community-based participatory study, the purpose of this study was to explore community residents' perceptions of barriers and facilitators to achieving and maintaining health.Design, Sample, and Measurements This qualitative descriptive study used focus group interviews. We recruited a convenience sample (n = 50) from community meetings and gathering for five audio-recorded focus groups that used a semi-structured interview guide. Transcripts were coded to identify common topics in each group and major themes across groups.Results Participants were predominantly women (58%), Hispanic/Latinx, and Spanish-speaking (57%), who rented their homes (69%). Two main themes emerged: (a) social determinants as barriers to health and (b) need for trust to participate in health programs.Conclusions Although health care providers are frequently concerned about providing access to care, community members identified a variety of social determinants that affected their health. Listening and responding to community members' priorities are the foundation to improving health in neighborhoods directly affected by inequities.