Health promotion focusing on migrant women through a community based participatory research approach.

Health promotion focusing on migrant women through a community based participatory research approach.
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DOI:
10.1186/s12905-021-01506-y
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发表时间:
2021-10-16
期刊:
BMC women's health
影响因子:
--
通讯作者:
Rämgård M
Rämgård M
中科院分区:
其他
文献类型:
--
作者:
Lindsjö C;Sjögren Forss K;Kumlien C;Rämgård M

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与东道国人口(尤其是妇女)相比,移民往往更容易受到健康问题的影响。因此,流动妇女的健康对于促进社会健康公平具有重要意义。参与和赋权是健康促进和旨在增强健康的社区参与性研究的核心概念。本研究的目的是通过基于社区的参与性研究方法,确定与女性移民一起促进健康的条件。本研究是在瑞典马尔默的一个社会弱势地区开展的健康促进协作创新计划中采用的是以社区为基础的参与式研究方法。该地区的居民被邀请参与健康促进的研究过程。该计划招募了健康促进者来鼓励参与,并且参与该计划的 21 名移民妇女也被纳入本研究。数据收集采用定性方法,即故事对话法,其中涉及问题、反思和行动的过程引导对话。受二级综合的启发,该材料与女性一起进行了部分分析。对话期间反映了两个主要的健康问题,即心理健康和长期疼痛,并在分析过程中阐述了两个主题:优先考虑业余时间以促进心理健康和合作解决与长期疼痛相关的医疗保健不满。这些女性表示,她们想更多地了解医疗保健系统,以及如何抱怨它,而且她们还将团结视为一种策略。决定在社区建立健康圈,继续在健康促进方面开展合作。基于社区的参与式研究方法和故事对话构成了赋权过程的重要基础。健康圈为进一步开展健康促进条件工作提供了一个论坛,作为支持移徙妇女健康的工具。
Migrants are often more vulnerable to health issues compared to host populations, and particularly the women. Therefore, migrant women’s health is important in promoting health equity in society. Participation and empowerment are central concepts in health promotion and in community-based participatory research aimed at enhancing health. The aim of this study was to identify conditions for health promotion together with women migrants through a community-based participatory research approach. A community-based participatory research approach was applied in the programme Collaborative Innovations for Health Promotion in a socially disadvantaged area in Malmö, Sweden, where this study was conducted. Residents in the area were invited to participate in the research process on health promotion. Health promoters were recruited to the programme to encourage participation and a group of 21 migrant women participating in the programme were included in this study. A qualitative method was used for the data collection, namely, the story-dialogue method, where a process involving issue, reflections and actions guided the dialogues. The material was partly analysed together with the women, inspired by the second-level synthesis. Two main health issues, mental health and long-term pain, were reflected upon during the dialogues, and two main themes were elaborated in the process of analysis: Prioritising spare time to promote mental health and Collaboration to address healthcare dissatisfaction related to long-term pain. The women shared that they wanted to learn more about the healthcare system, and how to complain about it, and they also saw the togetherness as a strategy along the way. A decision was made to start a health circle in the community to continue collaboration on health promotion. The community-based participatory research approach and the story dialogues constituted an essential foundation for the empowerment process. The health circle provides a forum for further work on conditions for health promotion, as a tool to support migrant women’s health.
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