Cultural Appropriateness in Health Communication: A Review and A Revised Framework.
Cultural Appropriateness in Health Communication: A Review and A Revised Framework.
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健康传播中的文化适当性：回顾和修订框架。
DOI：
10.1080/10810730.2019.1620382
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发表时间：
2019
影响因子：
4.4
通讯作者：
Cho,Hyunyi
中科院分区：
文献类型：
--
作者：
Tan,NaomiQP;Cho,Hyunyi
在对44项针对亚裔美国人的癌症筛查干预措施的可操作性进行系统审查的基础上，提出了一个关于文化适宜性的修订框架。研究通常传达干预的流行病学基础(97.7%)，并使用人群语言(95.5%)。较少报道的是健康交流的核心战略：干预信息的文化特征(77.3%)和干预重点关注的文化信仰和价值观(43.2%)。很少人使用文化定制(4.5%)，也没有人致力于解决文化适应或文化认同问题。最常用的理论框架是健康信念模型(27.3%)，它没有解释文化的作用。更多的研究侧重于文化障碍(20.5%)，而不是文化优势(9.1%)。我们修订的框架包括文化认同、语言、感知特征、内容、成分涉及和社会经济语境适应的六个文化适当性策略。它将文化认同放在优先位置，以认识种族、族裔群体内部的动态，并为适应文化适当性的努力提供信息。它强调考察能够促进变革的文化力量，以及减少文化障碍。未来的研究和行动应该解决现有健康差距研究中的差距，在这些研究中，理论和方法对亚裔美国人来说是不发达和未得到充分利用的。
A revised framework for cultural appropriateness is offered on the basis of a systematic review of operationalizations in 44 cancer screening interventions for Asian Americans. Studies commonly conveyed the epidemiological bases of the intervention (97.7%) and used the language of the population (95.5%). Less commonly reported were strategies central to health communication: cultural features of the intervention messages (77.3%) and the cultural beliefs and values that the intervention focused on (43.2%). Few used cultural tailoring (4.5%) and none aimed to address acculturation or cultural identity. The theoretical framework most frequently used was the health belief model (27.3%) which does not explain the role of culture. More studies focused on cultural barriers (20.5%) than cultural strengths (9.1%). Our revised framework comprises six cultural appropriateness strategies of cultural identity, linguistic, perceptual features, content, constituent-involving, and socioeconomic context-adaptive. It prioritizes cultural identity to recognize the dynamics within racial ethnic groups and to inform adaptive efforts for cultural appropriateness. It emphasizes examining cultural strengths that can facilitate change, as well as reducing cultural barriers. Future research and action should address the disparities in extant health disparities research in which theory and methods are underdeveloped and underutilized for Asian Americans.