Improving the Health of Cambodian Americans: Grassroots Approaches and Root Causes.
Improving the Health of Cambodian Americans: Grassroots Approaches and Root Causes.
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DOI：
10.1353/cpr.2016.0018
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Ercia A
中科院分区：
文献类型：
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作者：
Lee JP;Kirkpatrick S;Rojas-Cheatham A;Sin T;Moore RS;Tan S;Godoy S;Ercia A
与其他美国人相比，柬埔寨裔美国人的健康状况存在很大差异，但传统的医疗保健系统可能服务不足。CBPR是让服务不足的社区参与卫生研究和规划的一种手段。我们描述了我们的努力，使柬埔寨基层成员以及在奥克兰，加利福尼亚州的正式领导人的结果。除了一个社区咨询小组外，我们还召集了一个社区工作小组，由十名不同年龄和背景的基层社区妇女组成。该项目旨在利用这些妇女的生活经验及其对健康和福祉的理解，确定具体的健康问题，并制定符合文化的战略。CWG每周与工作人员协调员会面，使用集体分析方法，包括戏剧，身体映射和其他表达艺术。事实证明，这一方法在逻辑上具有挑战性，但产生了新的分析和战略。该小组确定创伤，沿着教育机会少，失业和就业不足，社会孤立和代沟，以及社区暴力，是关键行为健康问题的根源，即酗酒，赌博，处方药滥用和家庭暴力。该小组和项目工作人员提出并执行的战略包括社区花园、柬埔寨新年庆祝活动和柬埔寨难民经历博物馆展览。基层社区的参与可以支持确定健康的社会决定因素和发展社区成员进行研究和采取行动以改善健康的能力的项目。
Cambodian Americans experience great disparities in health compared to other Americans, yet may be underserved by conventional healthcare systems. CBPR is a means to engage underserved communities in health research and programming. We describe results of our efforts to engage the Cambodian grassroots members as well as formal leaders in Oakland, CA. In addition to a community advisory group, we convened a Community Work Group (CWG), composed of ten grassroots community women of varying ages and backgrounds. The project aimed to leverage the lived experiences of these women and their understandings of health and wellness in identifying specific health issues and developing culturally resonant strategies. The CWG met weekly with staff facilitators using methods for collective analysis including theater, body mapping, and other expressive arts. The approach proved logistically challenging, but resulted in novel analyses and strategies. The group identified trauma, along with poor access to education, un- and under-employment, social isolation, and generation gap, together with community violence, as root causes of key behavioral health issues, i.e. alcohol abuse, gambling, prescription drug misuse, and domestic violence. Strategies proposed and implemented by the group and project staff were a community garden, Cambodian New Year’s celebrations, and a museum exhibit on the Cambodian refugee experiences. Grassroots community engagement can support projects in identifying social determinants of health and developing the capacities of community members to conduct research and actions to improve health.