Interagency Networks: Foundation for Community-based OSH Intervention Research

机构间网络：基于社区的职业安全与卫生干预研究基金会

• 批准号: 8189498
• 负责人: JENNY HSIN-CHUN TSAI
• 金额: $ 18.88万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8189498
• 关键词: Interagency; Networks; Foundation; Community; based

DESCRIPTION (provided by applicant): Critical health concerns in the United States are focused on the marked disparities in health status, health care access and health outcomes. Of particular concern are disparities associated with ethnicity and immigrant status. Immigrant ethnic minorities, compared to their native-born counterparts, are overrepresented in low wage and intrinsically dangerous jobs, in which they experience greater risks of hazard exposure, injury, and illness. Considering evidence documenting relatively unsuccessful worksite approaches with low-wage immigrant workers, our impetus is to advance occupational health (OH) research by shifting to community- focused, network-oriented strategies as a means for addressing OH disparities among immigrant workers. Interagency networks and partnerships are integral to building community capacities and efficiency of connecting target populations and delivery of interventions in the community. Co-ethnic agencies-those established and managed by individuals of the same ethnic or national background-are underutilized community assets capable of providing essential building blocks for the proposed collaborative approach for the promotion of immigrant worker health. The purpose of this research is to generate knowledge about Chinese community interagency networks for community-based approaches to promote the health of Chinese immigrant workers. The specific study aims are Aim 1: to characterize interagency networks among Chinese and non-Chinese agencies/organizations; and Aim 2: to describe organizational capacities (commitment, resources, organizational flexibility) of Chinese and non-Chinese agencies or organizations for immigrant worker health. Using an 'expanding roster' sampling method, agency network and capacities data will be gathered through joint interviews with workers (informants) representing the administrative and service aspects of each agency. The initial roster (n=40 agencies) will be expanded by including new agencies named by informants as part of the interview, significantly broadening the range of network data collected, with a final sample size of about 60 agencies. Network properties will be specified using a one-mode network analysis; graphics will provide visualizations of network structures. Organizational capacities will be analyzed using descriptive statistics and integrated with network findings using a summary matrix format. Findings will provide direct and practical knowledge about how Chinese and non-Chinese agencies are involved in Chinese immigrant worker health, which network links and agencies are critical for reaching workers, and which links might require augmentation to expand and sustain prevention efforts in the community. The information will be used to guide the development of an R01 intervention study. This developmental project responds to research calls set forth for the national health agenda (NIOSH) and offers a novel methodological approach for determining purposeful community connections and partnerships for community-based OH disparities research. PUBLIC HEALTH RELEVANCE: Immigrants experience greater health disparities due to increased workplace hazard exposure that is commonly associated with riskier jobs. Worksite intervention efforts have not been highly successfully for low- wage immigrant groups. This project seeks to promote a healthier workforce by generating knowledge of community service networks and organizational capacities, necessary to disseminate community-based preventive interventions.

描述（由申请人提供）：美国的关键健康问题集中在健康状况、医疗保健获得和健康结果的显著差异上。特别令人关切的是与族裔和移民身份有关的差异。与本土出生的少数民族相比，移民少数民族在低工资和本质上危险的工作中所占比例过高，他们面临更大的危险暴露，受伤和疾病的风险。考虑到证据记录相对不成功的工作场所的方法与低工资的移民工人，我们的动力是推进职业健康（OH）的研究，转移到社区为重点，网络为导向的战略作为一种手段，解决移民工人之间的OH差距。机构间网络和伙伴关系是建设社区能力和有效联系目标人群以及在社区提供干预措施的组成部分。同种族机构--由相同种族或民族背景的个人建立和管理的机构--是未充分利用的社区资产，能够为促进移民工人健康的拟议合作方法提供重要的基石。 本研究的目的是产生有关华人社区机构间网络的知识，以社区为基础的方法，以促进中国移民工人的健康。具体的研究目标是目标1：描述中国和非中国机构/组织之间的机构间网络;目标2：描述中国和非中国机构或组织对移民工人健康的组织能力（承诺，资源，组织灵活性）。将采用“扩大名册”抽样方法，通过与代表每个机构行政和服务方面的工作人员（线人）进行联合访谈，收集机构网络和能力数据。最初的名册（n=40个机构）将扩大，在访谈中纳入被调查者提名的新机构，大大扩大收集的网络数据的范围，最后抽样规模约为60个机构。网络属性将使用单模式网络分析指定;图形将提供网络结构的可视化。将使用描述性统计数据分析组织能力，并使用汇总矩阵格式将其与网络调查结果结合起来。调查结果将提供有关中国和非中国机构如何参与中国移民工人健康的直接和实用的知识，哪些网络链接和机构对接触工人至关重要，哪些链接可能需要加强以扩大和维持社区的预防工作。这些信息将用于指导R 01干预研究的开发。这个发展项目响应了国家健康议程（NIOSH）提出的研究呼吁，并提供了一种新颖的方法论方法，用于确定有目的的社区联系和合作伙伴关系，以进行基于社区的OH差异研究。 公共卫生关系：移民经历更大的健康差距，由于增加工作场所的危险暴露，通常与风险较高的工作。工作场所的干预努力对低工资移民群体并不十分成功。该项目力求通过产生社区服务网络和组织能力方面的知识，促进更健康的劳动力队伍，这是传播基于社区的预防性干预措施所必需的。