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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

基本信息

批准号：
8327543
负责人：
JENNY HSIN-CHUN TSAI
金额：
$ 17.9万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-01 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8327543
关键词：
Interagency Networks Foundation Community based

项目摘要

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.

描述（由申请人提供）：美国的关键健康问题集中在健康状况、医疗保健获取和健康结果方面的显着差异。特别值得关注的是与种族和移民身份相关的差异。与本土出生的少数民族相比，移民少数族裔从事低工资和本质上危险的工作的比例过高，他们在这些工作中面临更大的危险暴露、受伤和疾病的风险。考虑到记录低工资移民工人工作场所方法相对不成功的证据，我们的动力是通过转向以社区为中心、面向网络的策略来推进职业健康 (OH) 研究，作为解决移民工人之间职业健康差异的手段。机构间网络和伙伴关系对于建设社区能力和连接目标人群的效率以及在社区中实施干预措施至关重要。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——是未得到充分利用的社区资产，能够为拟议的促进移民工人健康的合作方法提供重要的组成部分。本研究的目的是生成有关华人社区跨机构网络的知识，以采用基于社区的方法来促进华人移民工人的健康。具体研究目标是目标1：描述中国和非中国机构/组织之间的机构间网络；目标 2：描述中国和非中国移民工人健康机构或组织的组织能力（承诺、资源、组织灵活性）。将使用“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（举报人）的联合访谈来收集机构网络和能力数据。最初的名册（n = 40 个机构）将通过纳入受访者点名的新机构来扩大，从而显着扩大收集的网络数据范围，最终样本规模约为 60 个机构。将使用单模式网络分析来指定网络属性；图形将提供网络结构的可视化。将使用描述性统计分析组织能力，并使用汇总矩阵格式与网络调查结果相结合。研究结果将提供关于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于接触工人至关重要，以及哪些链接可能需要加强以扩大和维持社区的预防工作。该信息将用于指导 R01 干预研究的开展。该开发项目响应了国家卫生议程 (NIOSH) 提出的研究呼吁，并提供了一种新颖的方法，用于确定有目的的社区联系和伙伴关系，以进行基于社区的职业健康差异研究。