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Interpretations of Interpretations: Combining Community-Based Participatory Research and Interpretive Inquiry to Improve Health

机译:解释解释:结合社区参与式研究和解释性调查改善健康

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摘要

Background: Latina immigrants from Mexico suffer significantly increased morbidity and mortality from cervical cancer when compared with non-Hispanic White women, largely owing to lack of screening and appropriate treatment. Objectives: To demonstrate that by combining the tools of community-based participatory research (CBPR) with the tools of interpretive inquiry, it is possible to address explicit community concerns surrounding a particular problem such as cervical cancer while also examining what other, perhaps less immediately visible, matters consume the time and attention of community members. Methods: We first briefly discuss and compare CBPR as an approach to research and interpretive inquiry as a qualitative research method. We then provide a case study from our own research using a CBPR approach to examine beliefs and attitudes about cervical cancer prevention among Oregon Latinos. Methods in that study included extensive discussions with our community advisory board (CAB) and promotores (community health workers) regarding barriers to cervical cancer screening for Latinas and community health concerns in general, and in-depth interviews with more than 50 Latino immigrants. Conclusion: Combining the tools of CBPR with the tools of interpretive qualitative inquiry may allow researchers to address explicit community concerns while also examining what other, less immediately visible, issues consume the time and attention of community members. In our specific case, combining the insights of our community partners with the results of our interpretive analysis helped us shift the focus from cervical cancer alone to a focus on gender relations and family health as we design future interventions.
机译:背景:与非西班牙裔白人女性相比,来自墨西哥的拉丁裔移民患宫颈癌的发病率和死亡率显着增加,这主要是由于缺乏筛查和适当的治疗。目标:证明通过将基于社区的参与性研究(CBPR)的工具与解释性探究的工具相结合,有可能解决围绕特定问题(例如子宫颈癌)的明确社区关注,同时还可以检查其他问题,也许不太立即可见,事务消耗了社区成员的时间和精力。方法:我们首先简要讨论和比较CBPR作为研究方法,而解释性探究作为定性研究方法。然后,我们使用CBPR方法从我们自己的研究中提供一个案例研究,以研究俄勒冈州拉丁裔对宫颈癌预防的信念和态度。该研究的方法包括与我们的社区咨询委员会(CAB)和促进者(社区卫生工作者)进行广泛讨论,讨论宫颈癌筛查对拉丁裔的障碍以及总体上对社区健康的关注,以及与50多个拉丁裔移民的深入访谈。结论:将CBPR的工具与解释性的定性探究工具相结合,可以使研究人员解决明显的社区问题,同时还可以检查哪些其他较不直接可见的问题占用了社区成员的时间和精力。在我们的具体案例中,将社区合作伙伴的见识与我们的解释性分析结果相结合,有助于我们在设计未来干预措施时将重点从单纯的宫颈癌转移到关注性别关系和家庭健康。

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