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Benefits and Challenges of Addressing Cultural Intersectionality for Program Development and Evaluation.

Patrick W Corrigan1

  • 1Illinois Institute of Technology, Chicago.

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Community-led research enhances health equity programs by focusing on diverse populations. Culturally specific interventions improve outcomes but may limit generalizability.

Keywords:
Cultural competenceDiversity, equity, inclusion, and accessibility (DEIA)IntersectionalityProgram evaluation

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Area of Science:

  • Health Equity Research
  • Community-Based Participatory Research (CBPR)

Background:

  • Promoting health equity requires inclusive program development and evaluation.
  • Community-based participatory research (CBPR) is central to these efforts, emphasizing diversity, equity, inclusion, and accessibility (DEIA).
  • Intersectional DEIA, such as Korean American women with depression, enriches community engagement.

Purpose of the Study:

  • To explore the role of intersectional DEIA in community-based participatory research for health equity.
  • To examine the effectiveness of culture-specific adaptations versus standard care for diverse populations.
  • To analyze the trade-offs between cultural specificity, scientific generalizability, and intervention scalability.

Main Methods:

  • Utilizes principles of community-based participatory research (CBPR).
  • Focuses on DEIA principles within program development and evaluation.
  • Considers intersectional community needs, exemplified by Korean American women with depression.

Main Results:

  • Culture-specific adaptations show significantly greater effectiveness than standard care for targeted communities.
  • Intersectional approaches enhance the relevance and impact of health equity initiatives.
  • Challenges exist in balancing cultural specificity with the generalizability and scalability of findings.

Conclusions:

  • Intersectional DEIA is crucial for effective and equitable health programs.
  • Culture-specific interventions yield better outcomes but pose scalability challenges.
  • Balancing scientific rigor with real-world benefits is key in adapting interventions for diverse populations.