应用混合方法方法来确定社区一级的解决方案,以减少婴儿死亡率的种族差异
Laurin J Kasehagen1,2, Kathleen Brandert3, Brenda Nickol3
1MCH Epidemiology Program, Field Support Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention & Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS F74, Chamblee, GA 30341, USA.
社区小组确定了128项行动,以减少婴儿死亡率 (IM) 的种族差异. 实用,易于启动的行动显示出社区和机构变革的巨大潜力.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社区健康 社区健康
背景情况:
- 婴儿死亡率 (IM) 的种族差异仍然存在.
- 社区层面的干预对于解决这些差异至关重要.
研究的目的:
- 确定社区一级的行动,旨在减少婴儿死亡率的种族差异.
- 探索拟议干预措施的必要性和行动潜力.
主要方法:
- 混合方法概念绘图方法涉及六个城市多学科团队.
- 参与者将128个行动生成,评级并分为11个主题集群.
- 采用了集群分析和多维缩放技术.
主要成果:
- 确定了11个主题行动集群,涉及种族主义,教育,健康促进,服务,环境,资源分配,公平和政策.
- 具有高行动潜力的行动往往是正在进行的或易于启动的社区活动.
- 高度必要的行动被认为是必不可少的,但有时超出了社区的直接控制范围.
结论:
- 社区驱动的行动,特别是那些具有高行动潜力的行动,可以有助于减少婴儿死亡率的种族差异.
- 实施的可行性受到社区规模,现有资源,伙伴关系,政策和倡导者的影响.
- 解决系统和政策层面的变化是必要的,以期对婴儿死亡率差异产生长期影响.
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