一个西班牙裔/拉丁裔社区卫生工作者干预,解决文化压力和弹性:可行性,可接受性和初步有效性
Irene C Felsman1, Maralis Mercado Emerson2, Brian E McCabe3
1Duke University School of Nursing, 307 Trent Drive, Durham, NC, 27710, USA. irene.felsman@duke.edu.
Journal of immigrant and minority health
|February 14, 2026
概括
这项研究表明,社区卫生工作者干预有效地减少了西班牙裔/拉丁裔移民的文化压力,抑郁症状和健康风险. 该计划是可行和可扩展的,用于解决健康不平等问题.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 移民健康 移民健康
背景情况:
- 西班牙裔/拉丁裔移民面临着药物滥用,亲密伴侣暴力,艾滋病毒和心理健康问题的综合症,加剧了健康差距.
- 促进者 (社区卫生工作者) 对于将脆弱的西班牙裔/拉丁裔移民人口与文化相关的医疗保健联系起来至关重要.
- 文化压力和弹性是影响美国西班牙裔/拉丁裔移民健康和福祉的关键因素.
研究的目的:
- 检查促进者主导的干预措施的可行性,可接受性和影响,旨在减少适应文化压力并增强西班牙裔/拉丁裔移民的性.
- 评估干预对该人口中心理健康症状和健康风险行为的影响.
- 确定可扩展性的潜力和减少健康不平等的更广泛影响.
主要方法:
- 一个单组的纵向试点干预研究与30名在美国居住至少一年的年轻成人西班牙裔/拉丁裔移民进行.
- 干预涉及四个虚拟会议 (两个一对一,两个小组),由主办方提供,使用动机面试和小组指导.
- 通过研究日志和参与者反来衡量可行性和可接受性;使用测量文化压力,抑郁症状和风险行为的前后调查来评估干预效应.
主要成果:
- 干预表明参与者的满意度很高,并建议增加社会参与.
- 观察到文化压力 (p = .041),抑郁症状 (p = .005) 和健康风险行为 (p = .021) 的显著减少.
- 干预后的COVID-19知识和流行病压力水平没有显著变化.
结论:
- 倡导者主导的干预是可行的,可以接受的,并且有效地减少西班牙裔/拉丁裔移民中关键的心理健康挑战和风险行为.
- 这些发现支持该干预措施的可扩展性,以解决综合性疾病并减少该人口中的健康不平等.
- 文化定制的社区卫生工作者计划对于改善移民社区的健康结果至关重要.
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