行动中的心脏:支持亚利桑那州的不稳定工人,这是一个基于社区的参与式研究方法
Dulce J Jiménez1, Alexandra Olin1, Shefali Milczarek-Desai2
1Center for Community Health and Engaged Research (CHER), Northern Arizona University, Flagstaff, AZ, United States.
Frontiers in public health
|March 16, 2026
概括
社区卫生工作者通过Hearts in Action计划赋予不稳定的拉丁裔工人权力,改善工作场所宣传和心血管健康. 这种以员工为中心的方法显示出解决职业压力因素和促进福祉的前景.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 基于社区的参与式研究
背景情况:
- 不稳定的低薪工作不成比例地影响拉丁裔移民工人,导致慢性压力,健康状况不佳和心血管风险.
- 亚利桑那州的农业,酒店和家庭服务等行业,由于复合的压力因素和政策环境,加剧了这些问题.
- 工作场所的不稳定性和高职业风险是弱势群体健康的重要社会决定因素.
研究的目的:
- 评估社区驱动的"心动"干预措施的可行性和影响.
- 赋予不稳定的拉丁裔工人权力,倡导更健康的工作场所和改善劳动条件.
- 将工人权利倡导与促进心血管健康相结合.
主要方法:
- 一个由社区驱动的干预,涉及6名双语社区卫生工作者 (CHW) 和50名拉丁裔不稳定工作者.
- 四个以小组为基础的会议,包括工人权利倡导工具包和适应心血管健康计划.
- 基于社区的参与式研究 (CBPR) 原则,包括参与式数据收集和与法律专家的战略伙伴关系.
主要成果:
- 社区卫生工作者在建立信任,放大参与者的声音和促进赋权方面发挥了关键作用.
- 该干预表明,以工人为中心的CHW领导的方法可行,以改善工作场所条件和健康结果.
- 参与者表现出更高的职业自我效能和对工作场所福祉和宣传的积极看法.
结论:
- "行动中的心脏"计划提供了一个可行的模式,可以改善不稳定的工人的健康和宣传能力.
- 整合社区观点,法律专业知识和公共卫生战略是促进福祉和结构变革的关键.
- 由CHW领导的,文化相关的干预措施有效地解决了不稳定的劳动对健康的影响.
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