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Community-engaged Research with Rural Latino Adolescents: Design and Implementation Strategies to Study the Social Determinants of Health.
Gateways: International Journal of Community Research & Engagement Pub Date : 2018-01-01 , DOI: 10.5130/ijcre.v11i1.5721
Megan Comfort 1, 2 , Marissa Raymond-Flesch 3 , Colette Auerswald 4 , Linda McGlone 5 , Marisol Chavez 6 , Alexandra Minnis 4, 6
Affiliation  

The health of adolescents, perhaps more than in any other period of their life, is shaped by the social determinants of health (SDH). The constellation of SDH that disadvantages a specific group's health may also make members of that population unable or unwilling to engage in health research. To build a comprehensive body of knowledge about how SDH operate within a specific social context, researchers must design studies that take into account how various vulnerabilities and oppressions may affect people's experiences of being recruited, interviewed and retained in a study. In 2014, we initiated a prospective cohort study with Latino youth living in the agricultural area of Salinas, California. We began this study with the understanding that it was imperative to develop methodological strategies that actively addressed potential challenges in ways that were culturally responsive, community engaged and inclusive. In this article, we describe our approach to developing best practices in four key areas: 1) building community partnerships and engagement; 2) consideration of staffing and staff support; 3) engaging youth's perspectives; and 4) developing culturally appropriate research protocols. In our sample of 599 participants, nearly all youth identify as Latinx (94 per cent), half (49 per cent) have at least one parent employed as a farmworker, 60 per cent reside in crowded housing conditions, and 42 per cent have mothers who did not complete high school. Given these multiple vulnerabilities, we view a robust number of youth expressing interest in study participation, the willingness of their parents to permit their children to be enrolled, and the achievement of an ambitious sample target as evidence that our efforts to undertake best practices in community-engaged and inclusive research were well received.

中文翻译:

与农村拉丁裔青少年进行的社区参与研究:研究健康的社会决定因素的设计和实施策略。

青少年的健康状况,可能比其一生中任何其他时期都重要,是由健康的社会决定因素(SDH)决定的。不利于特定人群健康的SDH星座也可能使该人群中的成员无法或不愿从事健康研究。为了建立有关SDH在特定社会环境中如何运作的全面知识,研究人员必须设计研究,考虑各种漏洞和压迫可能如何影响人们在研究中被招募,采访和保留的经历。2014年,我们与居住在加利福尼亚州萨利纳斯市农业区的拉丁裔青年开展了一项前瞻性队列研究。我们在开始这项研究时了解到,必须制定一种方法策略,以对文化敏感,社区参与和包容的方式积极应对潜在挑战。在本文中,我们描述了我们在四个关键领域开发最佳实践的方法:1)建立社区伙伴关系和参与;2)考虑人员配备和人员支持;3)吸收青年的观点;和4)制定适合文化的研究方案。在我们对599名参与者的抽样调查中,几乎所有的年轻人都被认定为拉丁裔(94%),一半(49%)的父母中至少有一位是农民工,60%居住在拥挤的住房中,42%的母亲是母亲。谁没有完成高中。鉴于这些多重漏洞,
更新日期:2019-11-01
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