Community based participatory research approaches to combat oral health inequities among American Indian and Alaska Native populations

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Carolyn Camplain JD, Christine Kirby MA, Steven D. Barger PhD, Heather Thomas MEd, Marissa Tutt MPH, Kristan Elwell PhD, Sara Young MEd, Gerlinda Morrison DPT, Stephanie Hyeoma, Julie A. Baldwin PhD
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引用次数: 2

Abstract

American Indian and Alaska Native (AI/AN) communities have experienced a history of systemic racism and still face significant oral health disparities. These disparities extend to the youngest community members in the form of early childhood caries (ECC). Although behavior and biology contribute to ECC, the conditions where people live, grow, and work, and the systems and political and economic forces that shape individual health outcomes, are thought to greatly impact ECC among AI/AN populations. To address ECC in AI/AN communities, we used a community based participatory approach that incorporated social determinants of health. We found that implementing culturally-tailored, culturally-centered, and AI/AN-created materials for ECC interventions is viewed favorably by community members and tribal leaders. Because of the complexity of ECC in AI/AN communities we adopted a bundled approach of best practices to reduce ECC including: (1) incorporating locally, contextually, and culturally relevant strategies to present recommended ECC prevention approaches; (2) employing AI/AN community members as educators; (3) utilizing motivational interviewing with expectant mothers; and (4) providing fluoride varnish. Our work underscores the importance of developing trusting partnerships with each other and with our communities, drawing upon the insights of community advisory board members, and eliciting formative assessment data from tribal members to gain a more holistic understanding of our participants' lived experience to design relevant intervention materials. Incorporating local knowledge and situating Western oral health prevention approaches within culturally aligned frameworks can enhance partnerships and create sustainable materials for community work.

以社区为基础的参与性研究方法对抗美洲印第安人和阿拉斯加土著人口的口腔健康不平等
美国印第安人和阿拉斯加原住民(AI/AN)社区经历了系统性种族主义的历史,仍然面临着重大的口腔健康差距。这些差异以儿童早期龋齿的形式扩展到最年轻的社区成员。尽管行为和生物学对ECC有贡献,但人们生活、生长和工作的条件,以及影响个人健康结果的制度和政治经济力量,被认为对人工智能/人工智能人群中的ECC有很大影响。为了解决人工智能/AN社区中的ECC问题,我们采用了一种基于社区的参与式方法,其中纳入了健康的社会决定因素。我们发现,为ECC干预措施实施文化定制、以文化为中心和人工智能/人工智能创建的材料受到社区成员和部落领导人的欢迎。由于人工智能/人工智能社区中ECC的复杂性,我们采用了一种捆绑的最佳实践方法来减少ECC,包括:(1)结合当地、背景和文化相关的策略来提出推荐的ECC预防方法;(2)聘用AI/AN社区成员担任教育工作者;(3)对准妈妈进行动机性访谈;(4)提供含氟清漆。我们的工作强调了在彼此之间和社区之间建立信任伙伴关系的重要性,利用社区顾问委员会成员的见解,从部落成员那里获得形成性评估数据,以更全面地了解参与者的生活经历,从而设计相关的干预材料。将当地知识和西方口腔健康预防方法纳入符合文化的框架中,可以加强伙伴关系并为社区工作创造可持续的材料。
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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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