Culturally adapting an evidence-based intervention to promote a healthy diet and lifestyle for Yup'ik Alaska native communities.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Scarlett E Hopkins, Eliza Orr, Bert B Boyer, Beti Thompson
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引用次数: 0

Abstract

Underserved populations are at increased risk for obesity and related cardiovascular disease, type 2 diabetes, and other chronic diseases. Lack of access to healthy foods, sedentary behaviour, and other social environmental factors contribute to disease risk. Yup'ik Alaska Native communities are experiencing lifestyle changes that are likely to affect their cardiometabolic risks. Barrera & Castro's Cultural Adaptation Framework was used to adapt an evidence-based intervention (EBI) originally designed for Latino communities for use in Yup'ik communities. Focus groups and key informant interviews were held in two Yup'ik communities. Major themes included causes of obesity, barriers and facilitators to healthy foods and physical activity, and intervention ideas. The adaptation process was guided by a Community Planning Group of Yup'ik women and included information gathering, preliminary adaptation design, preliminary adaptation tests, and adaptation refinement. Two of the adapted educational modules were pilot tested. Involving community members as co-researchers in cultural adaptation is vital for an EBI to be effective in another population. Small group gatherings led by local lay health workers are culturally appropriate and may be an effective health promotion model in Yup'ik communities. Social environmental factors affecting healthy food availability and physical activity need further exploration.

从文化上适应以证据为基础的干预措施,促进阿拉斯加州土著社区的健康饮食和生活方式。
服务不足的人群患肥胖症和相关心血管疾病、2型糖尿病和其他慢性疾病的风险增加。缺乏健康食品、久坐行为和其他社会环境因素会增加疾病风险。尤皮克阿拉斯加土著社区正在经历生活方式的改变,这可能会影响他们的心脏代谢风险。Barrera&Castro的文化适应框架用于调整最初为拉丁裔社区设计的循证干预(EBI),以用于尤普克社区。在两个Yup'ik社区举行了焦点小组和关键线人访谈。主要主题包括肥胖的原因、健康食品和体育活动的障碍和促进因素以及干预思想。适应过程由尤皮克妇女社区规划小组指导,包括信息收集、初步适应设计、初步适应测试和适应改进。其中两个经过调整的教育模块进行了试点测试。让社区成员作为共同研究者参与文化适应对于EBI在另一个群体中的有效性至关重要。由当地非专业卫生工作者领导的小型团体聚会在文化上是合适的,可能是尤皮克社区的一种有效的健康促进模式。影响健康食品供应和体育活动的社会环境因素需要进一步探索。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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