关键词: Co-production Diversity Equity and inclusion (DEI) Public health Research practice Young people

Mesh : Humans Female Male Adolescent Young Adult Public Health Interviews as Topic Poverty Minority Groups / statistics & numerical data psychology Medically Underserved Area Patient Selection Qualitative Research Vulnerable Populations

来  源:   DOI:10.1186/s12889-024-19762-6   PDF(Pubmed)

Abstract:
BACKGROUND: Inclusion in public health research of young people from low-income households and those from minority ethnic groups remains low. It is recognised that there is a need to change the way in which research is conducted so that it becomes more inclusive. The aim of this work was to identify novel and innovative ways to maximise recruitment and inclusion of diverse participants when doing co-production within very short time frames for emergency responses.
METHODS: We conducted interviews with young people from low-income and minority ethnic backgrounds, and members or leaders of groups or organisations supporting or representing young people from underserved communities.
RESULTS: A total of 42 participants took part in an interview. This included 30 young people from low income or minority ethnic backgrounds and 12 community leaders/service providers. Of the 30 young people, 26 participants identified as female and 12 participants identified as being from a minority ethnic background. Participants discussed a number of interrelated barriers to research involvement and identified ways in which barriers may be reduced. Prejudice and discrimination experienced by young people from underserved communities has led to substantial mistrust of educational and governmental establishments. Rigid and unfamiliar research practices further limit the involvement of young people. Four themes were identified as ways of supporting involvement, including: making opportunities available for young people, adaptations to research governance, understanding and acknowledging challenges faced by young people, and ensuring reciprocal benefits.
CONCLUSIONS: This research explored barriers to engagement in rapid public health co-production. Working with communities to co-produce rapid recruitment and research procedures to suit the needs and the context in which young people live is necessary.
摘要:
背景:低收入家庭和少数民族年轻人在公共卫生研究中的参与度仍然很低。人们认识到,有必要改变进行研究的方式,使其变得更具包容性。这项工作的目的是确定新颖和创新的方法,以在非常短的时间内进行应急响应的联合制作时,最大限度地招募和包容不同的参与者。
方法:我们采访了来自低收入和少数民族背景的年轻人,以及支持或代表服务不足社区年轻人的团体或组织的成员或领导人。
结果:共有42名参与者参加了访谈。其中包括30名低收入或少数民族背景的年轻人和12名社区领导人/服务提供者。在30个年轻人中,26名参与者被确定为女性,12名参与者被确定为来自少数民族背景。与会者讨论了参与研究的许多相互关联的障碍,并确定了减少障碍的方法。来自服务不足社区的年轻人所经历的偏见和歧视导致对教育和政府机构的严重不信任。僵化和陌生的研究实践进一步限制了年轻人的参与。四个主题被确定为支持参与的方式,包括:为年轻人提供机会,适应研究治理,理解和承认年轻人面临的挑战,并确保互惠互利。
结论:这项研究探索了参与快速公共卫生联合生产的障碍。必须与社区合作,共同制定快速招聘和研究程序,以适应年轻人的需求和生活环境。
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