3015.0: Monday, October 22, 2001 - 12:30 PM

Abstract #29923

A participatory approach to community building among multiethnic residents in three public housing sites in Seattle: An application of the social determinants of health model

Stella Gran-O'Donnell, MSW, MPH1, Clarence Spigner, DrPH, MPH2, Nancy Farwell, PhD, MSW3, Chau Nguyen, MPH, CHES4, Sandra Ciske, MN, RN1, and James Krieger, MD, MPH1. (1) Epidemiology, Planning and Evaluation Unit, Public Health - Seattle & King County, 999 Third Avenue, Suite 1200, Seattle, WA 98104, (206) 296-0241, stella.gran-o'donnell@metrokc.gov, (2) Department of Health Services, University of Washington, Box 357660, Seattle, WA 98195, (3) School of Social Work, University of Washington, 4101 - 15th Avenue NE, Box 354900, Seattle, WA 98105, (4) Prevention Division, Public Health - Seattle & King County, 999 Third Avenue, Suite 900, Seattle, WA 98104

Recent research has identified community strengths and community building among the social determinants of health. The purpose of this study was to discern viewpoints on "community building" and to appraise community assets among low-income, multiethnic refugees and immigrants residing in three public housing sites in Seattle. Qualitative, participatory research methods were used. Residents in each site were categorized by age; youths (12-18 years) and adults (18 plus) were recruited for participation in 20 focus groups. Six youth groups of mixed gender and ethnicity, and fourteen adult groups were stratified linguistically; all were facilitated in the appropriate languages by trained moderators. Participants included mostly Southeast Asians (Vietnamese, Cambodian) and East Africans (Amhara, Tigrinya, Oromo, Somali). The interview guide was developed in collaboration with four community-based organizations. Participation in community activities, intergenerational relationships, and definitions of "community building" were assessed. Community resources and concerns were also explored. Sessions were audiotaped, transcribed, translated, and coded independently to ensure credibility and analyzed. Results revealed community-sponsored events that facilitated residents’ interactions often promoted inter-ethnic connections, but overall involvement in activities was shaped mainly by language. Personal safety was an inhibitor to some cross-ethnic connections, and differing levels of acculturation among youth and adults tended to polarize intergenerational relationships. Strong cultural and family values were reflected in participants' strategies to enhance community building efforts within these public housing sites. These baseline perspectives show how social and cultural dynamics play major roles in shaping and building a sense of community across ethnic classifications.

Learning Objectives: 1. Describe the use of qualitative participatory research methods when working with refugee and immigrant communities. 2. Recognize the benefits and challenges related to utilizing a community-based participatory research approach. 3. Identify how the social determinants of health model can be applied to community building activities and thus influence the overall health of individuals and communities, including refugee and immigrant populations.

Keywords: Community-Based Partnership, Minority Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA