Suchergebnisse

Working with linguistically isolated immigrants on public health issues poses a set of methodological challenges unique to this population. We used community-based participatory research (CBPR) techniques to investigate the disaster preparedness needs of four linguistically isolated population groups in Houston, Texas (Vietnamese, Chinese, Somali, and Spanish–speaking) in partnership with community-based organizations and community researchers. As a local health department conducting CBPR, we witnessed various challenges, including: Engaging and using interpreters versus using community researchers; translating focus group questions from English to other languages; recruiting participants from linguistically isolated populations; and handling issues of community power, data collection, and data reliability. In this article, we discuss these challenges, strategies used, and the outcomes of our approaches in the broader context of CBPR.

Abstract
Extreme heat is the leading cause of weather-related mortality in the United States, suggesting the necessity for better understanding population vulnerability to extreme heat. The work presented here is part of a larger study examining vulnerability to extreme heat in current and future climates [System for Integrated Modeling of Metropolitan Extreme Heat Risk (SIMMER)] and was undertaken to assess Houston, Texas, residents' adaptive capacity to extreme heat. A comprehensive, semistructured survey was conducted by telephone at 901 households in Houston in 2011. Frequency and logistic regression analyses were conducted. Results show that 20% of the survey respondents reported heat-related symptoms in the summer of 2011 despite widespread air conditioning availability throughout Houston. Of those reporting heat-related symptoms experienced in the home (n = 56), the majority could not afford to use air conditioning because of the high cost of electricity. This research highlights the efficacy of community-based surveys to better understand adaptive capacity at the household level; this survey contextualizes population vulnerability and identifies more targeted intervention strategies and adaptation actions.