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Health Promotion Practice
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Building on the Strengths of a Cambodian Refugee Community Through Community-Based Outreach

Dorcas Grigg-Saito, MS

Lowell Community Health Center and Cambodian Community Health 2010 (CCH 2010) program in Lowell, Massachusetts

Sheila Och, MPH

Lowell Community Health Center in Lowell, Massachusetts

Sidney Liang, BA

Cambodian Community Health 2010 program in Lowell, Massachusetts

Robin Toof, MA

University of Massachusetts, Lowell

Linda Silka, PhD

Department of Regional Economic and Social Development, University of Massachusetts, Lowell

Literature and practice are limited on strategies to reach elder Southeast Asian refugees by using their strengths and resilience. This article presents the Centers for Disease Control and Prevention—funded Cambodian Community Health 2010 Program in Lowell, Massachusetts, as a case example and provides refugee history, project background, community survey results about strengths and risks, literature on strengths-based approaches, outreach activities, and evaluation. The focus is elimination of health disparities in cardiovascular disease and diabetes. "Community conversations" and a daylong forum with community leaders were used to develop plans for outreach. A Cambodian Elders Council provided information and guidance used to refine the program. Key findings highlight involving elders in organizing events, avoiding reliance on literacy, integrating health promotion with socialization, using ties with Buddhist temples, developing transportation alternatives, and utilizing local Khmer-language media. Implications include applicability to other refugee communities with low literacy, high levels of trauma, limited English, and strong religious involvement.

Key Words: culturally specific • refugee and immigrant populations • cardiovascular disease and diabetes disparities • Cambodians • community-based outreach • strengths-based approach

This version was published on October 1, 2008

Health Promotion Practice, Vol. 9, No. 4, 415-425 (2008)
DOI: 10.1177/1524839906292176
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