The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study

Maia Ingram (), Karina R. Dueñas, Idolina Castro, Luis Vázquez, Rebecca M. Crocker, Emily K. Larson, Jill Guernsey de Zapien, Emma Torres and Scott C. Carvajal
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Maia Ingram: Arizona Prevention Research Center, Department of Health Promotion Sciences, Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
Karina R. Dueñas: Arizona Prevention Research Center, Department of Health Promotion Sciences, Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
Idolina Castro: Campesinos Sin Fronteras, Somerton, AZ 85350, USA
Luis Vázquez: Campesinos Sin Fronteras, Somerton, AZ 85350, USA
Rebecca M. Crocker: Cancer Center, College of Medicine, University of Arizona, Tucson, AZ 85724, USA
Emily K. Larson: Arizona Prevention Research Center, Department of Health Promotion Sciences, Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
Jill Guernsey de Zapien: Arizona Prevention Research Center, Department of Health Promotion Sciences, Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
Emma Torres: Campesinos Sin Fronteras, Somerton, AZ 85350, USA
Scott C. Carvajal: Arizona Prevention Research Center, Department of Health Promotion Sciences, Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA

IJERPH, 2023, vol. 20, issue 9, 1-15

Abstract: U.S.-Mexico border residents experience pervasive social and ecological stressors that contribute to a high burden of chronic disease. However, the border region is primarily composed of high-density Mexican-origin neighborhoods, a characteristic that is most commonly health-promoting. Understanding factors that contribute to border stress and resilience is essential to informing the effective design of community-level health promotion strategies. La Vida en La Frontera is a mixed-methods, participatory study designed to understand factors that may contribute to border resilience in San Luis, Arizona. The study’s initial qualitative phase included interviews with 30 Mexican-origin adults exploring community perceptions of the border environment, cross-border ties, and health-related concepts. Border residents described the border as a Mexican enclave characterized by individuals with a common language and shared cultural values and perspectives. Positive characteristics related to living in proximity to Mexico included close extended family relationships, access to Mexican food and products, and access to more affordable health care and other services. Based on these findings, we co-designed the 9-item Border Resilience Scale that measures agreement with the psychosocial benefits of these border attributes. Pilot data with 60 residents suggest there are positive sociocultural attributes associated with living in border communities. Further research should test if they mitigate environmental stressors and contribute to a health-promoting environment for residents.

Keywords: U.S.-Mexico Border; community resilience; scale development; qualitative methods; participatory research; Mexican-origin populations; health outcomes; emotional health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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