In this article, we examine progress and challenges in designing, implementing, and evaluating culturally sensitive behavioral interventions by tailoring health communication to groups or individuals. After defining common tailoring constructs (i.e., culture, race, and ethnicity), cultural sensitivity, and cultural tailoring, we examine when it is useful to culturally tailor and address cultural sensitivity in health communication by group tailoring or individual tailoring and when tailoring health communication may not be necessary or appropriate for achieving behavior change. After reviewing selected approaches to cultural tailoring, we critique the quality of research in this domain with a focus on the internal validity of empirical findings. Then we explore the ways in which cultural sensitivity, group targeting, and individual tailoring have incorporated culture in health promotion and health communication. We conclude by articulating yet unanswered questions and suggesting future directions to move the field forward.Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

中文翻译：

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文化敏感性和文化剪裁：将文化纳入健康传播研究几十年后的经验教训和改进

在本文中，我们通过针对群体或个人定制健康沟通，探讨了设计、实施和评估文化敏感行为干预措施的进展和挑战。在定义了常见的定制结构（即文化、种族和民族）、文化敏感性和文化定制之后，我们研究了何时通过群体定制或个人定制来进行文化定制和解决健康传播中的文化敏感性是有用的，以及何时定制健康传播对于实现行为改变可能没有必要或不适当。在回顾了文化定制的选定方法之后，我们批评了该领域的研究质量，重点关注实证研究结果的内部有效性。然后我们探讨文化敏感性、群体定位和个体定制如何将文化融入健康促进和健康传播。最后，我们阐明了尚未解答的问题，并提出了推动该领域向前发展的未来方向。《公共卫生年度评论》第 45 卷的预计最终在线发布日期为 2024 年 4 月。请参阅 http://www.annualreviews.org/page/修订后的估计的期刊/出版物。