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Perspectivas comunitarias sobre las necesidades y activos de salud en áreas desatendidas de Dublín: un estudio

Eunice Phillip¹, Sally Griffin¹, Eisten Keogh¹

¹Department of Public Health and Epidemiology, School of Population Health, Royal College of Surgeons University of Medicine and Health Sciences, Dublin D02 HK09, Ireland.

Health promotion international

|February 19, 2026

Resumen

Las voces de la comunidad en áreas desatendidas de Dublín revelan importantes desigualdades en salud vinculadas a los determinantes sociales. Abordar estos problemas requiere soluciones integradas, lideradas por la comunidad y reformas políticas para lograr resultados equitativos.

Área de la Ciencia:

Salud Pública; Sociología; Investigación Participativa Basada en la Comunidad

Sus antecedentes:

Las desigualdades en salud persisten a nivel mundial, exacerbadas por determinantes sociales como el desempleo y la vivienda inadecuada, que afectan de manera desproporcionada a las comunidades desatendidas.
Si bien se promueve la participación comunitaria, existe una falta de comprensión sobre cómo estas comunidades articulan sus desafíos y prioridades.
Las áreas urbanas en países de altos ingresos, incluida Irlanda, exhiben disparidades significativas en salud.

Objetivo del estudio:

Explorar cómo los residentes y trabajadores de las comunidades desatendidas de Dublín perciben y articulan sus desafíos y prioridades de salud.
Identificar los determinantes sociales clave que impactan la salud dentro de estas comunidades.
Informar soluciones personalizadas y lideradas por la comunidad para las inequidades arraigadas.

Principales métodos:

Un enfoque cualitativo interpretativo que utiliza un marco de investigación participativa basada en la comunidad.
Recopilación de datos a través de caminatas interactivas guiadas, actividades grupales estructuradas y discusiones en grupos focales.
Análisis temático (Braun & Clarke) seguido de un taller de participación de partes interesadas.

Principales resultados:

Surgieron seis temas interrelacionados: condiciones ambientales, uso de sustancias, brechas en el acceso a la atención médica, aislamiento social, preocupaciones de seguridad y estructuras familiares.
Los temas latentes subyacentes incluyeron la desempoderación comunitaria, la falta de participación en la toma de decisiones, las intervenciones desalineadas y la desconfianza en las autoridades.
Los hallazgos subrayan la necesidad de amplificar las voces de la comunidad para una evaluación precisa de las necesidades.

Conclusiones:

Amplificar las voces de la comunidad es crucial para comprender las necesidades y prioridades locales en la abordaje de las desigualdades en salud.
Son esenciales enfoques integrados y multisectoriales que combinen la acción local y la reforma de las políticas nacionales.
Esta investigación apoya la participación comunitaria significativa y la cocreación de soluciones personalizadas y lideradas por la comunidad.

Palabras clave:

Investigación participativa basada en la comunidad Comunidades Saludables Sláintecare participación comunitaria inequidades en salud necesidades de salud técnica nominal de grupo determinantes sociales de la salud caminatas transectas

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