参与式系统科学,以提高印度洋地区的健康和福祉
Steven Allender1, Syarifah Liza Munira2, Siobhan Bourke2
1Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia.
Frontiers in public health
|July 3, 2023
概括
与偏远的印度洋领土 (IOT) 居民共同设计糖尿病预防,确定了食物获取和体育活动等关键因素. 社区驱动的干预措施解决独特的岛屿挑战,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 基于社区的参与式研究
- 预防慢性疾病 预防慢性疾病
背景情况:
- 偏远社区在疾病预防方面面临着独特的挑战.
- 共同创作确保了当地背景融入到健康倡议中.
- 糖尿病和肥胖症是全球重要的公共卫生问题.
研究的目的:
- 与印度洋领土 (IOT) 居民共同设计糖尿病和肥胖预防策略.
- 确定影响疾病预防工作的当地环境因素.
- 开发适合偏远岛屿环境的社区主导干预措施.
主要方法:
- 利用现实的调查和系统映射进行共同设计.
- 在圣诞岛 (CI) 和科科斯基林群岛 (CKI) 接受了33名社区成员的采访.
- 开发了因果循环图来表示糖尿病的原因并确定干预点.
主要成果:
- 在结构,食品,知识和体育活动主题中确定了31个变量.
- 产生了32个干预想法,重点是加强健康行为和改善食物获取.
- 解决了独特的岛屿障碍,包括运输成本,食品供应和文化多样性.
结论:
- 社区共同设计对于在偏远地区制定相关和可行的疾病预防策略是有效的.
- 干预措施必须考虑特定的当地挑战,如偏远和文化因素.
- 解决结构性,食物,知识和身体活动的决定因素对于预防糖尿病至关重要.
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