亚美尼亚和格鲁吉亚的无烟环境社区联盟:对联盟的形成,实施和感知有效性的混合方法分析
Michelle C Kegler1, Ana Dekanosidze2, Arevik Torosyan3
1Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
社区联盟有效地促进了格鲁吉亚和亚美尼亚的无烟政策和公共卫生. 这些多部门团体以社区联盟行动理论 (CCAT) 为指导,尽管面临挑战,但表现出了性和适应能力.
科学领域:
- 公共卫生 公共卫生
- 社区健康 社区健康
- 卫生政策 卫生政策
背景情况:
- 有效的当地公共卫生战略需要公共卫生机构和民间社会之间的协调.
- 全球卫生问题,如烟草使用,需要社区层面的干预.
- 格鲁吉亚和亚美尼亚健康环境和研究团队 (GATHER) 倡议旨在通过社区联盟来解决这些需求.
研究的目的:
- 测试社区联盟对促进无烟政策的采用和遵守的影响.
- 以社区联盟行动理论 (CCAT) 引导和描述联盟的形成,实施和有效性.
- 评估CCAT在不同社会政治环境中的通用性.
主要方法:
- 一个社区随机试验,涉及佐治亚和亚美尼亚的14个市政联盟.
- 混合方法评估包括半结构面试 (n=42),联盟成员调查 (n=85,n=83) 和行动计划审查.
- 应用社区联盟行动理论 (CCAT) 来指导和分析联盟进程.
主要成果:
- 成功组建了14个涉及公共卫生,教育,医疗保健和市政管理的多部门联盟.
- 一半的联盟制定了新的无烟政策;所有联盟都促进了对现有政策的遵守.
- 联盟过程,如沟通,与参与,感知影响,技能发展和可持续性相关.
结论:
- 社区联盟可以在各种社会政治环境中有效建立,以促进当地,多部门的健康合作.
- 尽管面临重大挑战 (流行病,战争,立法),但联盟表现出了性和适应能力.
- 在全球范围内,CCAT原则似乎是可通用的,为地方公共卫生倡议提供了相关指导.
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