环境,人口和时间:公共卫生干预的概念框架
Jens Aagaard-Hansen1,2, Paul Bloch1
1Diabetes Prevention Research, Department for Prevention, Health Promotion and Society, Steno Diabetes Center Copenhagen, Herlev, Denmark.
这个框架将环境和人口随着时间的推移整合在一起,以指导健康促进计划. 了解长期,多设置,多人口轨迹可以提高公共卫生研究和干预措施.
科学领域:
- 公共卫生 公共卫生
- 促进健康 促进健康
- 社会学 社会学 社会学
背景情况:
- 太华宪章 (1986年) 强调了促进健康的设置.
- 公共卫生规划依赖于定义和选择特定人群.
- 整合环境和人口对于有效的健康战略至关重要.
研究的目的:
- 提出一个指导公共卫生和健康促进规划和研究的概念框架.
- 为了说明如何结合环境,人口和长期观点可以为干预提供信息.
- 为系统开发,规划和分析卫生项目的工具提供.
主要方法:
- 概念框架的发展.
- "设置"方法与"人口"视角的整合.
- 包含一个时间维度,灵感来自于生命过程视角.
主要成果:
- 干预策略的四种组合出现:单个/多个环境中的单个/多个群体.
- 一个生命过程的视角揭示了轨迹如何随着时间的推移改变设置和人口群体.
- 该框架有助于系统地意识到长期,多设置,多人口动态.
结论:
- 对长期,多设置和多人群轨迹的系统意识是健康促进规划者和研究人员的关键.
- 概念框架有助于系统地开发,规划和分析卫生项目.
- 这种综合方法提高了公共卫生倡议的有效性和战略规划.
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