变革性叙事变化作为社区层面的方法来预防不良童年经历和物质使用
Christopher R Harper1, Sarah Treves-Kagan1
1Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
American journal of community psychology
|March 12, 2024
概括
该项目探讨了通过提高对不良童年经历 (ACE) 的认识和它们与健康的社会决定因素的联系来减少物质使用的社区战略. 它强调了转变性的叙事变化,以告知预防工作.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 社区心理学 社区心理学
背景情况:
- 越来越多的证据将物质使用,童年逆境和健康的社会决定因素联系在一起.
- 有限的研究评估了社区一级减少物质使用的战略,重点是预防不良童年经历 (ACE).
研究的目的:
- 介绍一个示范项目的概念框架,旨在提高人们对ACE对物质使用的影响的认识.
- 概述初级预防策略和健康的社会决定因素的作用.
主要方法:
- 利用转变性的叙事变化,强调受ACE和物质使用影响的人的声音.
- 专注于社区层面的意识和基于证据的预防策略的实施.
主要成果:
- 概念框架为媒体,公共卫生和地方倡议提供了信息.
- 强调在初级预防工作的同时,应对健康的社会决定因素的重要性.
结论:
- 社区层面的战略,特别是转型性叙事变化,可以有效地解决物质使用和ACE的问题.
- 调查结果支持加强社区驱动的预防工作的证据基础.
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