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公民对低SEP社区健康体重方法的看法:从系统角度进行定性研究
Maud J J Ter Bogt1,2,3, Yentl Z Te Riele4, Piet G C Kooijman5
1AMPHI Academic Collaborative Centre, Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands. maud.terbogt@radboudumc.nl.
BMC public health
|August 7, 2024
概括
了解低社会经济地位 (SEP) 社区的健康体重方法 (HWA) 是关键. 公民的意见显示,可访问性,安全性和社区适应性对于增加HWA设施和活动使用至关重要.
科学领域:
- 系统科学研究专注于公共卫生和社区福祉.
- 探索健康体重的环境和社会决定因素.
- 包含公民共同研究者的定性研究方法.
背景情况:
- 物理和社会环境显著影响健康体重,特别是在社会经济地位低的社区.
- 虽然许多荷兰市镇都实施了健康体重方法 (HWA),但确实需要改进.
- 本研究探讨了影响HWA利用的因素,并从公民的角度确定了系统变革的杆点主题 (LPT).
研究的目的:
- 检查影响健康体重方法 (HWA) 设施和活动在低社会经济地位 (SEP) 社区的利用因素.
- 确定杆点主题 (LPTs),可以推动HWA系统中的系统变化,根据居民的看法.
- 通过系统视角,为HWA的实际实施和增强提供见解.
主要方法:
- 采用系统科学方法,在所有研究阶段都涉及四名公民共同研究人员.
- 与居住在低SEP社区的47名公民进行了半结构化访谈.
- 应用了快速编码的定性分析,以探索公民对HWA设施,活动和相关因素的看法.
主要成果:
- HWA设施和活动的利用受到社会凝聚力,熟悉性,可达性,维护,安全性以及各种形式的可访问性 (物理,金融,社会) 的影响.
- 与个人背景和社区特定需求的"适应"成为利用的关键因素.
- 杆点主题 (LPT) 突出了提高利用率所需的总体主题的协同组合,例如"可访问,安全和维护的步行和自行车道"或"提供清晰信息的定制,包容性活动".
结论:
- 与低SEP社区的公民进行包容性,系统视角的定性研究,为HWA需求提供了有价值的见解.
- 了解LPT对于利益相关者来说至关重要,以便有效地将当前的HWA发展为更全面的系统方法.
- 未来的研究应该专注于确定和研究可以促进这些已识别的LPT实施的杆点.
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