通过基于地方的倡议发展权力的种族和民族 (不) 平等
Mina Silberberg1, Matthew E Dupre2, James Moody3
1Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC 27710, USA.
Healthcare (Basel, Switzerland)
|December 17, 2024
概括
基于地点的倡议 (PBIs) 可能不会使所有群体均等受益. 这项研究发现PBI内部的权力和代表性存在种族/民族差异,突出了主动公平措施的必要性.
科学领域:
- 社区卫生干预措施 社区卫生干预
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 基于地点的倡议 (PBIs) 旨在通过在地理区域投资来改善社区福祉.
- 社区内的不同人口群体之间结果的差异是PBIs的关注点.
研究的目的:
- 测量参与PBI的社区内的种族/种族"权力"差异.
- 评估用于测量PBIs功率动态的指标的有效性和可靠性.
主要方法:
- 在健康的地方北卡罗来纳州 (HPNC) PBI的第一阶段,在六个社区测量了五个"力量到"的指标.
- 指标包括网络代表性,领导属性,属性的感知变化,网络中心性和网络联系的感知变化.
主要成果:
- 拉丁裔人口在PBI网络中代表性不足.
- 在大多数白人社区,在网络中心性和领导力属性中观察到白人优势的迹象.
- 在大多数非裔美国人社区,非白人属性排名高于白人属性.
结论:
- 每个"权力转变"指标都为PBI动态提供了独特的见解.
- 结果表明,如果不主动解决种族/民族平等和权力问题,PBI可能会无意中增加白人利益或无法弥补现有的差距.
- 早期测量功率差异和变化对于有效的PBI实施至关重要.
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