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开发和实施整体系统方法来减少儿童肥胖方面的不平等:苏格兰丹迪的一项混合方法研究
P van der Graaf1, M P Subramanian2, J Gillespie3
1Department of Nursing, Midwifery and Health, Northumbria University, Newcastle-upon-Tyne, Coach Lane Campus, NE1 8ST, UK.
Public health in practice (Oxford, England)
|January 15, 2025
概括
儿童肥胖的整体系统方法需要更好地了解有效实施的战略和结构. 有针对性的沟通和多元化的参与是参与利益相关者和解决健康不平等问题的关键.
科学领域:
- 公共卫生 公共卫生
- 健康上的不平等 卫生上的不平等
- 预防儿童肥胖 预防儿童肥胖
背景情况:
- 英国地方当局正在实施儿童肥胖的整体系统方法 (WSAs).
- 关于WSA在公共卫生中的实际应用的研究是有限的.
- 本研究探讨了在苏格兰丹迪最初实施的WSA.
研究的目的:
- 调查儿童肥胖的整体系统方法的实际应用和促进者.
- 为了确定挑战和机会,在参与利益相关者对预防肥胖的参与.
- 为解决儿童肥胖和健康不平等问题的未来战略提供信息.
主要方法:
- 混合方法研究设计,包括半结构面试 (n=9) 和同行主导面试 (n=17).
- 在线调查分发给更广泛的利益相关者 (n=27).
- 行动学习集与决策者和面试数据的主题框架分析.
主要成果:
- 利益相关者报告说,他们对预防肥胖有很好的了解,但与工作组的接触有限.
- 缺乏对现有结构和可持续战略的认识,阻碍了参与.
- 发现了关键组织之间的战略不一致.
结论:
- 了解战略和组织结构对于建立WSA能力至关重要.
- 需要有针对性的沟通和多样化的参与机会,才能持续参与利益相关者.
- 有效的WSA需要更好的协调和更清晰的沟通,以解决健康不平等问题.
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