社区组织与公共卫生:快速回顾
Carolina Jimenez1, Jonathan C Heller2,3
1National Collaborating Centre for Determinants of Health, St. Francis Xavier University, PO Box 5000, Antigonish, NS, B2G 2W5, Canada.
BMC public health
|February 18, 2025
概括
社区组织通过建立社区力量和解决健康的结构性决定因素,提高公共卫生效率,促进健康公平. 这次审查强调了诸如改善公共卫生结果等好处,以及诸如行政障碍等挑战.
科学领域:
- 公共卫生 公共卫生
- 社区组织组织社区组织组织
- 健康 公平 卫生 公平
背景情况:
- 推进健康公平是全球公共卫生优先事项,需要关注结构性决定因素和权力不平衡.
- 社区组织赋予社区权力,挑战压迫性制度,促进健康平等.
- 在实践中,公共卫生和社区组织之间的伙伴关系发展不够.
研究的目的:
- 发现公共卫生与社区组织者合作或使用社区组织方法的好处,挑战和结果.
- 评估社区组织策略对公共卫生实践和社区福祉的影响.
主要方法:
- 对PubMed和Cochrane数据库进行了快速审查.
- 包括专注于公共卫生的文章,应用社区组织方法或与社区组织团体合作,报告好处,局限性或结果.
- 在2000年至2023年8月期间发表的文章,来自加拿大,美国,欧洲,澳大利亚或新西兰,以英语,有资格.
主要成果:
- 二十四篇文章 (17个初级研究,7个实践报告) 符合纳入标准,其中环境健康和正义是共同的主题.
- 他们发现了七个好处:提高公共卫生效率,优先设定,社区力量建设,加强数据收集,政策变化,能力建设和增加社会资本.
- 他们指出了三个挑战:行政障碍,不同的方法和社区组织的复杂性. 研究的稀缺是显而易见的.
结论:
- 社区组织表明有很大的能力促进健康公平,提高公共卫生效率.
- 社区组织中的伙伴关系和方法为公共卫生提供了有希望的方法,与解决健康的社会和结构性决定因素保持一致.
- 审查强调了将社区组织原则纳入公共卫生实践的价值.
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