社区对服务不足的都柏林地区的健康需求和资产的观点:一个参与性的定性研究
Eunice Phillip1, Sally Griffin1, Eisten Keogh1
1Department of Public Health and Epidemiology, School of Population Health, Royal College of Surgeons University of Medicine and Health Sciences, Dublin D02 HK09, Ireland.
Health promotion international
|February 19, 2026
概括
在服务不足的都柏林地区,社区的声音揭示了与社会决定因素相关的严重健康不平等. 解决这些问题需要综合,社区主导的解决方案和政策改革,以获得公平的结果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 基于社区的参与式研究
背景情况:
- 在全球范围内,健康不平等仍然存在,失业和住房不足等社会决定因素加剧了这种不平等,不成比例地影响着服务不足的社区.
- 虽然促进社区参与,但人们对这些社区如何表达他们的挑战和优先事项缺乏了解.
- 包括爱尔兰在内的高收入国家的城市地区表现出严重的健康差异.
研究的目的:
- 探讨服务不足的都柏林社区的居民和工人如何感知和表达他们的健康挑战和优先事项.
- 确定影响这些社区健康的关键社会决定因素.
- 以社区为主导,为根深蒂固的不平等提供量身定制的解决方案.
主要方法:
- 使用基于社区的参与式研究框架的解释性定性方法.
- 通过指导式互动步行,结构化小组活动和重点小组讨论收集数据.
- 主题分析 (Braun&Clarke),随后是利益相关者参与研讨会.
主要成果:
- 六个相互关联的主题出现了:环境条件,物质使用,医疗保健获取差距,社会隔离,安全问题和家庭结构.
- 潜在的潜在主题包括社区失去权力,缺乏参与决策,干预不一致,以及对当局的不信任.
- 调查结果强调,需要扩大社区的声音,以准确评估需求.
结论:
- 扩大社区声音对于了解解决健康不平等问题的当地需求和优先事项至关重要.
- 结合地方行动和国家政策改革的综合,多部门方法是必不可少的.
- 这项研究支持有意义的社区参与和当地定制,社区主导的解决方案的共同创造.
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