Wallerstein Nina
Masters in Public Health Program, University of New Mexico, School of Medicine, Albuquerque 87131, USA.
Scand J Public Health Suppl. 2002;59:72-7.
This article articulates the theoretical construct of empowerment and its importance for health-enhancing strategies to reduce health disparities. Powerlessness is explored as a risk factor in the context of social determinants, such as poverty, discrimination, workplace hazards, and income inequities. Empowerment is presented and compared with social capital and community capacity as strategies to strengthen social protective factors. A case study of a youth empowerment and policy project in New Mexico illustrates the usefulness of empowerment strategies in both targeting social determinants, such as public policies which are detrimental to youth, and improving community capacities of youth to be advocates for social change. Challenges for future practice and research are articulated.
本文阐述了赋权的理论架构及其对减少健康差距的健康促进策略的重要性。在贫困、歧视、工作场所危害和收入不平等之类的社会决定因素背景下,无力感被视作一个风险因素进行探讨。赋权作为一种增强社会保护因素的策略被提出,并与社会资本和社区能力进行了比较。新墨西哥州一个青年赋权与政策项目的案例研究表明,赋权策略在针对诸如不利于青年的公共政策等社会决定因素以及提高青年推动社会变革的社区能力方面都很有用。文中还阐述了未来实践和研究面临的挑战。