Blankenship K M, Friedman S R, Dworkin S, Mantell J E
Center for Interdisciplinary Research on AIDS, Yale University, USA.
J Urban Health. 2006 Jan;83(1):59-72. doi: 10.1007/s11524-005-9007-4.
Structural interventions refer to public health interventions that promote health by altering the structural context within which health is produced and reproduced. They draw on concepts from multiple disciplines, including public health, psychiatry, and psychology, in which attention to interventions is common, and sociology and political economy, where structure is a familiar, if contested, concept. This has meant that even as discussions of structural interventions bring together researchers from various fields, they can get stalled in debates over definitions. In this paper, we seek to move these discussions forward by highlighting a number of critical issues raised by structural interventions, and the subsequent implications of these for research.
结构性干预是指通过改变健康得以产生和再现的结构背景来促进健康的公共卫生干预措施。它们借鉴了多个学科的概念,包括公共卫生、精神病学和心理学(在这些学科中对干预措施的关注很常见),以及社会学和政治经济学(在这些学科中,结构是一个为人熟知但也存在争议的概念)。这意味着,尽管关于结构性干预的讨论将不同领域的研究人员聚集在一起,但这些讨论可能会在关于定义的争论中陷入停滞。在本文中,我们试图通过强调结构性干预引发的一些关键问题以及这些问题对研究的后续影响,推动这些讨论向前发展。