Bryant Toba, Raphael Dennis, Travers Robb
Department of Sociology, University of Toronto, Toronto, Canada.
Promot Educ. 2007;14(1):6-11.
An urban health research agenda for health promoters is presented. In Canada, urban issues are emerging as a major concern of policy makers. The voices raising these issues are from the non-health sectors, but many of these issues such as increasing income inequality and poverty, homelessness and housing insecurity, and social exclusion of youth, immigrants, and ethno-racial minorities have strong health implications as they are important social determinants of health. Emphasis on these and other social determinants of health and the policy decisions that strengthen or weaken them is timely as the quality of Canadian urban environments has become especially problematic. We argue for a participatory urban health research and action agenda with four components: (a) an emphasis on health promotion and the social determinants of health; (b) community-based participatory research; and (c) drawing on the lived experience of people to influence (d) policy analysis and policy change. Urban health researchers and promoters are urged to draw upon new developments in population health and community-based health promotion theory and research to identify and strengthen the roots of urban health through citizen action on public policy.
本文提出了一份针对健康促进者的城市健康研究议程。在加拿大，城市问题正逐渐成为政策制定者的主要关注点。提出这些问题的声音来自非卫生部门，但其中许多问题，如收入不平等加剧、贫困、无家可归和住房不安全，以及青年、移民和少数族裔在社会上被排斥等，对健康有重大影响，因为它们是健康的重要社会决定因素。鉴于加拿大城市环境质量已变得尤其成问题，强调这些及其他健康社会决定因素以及加强或削弱它们的政策决策正当时。我们主张制定一个包含四个部分的参与性城市健康研究与行动议程：(a) 强调健康促进和健康的社会决定因素；(b) 基于社区的参与性研究；(c) 利用人们的生活经历来影响 (d) 政策分析和政策变革。敦促城市健康研究人员和促进者借鉴人口健康和基于社区的健康促进理论及研究的新进展，通过公民对公共政策采取行动来确定并强化城市健康的根源。
