Rew Lynn, Hoke Mary M, Horner Sharon D, Walker Lorraine
The University of Texas at Austin School of Nursing, Austin, TX, USA.
Nurs Outlook. 2009 May-Jun;57(3):132-42. doi: 10.1016/j.outlook.2008.07.008.
Various populations experience health disparities related to risk factors such as gender, race or ethnicity, educational level, income level, and geographic location. These populations often experience barriers to access and utilization of services, which can lead to adverse health outcomes. Health promotion interventions developed within the context of communities represent resources that may offer protection to these populations. The purpose of this article is to describe the evolution of a conceptual model for the study of health disparities. The model, based on a review of literature, was developed to guide 19 pilot studies funded by the Texas-New Mexico P20 Southwest Partnership Center for Nursing Research on Health Disparities. Reflection on these studies, their respective methodologies, and findings resulted in a revised model to guide further studies of communities experiencing health disparities.
不同人群在与性别、种族或民族、教育水平、收入水平和地理位置等风险因素相关的健康差异方面存在不同情况。这些人群在获得和利用服务方面往往面临障碍，这可能导致不良健康后果。在社区背景下开展的健康促进干预措施是可能为这些人群提供保护的资源。本文的目的是描述一个用于研究健康差异的概念模型的演变过程。该模型基于文献综述而开发，旨在指导由德克萨斯 - 新墨西哥P20西南护理研究健康差异合作中心资助的19项试点研究。对这些研究、其各自的方法和结果进行反思后，得出了一个经过修订的模型，以指导对经历健康差异的社区进行进一步研究。
