Emory Prevention Research Center, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
BMC Public Health. 2010 Feb 23;10:90. doi: 10.1186/1471-2458-10-90.
Community coalitions are rooted in complex and dynamic community systems. Despite recognition that environmental factors affect coalition behavior, few studies have examined how community context impacts coalition formation. Using the Community Coalition Action theory as an organizing framework, the current study employs multiple case study methodology to examine how five domains of community context affect coalitions in the formation stage of coalition development. Domains are history of collaboration, geography, community demographics and economic conditions, community politics and history, and community norms and values.
Data were from 8 sites that participated in an evaluation of a healthy cities and communities initiative in California. Twenty-three focus groups were conducted with coalition members, and 76 semi-structured interviews were conducted with local coordinators and coalition leaders. Cross-site analyses were conducted to identify the ways contextual domains influenced selection of the lead agency, coalition membership, staffing and leadership, and coalition processes and structures.
History of collaboration influenced all four coalition factors examined, from lead agency selection to coalition structure. Geography influenced coalition formation largely through membership and staffing, whereas the demographic and economic makeup of the community had an impact on coalition membership, staffing, and infrastructure for coalition processes. The influence of community politics, history, norms and values was most noticeable on coalition membership.
Findings contribute to an ecologic and theory-based understanding of the range of ways community context influences coalitions in their formative stage.
社区联盟根植于复杂且动态的社区系统中。尽管人们认识到环境因素会影响联盟行为,但很少有研究探讨社区环境如何影响联盟的形成。本研究以社区联盟行动理论为组织框架,采用多案例研究方法,考察了社区环境的五个领域如何在联盟发展的形成阶段影响联盟。这些领域包括合作历史、地理位置、社区人口统计学和经济条件、社区政治和历史以及社区规范和价值观。
数据来自于加利福尼亚州参与健康城市和社区倡议评估的 8 个地点。与联盟成员进行了 23 次焦点小组讨论,与当地协调员和联盟领导进行了 76 次半结构化访谈。进行跨地点分析,以确定背景领域如何影响主导机构的选择、联盟成员、人员配备和领导层以及联盟流程和结构。
合作历史影响了从主导机构选择到联盟结构的所有四个联盟因素。地理位置主要通过成员和人员配备影响联盟的形成,而社区的人口统计学和经济结构则对联盟成员、人员配备和联盟流程的基础设施产生影响。社区政治、历史、规范和价值观的影响在联盟成员方面最为明显。
研究结果有助于从生态和基于理论的角度理解社区环境在联盟形成阶段影响联盟的各种方式。