Cancer Society Social and Behavioural Research in Cancer Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin, New Zealand.
Int J Behav Nutr Phys Act. 2010 Jan 24;7:5. doi: 10.1186/1479-5868-7-5.
Effective advocacy is an important part of efforts to increase population participation in physical activity. Research about effective health advocacy is scarce, however, the health sector can learn from the experiences and knowledge of community advocates and those who are on the receiving end of this advocacy. The aim of this study is to explore advocacy for active transport from the perspectives of community advocates and representatives from City councils.
Cycling and walking advocates were identified from the local contact list of Cycling Advocates Network and Living Streets Aotearoa. Semi-structured telephone interviews were conducted with cycle and walking advocates from throughout New Zealand. Advocates also nominated a suitable council officer at their local City council to be interviewed. Interviews were recorded and transcribed and categories of responses for each of the questions created.
Several processes were used by advocates to engage with council staff, including formal council submissions, meetings, stakeholder forums and partnership in running community events promoting active transport. Several other agencies were identified as being influential for active transport, some as potential coalition partners and others as potential adversaries. Barriers to improving conditions for active transport included a lack of funding, a lack of will-power among either council staff or councillors, limited council staff capacity (time or training) and a culture of providing infrastructure for motor vehicles instead of people. Several suggestions were made about how the health sector could contribute to advocacy efforts, including encouraging political commitment, engaging the media, communicating the potential health benefits of active transport to the general public and being role models in terms of personal travel mode choice and having workplaces that support participation in active transport.
There is potential for the health sector to make an important contribution to advocacy for active transport in New Zealand. While there are many barriers to achieving supportive environments for cycling and walking, a range of advocacy strategies were identified which could help ensure that health perspectives are considered in decisions relevant to active transport.
有效的宣传是增加人口参与体育活动的努力的重要组成部分。然而,关于有效的健康宣传的研究很少,但是卫生部门可以从社区宣传者和那些接受这种宣传的人的经验和知识中学习。本研究的目的是从社区宣传者和市议会代表的角度探讨积极交通的宣传。
从自行车宣传者网络和新西兰生活街道的当地联系人名单中确定了骑自行车和步行的宣传者。对来自新西兰各地的自行车和步行宣传者进行了半结构化电话采访。宣传者还提名了他们当地市议会的合适议会官员接受采访。采访进行了录音和转录,并为每个问题创建了类别响应。
宣传者使用了几种程序与议会工作人员接触,包括正式的议会提交、会议、利益相关者论坛以及合作举办社区活动以促进积极的交通。还确定了其他几个机构对积极交通有影响,有些是潜在的联盟伙伴,有些是潜在的对手。改善积极交通条件的障碍包括缺乏资金、议会工作人员或议员缺乏意志力、议会工作人员能力(时间或培训)有限以及为机动车而不是人为基础设施提供文化。就卫生部门如何为宣传工作做出贡献提出了一些建议,包括鼓励政治承诺、利用媒体、向公众宣传积极交通的潜在健康益处以及在个人出行方式选择方面以身作则,并为参与积极交通提供工作场所。
卫生部门有可能为新西兰积极交通的宣传做出重要贡献。虽然为骑自行车和步行创造支持性环境存在许多障碍,但已经确定了一系列宣传策略,可以帮助确保在与积极交通相关的决策中考虑健康视角。