BC Centre of Excellence in Women's Health, E311 - 4500 Oak Street, Box 48, Vancouver, BC V6H 3N1.
Can J Public Health. 2010 May-Jun;101(3):259-61. doi: 10.1007/BF03404386.
Health promotion is a set of strategies for positively influencing health through a range of individual, community-based, and population interventions. Despite international recognition that gender is a primary determinant of health and that gender roles can negatively affect health, the health promotion field has not yet articulated how to integrate gender theoretically or practically into its vision. For example, interventions often fail to critically consider women's or men's diverse social locations, gender-based power relations, or sex-based differences in health status. Yet without such analyses, interventions can result in the accommodation or exploitation of gender relations that disadvantage women and compromise their health. In this paper, we seek to ignite an agenda for health promotion for women. We discuss the need for a conceptual framework that includes a sex-gender-diversity analysis and critically considers 'what counts' as health promotion to guide the development and implementation of evidence-based practice. We also consider how innovative knowledge translation practices, technology developments and action research can advance this agenda in ways that foster the participation of a wide range of stakeholders.
健康促进是通过一系列个人、社区和人群干预措施来积极影响健康的策略。尽管国际上已经认识到性别是健康的主要决定因素,性别角色可能对健康产生负面影响,但健康促进领域尚未阐明如何将性别理论上或实际上纳入其愿景。例如,干预措施往往未能批判性地考虑妇女或男子在社会中的不同地位、基于性别的权力关系或健康状况方面的性别差异。然而,如果没有这种分析,干预措施可能导致对不利于妇女和损害其健康的性别关系的适应或利用。在本文中,我们试图为妇女健康促进制定一个议程。我们讨论了需要一个概念框架,其中包括性别多样性分析,并批判性地考虑“什么是健康促进”,以指导循证实践的制定和实施。我们还考虑了创新的知识转化实践、技术发展和行动研究如何以促进广泛利益相关者参与的方式推进这一议程。