Group for Public Health and Social Work Initiatives, School of Social Work, Boston University, Boston, MA 02215, USA.
Soc Work. 2011 Jul;56(3):201-11. doi: 10.1093/sw/56.3.201.
Every day in the United States, over halfa million social workers provide services to people with health, mental health, and substance abuse problems in a fragmented system that emphasizes disease treatment over prevention. Powerful issues--including health inequities, population aging, globalization, natural disaster, war, and economic downturn--make the need for preventive approaches more critical than ever. Despite social work's historic commitment to enhancing human well-being and public health involvement, little is known about how social work currently views prevention or whether it is being addressed in the social work professional literature. To determine whether, and to what extent, prevention is addressed, discussed, and published in social work journals, the authors--all public health social work researchers-undertook a content analysis of nine peer-reviewed journals, analyzing all articles published from 2000 to 2005. A total of 1,951 articles were reviewed and coded for prevention according to specified criteria. A relatively small number--109 (5.6 percent)--were found to meet the criteria for being a prevention article, suggesting that prevention is still a minority interest area within social work.A renewed conversation about prevention in social work can enhance opportunities for strong social work participation in the transdisciplinary collaboration needed in this new era of health reform.
在美国，每天都有超过 50 万名社会工作者在一个强调疾病治疗而非预防的零碎系统中为有健康、心理健康和药物滥用问题的人们提供服务。强大的问题——包括健康不平等、人口老龄化、全球化、自然灾害、战争和经济衰退——使预防方法比以往任何时候都更加重要。尽管社会工作一直致力于增强人类福祉和参与公共卫生，但人们对社会工作目前如何看待预防或预防是否在社会工作专业文献中得到解决知之甚少。为了确定预防是否在社会工作期刊中得到解决、讨论和发表，以及在多大程度上得到解决、讨论和发表，所有作者——都是公共卫生社会工作研究人员——对九种同行评议期刊进行了内容分析，分析了 2000 年至 2005 年期间发表的所有文章。共审查了 1951 篇文章，并根据具体标准对预防进行了编码。其中只有 109 篇（5.6%）符合预防文章的标准，这表明预防仍然是社会工作中的一个少数派关注领域。在社会工作中重新开展关于预防的对话，可以增强社会工作者在这一新的健康改革时代所需的跨学科合作中进行强有力参与的机会。
