Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA.
Am J Public Health. 2013 Jul;103(7):e67-73. doi: 10.2105/AJPH.2012.301108. Epub 2013 May 16.
Using a mixed-method, participatory research approach, we investigated factors related to community health worker (CHW) community advocacy that affect social determinants of health.
We used cross-sectional survey data for 371 CHWs to assess demographics, training, work environment, and leadership qualities on civic, political, and organizational advocacy. We present advocacy stories to further articulate CHW activities. The data reported are from the recently completed National Community Health Workers Advocacy Study.
CHWs are involved in advocacy that is community-focused, although advocacy differs by intrinsic leadership, experience, training, and work environment. We propose a framework to conceptualize, support, and evaluate CHW advocacy and the iterative processes they engage in. These processes create opportunities for community voice and action to affect social and structural conditions that are known to have wide-ranging health effects on communities.
The framework presented may have utility for CHWs, their training programs, and their employers as well as funders and policymakers aiming to promote health equity.
采用混合方法、参与式研究方法，我们调查了与社区卫生工作者（CHW）社区宣传相关的因素，这些因素影响健康的社会决定因素。
我们使用了 371 名 CHW 的横断面调查数据，评估了公民、政治和组织宣传方面的人口统计学、培训、工作环境和领导素质。我们提出了倡导故事，以进一步阐述 CHW 的活动。报告的数据来自最近完成的全国社区卫生工作者倡导研究。
CHW 参与的宣传活动以社区为重点，尽管宣传活动因内在的领导力、经验、培训和工作环境而异。我们提出了一个框架来概念化、支持和评估 CHW 的宣传以及他们参与的迭代过程。这些过程为社区声音和行动创造了机会，以影响已知对社区健康有广泛影响的社会和结构性条件。
提出的框架可能对 CHW、他们的培训计划以及他们的雇主以及旨在促进健康公平的资助者和政策制定者具有实用价值。
