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推动社区实现政策变革: APPEAL的四管齐下政策变革模型。

Moving communities toward policy change: APPEAL's 4-prong policy change model.

作者信息

Tong Elisa K, Lew Rod

机构信息

University of California, Davis, Sacramento, CA, USA.

出版信息

Health Promot Pract. 2013 Sep;14(5 Suppl):29S-35S. doi: 10.1177/1524839913484763. Epub 2013 May 24.

Abstract

Policy change is recognized for underlying much of the success of tobacco control. However, there is little evidence and attention on how Asian American and Native Hawaiian and Pacific Islander (AA and NHPI) communities may engage in policy change. Challenges for AA and NHPI communities include the racial/ethnic and geographic diversity, and tobacco data accurately representing the communities. Over the past decade, the Asian Pacific Partners for Empowerment, Advocacy and Leadership (APPEAL) has worked to develop and implement policy change for AA and NHPI communities. This article describes APPEAL's 4-prong policy change model, in the context of its overall strategic framework for policy change with communities that accounts for varying levels of readiness and leadership capacity, and targets four different levels of policy change (community, mainstream institution, legislative, and corporate). The health promotion implication of this framework for tobacco control policy engagement is for improving understanding of effective pathways to policy change, promoting innovative methods for policy analysis, and translating them into effective implementation and sustainability of policy initiatives. The APPEAL strategic framework can transcend into other communities and health topics that ultimately may contribute to the elimination of health disparities.

摘要

政策变化被认为是烟草控制取得诸多成功的根本原因。然而,关于亚裔美国人、夏威夷原住民和太平洋岛民(AA和NHPI)社区如何参与政策变化,几乎没有证据且很少受到关注。AA和NHPI社区面临的挑战包括种族/族裔和地理多样性,以及准确反映这些社区的烟草数据。在过去十年中,亚太赋权、倡导与领导力伙伴组织(APPEAL)致力于为AA和NHPI社区制定和实施政策变化。本文结合APPEAL与社区进行政策变化的总体战略框架,描述了其4 prong政策变化模型,该框架考虑了不同的准备程度和领导能力水平,并针对四个不同层面的政策变化(社区、主流机构、立法和企业)。该框架对烟草控制政策参与的健康促进意义在于,增进对政策变化有效途径的理解,推广创新的政策分析方法,并将其转化为政策举措的有效实施和可持续性。APPEAL战略框架可以推广到其他社区和健康主题,最终可能有助于消除健康差距。

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