Harris Jenine K, Roche Jason, Estlund Amy K, Mense Cindy, Baker Elizabeth A
George Warren Brown School of Social Work, Washington University in St Louis (Dr Harris and Mr Roche); Prevention Research Center, College for Public Health & Social Justice, Saint Louis University (Ms Estlund); Trailnet (Ms Mense); and College for Public Health & Social Justice, Department of Behavioral Science & Health Education, and Prevention Research Center, Saint Louis University (Dr Baker), St Louis, Missouri.
J Public Health Manag Pract. 2014 Jul-Aug;20(4):384-91. doi: 10.1097/PHH.0b013e31829bfc3a.
Physical inactivity is a major public health problem. While individual (eg, attitudes, values, beliefs) and social (eg, social support) factors play a role, access to an activity-safe local environment can have a significant influence. Environments that include accessible opportunities for physical activity, a component of livability, require cooperation from many sectors including nonprofit, government, educational, and for profit.
OBJECTIVE/DESIGN/SETTING: This study used a mixed-methods network mapping approach to evaluate a multisector network focused on increasing the livability of St Louis, Missouri.
Eighteen network members participated in in-depth interviews about their livability partners.
OUTCOME MEASURES/RESULTS: The participants identified 86 unique partners in the region, with a majority representing nonprofit and government organizations and fewer from the education and for-profit sectors. Participants trusted 88% of their partners and felt that 83% of partners shared their mission and vision. Trust and shared mission and vision varied across organization types. Specifically, 89% of nonprofit partners were thought to share a mission/vision and 87% were trusted. Participants felt that 87% of government partners shared their mission/vision and 91% were trusted. Participants shared mission/vision with 75% and trusted 75% of educational partners. Finally, 44% of for-profit partners were thought to share mission/vision and 100% were trusted. For-profit partners also had more positive influence than others, while government partners had the highest average negative influence. Finally, while most relationships were mutual, relationships with for-profit partners were mostly one-directional, with for-profit partners sending resources to other network members.
Livability efforts in St Louis might benefit from recruiting additional for-profit partners that provide the network with new perspectives and needed resources, and from cultivating positive partnerships with government organizations that can assist with local policy development and enforcement.
缺乏身体活动是一个重大的公共卫生问题。虽然个人因素（如态度、价值观、信念）和社会因素（如社会支持）发挥着作用，但能否进入一个适合开展活动的当地环境会产生重大影响。具备身体活动机会（宜居性的一个组成部分）的环境需要包括非营利组织、政府、教育机构和营利性机构在内的多个部门的合作。
目的/设计/地点：本研究采用混合方法网络映射方法来评估一个旨在提高密苏里州圣路易斯市宜居性的多部门网络。
18名网络成员参与了关于其宜居性合作伙伴的深度访谈。
结果指标/结果：参与者确定了该地区86个独特的合作伙伴，其中大多数代表非营利组织和政府组织，来自教育和营利部门的较少。参与者信任88%的合作伙伴，并认为83%的合作伙伴认同他们的使命和愿景。信任以及共同的使命和愿景因组织类型而异。具体而言，89%的非营利合作伙伴被认为认同使命/愿景，87%被信任。参与者认为87%的政府合作伙伴认同他们的使命/愿景，91%被信任。参与者与75%的教育合作伙伴认同使命/愿景，并信任75%的教育合作伙伴。最后，44%的营利性合作伙伴被认为认同使命/愿景，100%被信任。营利性合作伙伴也比其他合作伙伴具有更积极的影响，而政府合作伙伴的平均负面影响最高。最后，虽然大多数关系是相互的，但与营利性合作伙伴的关系大多是单向的，营利性合作伙伴向其他网络成员提供资源。
圣路易斯市的宜居性工作可能会受益于招募更多能为网络提供新视角和所需资源的营利性合作伙伴，以及与能够协助当地政策制定和执行的政府组织建立积极的伙伴关系。
