社区环境对联盟实现预防艾滋病结构性变革方式的影响。
The influence of community context on how coalitions achieve HIV-preventive structural change.
作者信息
Reed Sarah J, Miller Robin Lin, Francisco Vincent T
机构信息
1Michigan State University, East Lansing, MI, USA.
出版信息
Health Educ Behav. 2014 Feb;41(1):100-7. doi: 10.1177/1090198113492766. Epub 2013 Jul 12.
Abstract
Community coalition action theory (CCAT) depicts the processes and factors that affect coalition formation, maintenance, institutionalization, actions, and outcomes. CCAT proposes that community context affects coalitions at every phase of development and operation. We analyzed data from 12 Connect to Protect coalitions using inductive content analysis to examine how contextual factors (e.g., economics, collaboration, history, norms, and politics) enhance or impede coalitions' success in achieving outcomes. Consistent with CCAT, context affected the objectives that coalitions developed and those they completed. Results suggest that local prevention history and political support have particular impact on coalitions' success in creating structural changes. These data underscore the heuristic value of CCAT, yet also imply that the contextual constructs that affect outcomes are issue specific.
摘要
社区联盟行动理论（CCAT）描述了影响联盟形成、维持、制度化、行动及成果的过程和因素。CCAT提出，社区环境在联盟发展和运作的每个阶段都会对其产生影响。我们运用归纳性内容分析法，分析了来自12个“连接以保护”联盟的数据，以研究环境因素（如经济、合作、历史、规范和政治）如何促进或阻碍联盟在实现成果方面取得成功。与CCAT一致，环境影响了联盟制定的目标以及他们完成的目标。结果表明，当地预防历史和政治支持对联盟在创造结构性变革方面的成功具有特别影响。这些数据凸显了CCAT的启发价值，但也意味着影响成果的环境构建是因具体问题而异的。
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