Lee Barbara C, Bendixsen Casper, Liebman Amy K, Gallagher Susan S
a National Children's Center for Rural and Agricultural Health and Safety , Marshfield Clinic , Marshfield , Wisconsin , USA.
b Environmental and Occupational Health , Migrant Clinicians Network , Salisbury , Maryland , USA.
J Agromedicine. 2017;22(4):298-303. doi: 10.1080/1059924X.2017.1356780.
The Socio-Ecological Model (SEM) is a conceptual framework depicting spheres of influence over human behavior that has been applied in public health settings for nearly five decades. Core principles of all variations of the SEM are the multiple influences over an individual's behaviors, the interactions of those influences, and the multilevel approaches that can be applied to interventions intended to modify behaviors. A project team modified the standard SEM to address interventions for protecting children from agricultural disease and injury. The modified SEM placed the "child in the farm environment" at the core with five interrelated levels (spheres) of influence over the child. This framework provides guidance on how a multifaceted, multilevel intervention can maximize the potential for impact on behaviors and decisions made by parents/adults responsible for the safety of children on farms. An example of how this model could work to safeguard youth operating tractors is provided.
社会生态模型（SEM）是一个概念框架，描绘了对人类行为的影响范围，已在公共卫生领域应用了近五十年。SEM所有变体的核心原则是对个体行为的多重影响、这些影响之间的相互作用，以及可应用于旨在改变行为的干预措施的多层次方法。一个项目团队对标准的SEM进行了修改，以应对保护儿童免受农业疾病和伤害的干预措施。修改后的SEM将“农场环境中的儿童”置于核心位置，对儿童有五个相互关联的影响层次（范围）。该框架为多方面、多层次的干预措施如何最大限度地影响负责农场儿童安全的父母/成年人的行为和决策提供了指导。文中给出了该模型如何用于保障操作拖拉机的青少年安全的示例。
