Springer Andrew E, Evans Alexandra E, Ortuño Jaquelin, Salvo Deborah, Varela Arévalo Maria Teresa
Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston School of Public Health-Austin, Michael & Susan Dell Center for Healthy Living, Austin, TX, United States.
St. Edward's University, Austin, TX, United States.
Front Public Health. 2017 Sep 29;5:268. doi: 10.3389/fpubh.2017.00268. eCollection 2017.
The important influence of the environmental context on health and health behavior-which includes place, settings, and the multiple environments within place and settings-has directed health promotion planners from a focus solely on changing individuals, toward a focus on harnessing and changing context for individual and community health promotion. Health promotion planning frameworks such as Intervention Mapping provide helpful guidance in addressing various facets of the environmental context in health intervention design, including the environmental factors that influence a given health condition or behavior, environmental agents that can influence a population's health, and environmental change methods. In further exploring how to harness the environmental context for health promotion, we examine in this paper the concept of , defined as weaving or blending together health promotion strategies, practices, programs, and policies to fit within, complement, and build from existing settings and environments. Health promotion interweaving stems from current perspectives in health intervention planning, improvement science and complex systems thinking by guiding practitioners from a conceptualization of context as a backdrop to intervention, to one that recognizes context as integral to the intervention design and to the potential to directly influence health outcomes. In exploring the general approach of health promotion interweaving, we examine selected theoretical and practice-based concepts in relation to four key environments (, and ), followed by evidence-based and practice-based examples of health promotion interweaving from the literature. Interweaving of health promotion into context is a common practice for health planners in designing health promotion interventions, yet one which merits further intentionality as a specific health promotion planning design approach.
环境背景对健康及健康行为有着重要影响，其中包括场所、环境设置以及场所和环境设置中的多种环境。这使得健康促进规划者从单纯关注改变个体，转向关注利用和改变环境背景以促进个体和社区健康。诸如干预映射等健康促进规划框架，在健康干预设计中应对环境背景的各个方面提供了有益指导，包括影响特定健康状况或行为的环境因素、可影响人群健康的环境因素以及环境改变方法。在进一步探索如何利用环境背景促进健康时，我们在本文中审视了“健康促进交织”的概念，其定义为将健康促进策略、实践、项目和政策编织或融合在一起，以适应、补充并基于现有的环境和背景构建。健康促进交织源于健康干预规划、改进科学和复杂系统思维的当前观点，它引导从业者从将背景视为干预的背景这一概念，转变为认识到背景是干预设计不可或缺的一部分，并且对直接影响健康结果具有潜力。在探索健康促进交织的一般方法时，我们审视了与四个关键环境（……）相关的选定理论和基于实践的概念，随后列举了文献中基于证据和实践的健康促进交织示例。将健康促进融入背景是健康规划者在设计健康促进干预措施时的常见做法，但作为一种特定的健康促进规划设计方法，它值得进一步深思熟虑。
