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社区组织如何促进健康公平,以及健康公平如何影响组织。

How Community Organizing Promotes Health Equity, And How Health Equity Affects Organizing.

机构信息

Manuel Pastor (

Veronica Terriquez is an associate professor in the Department of Sociology, University of California, Santa Cruz.

出版信息

Health Aff (Millwood). 2018 Mar;37(3):358-363. doi: 10.1377/hlthaff.2017.1285.

Abstract

Public health scholarship increasingly recognizes community organizing as a vehicle for unleashing the collective power necessary to uproot socioeconomic inequities at the core of health disparities. In this article we reverse the analytical focus from how organizing can affect health equity, and we consider how the frame of health equity has shaped grassroots organizing. Using evidence from a range of cases in California, we suggest that the health equity frame can guide and justify grassroots groups' efforts to improve the health outcomes of marginalized populations; connect issues such as housing and school discipline to health; and provide a rationale for community organizing groups to directly address the trauma experienced by their own members and staff, who often come from communities at risk for poor health outcomes.

摘要

公共卫生领域的学术研究越来越认识到,社区组织是一种手段,可以释放出必要的集体力量,从根源上消除健康差异中存在的核心社会经济不平等问题。在本文中,我们将分析重点从组织活动如何影响健康公平,转变为健康公平框架如何影响基层组织。我们利用来自加利福尼亚州的一系列案例的证据表明,健康公平框架可以指导和证明基层组织努力改善弱势群体的健康结果;将住房和学校纪律等问题与健康联系起来;为社区组织团体提供理由,直接解决其自身成员和工作人员所经历的创伤,他们通常来自健康结果较差的社区。

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