Franco Manuel, Díez Julia, Gullón Pedro, Margolles Mario, Cofiño Rafael, Pasarín Maribel, Borrell Carme
Grupo de Epidemiología Social y Cardiovascular, Universidad de Alcalá, Madrid, Spain; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States of America.
Grupo de Epidemiología Social y Cardiovascular, Universidad de Alcalá, Madrid, Spain.
Gac Sanit. 2018 Oct;32 Suppl 1:69-73. doi: 10.1016/j.gaceta.2018.07.002. Epub 2018 Sep 25.
A large volume of public health literature has shown how the social and physical features of a neighbourhood affect residents' health, and how they contribute to health inequalities. In this article, we argue that citizens, researchers, policy makers and health professionals should engage in creating a common, policy-relevant neighbourhood and health agenda to effectively improve population health and reduce health inequalities. We discuss four critical processes for advancing this neighbourhood and health agenda: 1) citizen participation and community empowerment; 2) policy making; 3) producing relevant research; and 4) how to best communicate between stakeholders. Various methodologies and experiences currently exist to secure and promote citizen participation. Sufficient funding of research projects and specific policies, as well as continued communication strategies among stakeholders, are necessary elements of this neighbourhood and health agenda. Establishing collaborative and sustained relationships between citizens, policy makers, health professionals and researchers at local and higher political levels is a challenging but necessary step. Developing participatory action research and local participatory policy efforts are important steps towards developing a policy- relevant neighbourhood and health agenda.
大量公共卫生文献表明了社区的社会和物质特征如何影响居民健康,以及它们如何导致健康不平等。在本文中,我们认为公民、研究人员、政策制定者和卫生专业人员应共同参与制定一个与政策相关的社区与健康共同议程,以有效改善人群健康状况并减少健康不平等。我们讨论推进这一社区与健康议程的四个关键过程:1)公民参与和社区赋权;2)政策制定;3)开展相关研究;4)利益相关者之间的最佳沟通方式。目前存在各种方法和经验来确保和促进公民参与。研究项目和具体政策的充足资金,以及利益相关者之间持续的沟通策略,是这一社区与健康议程的必要要素。在地方和更高政治层面上,公民、政策制定者、卫生专业人员和研究人员之间建立协作和持续的关系是一项具有挑战性但又必不可少的步骤。开展参与式行动研究和地方参与式政策努力是制定与政策相关的社区与健康议程的重要步骤。