Schaff Katherine, Dorfman Lori
Alameda County Public Health Department, Oakland, California.
Berkeley Media Studies Group-A Project of Public Health Institute, Berkeley, California.
Health Equity. 2019 Feb 19;3(1):30-35. doi: 10.1089/heq.2018.0066. eCollection 2019.
To examine local health department (LHD) engagement in addressing the social determinants of health by using the foreclosure crisis as an example. National survey of 166 LHD staff on the foreclosure crisis (2006-2014). About one quarter (28%) of respondents reported that their LHD had engaged in work related to the foreclosure crisis, 7% planned to engage, and 65% did not or were not planning to engage. Views about the role of LHDs in addressing the foreclosure crisis varied: 30% stated that LHDs should work on foreclosure. A substantial number of respondents reported that their LHD addressed foreclosure, or supported engagement, yet there are divergent perceptions of appropriate LHD roles. LHDs follow a pattern described by the diffusion of innovations theory: Innovative LHDs can share their work on foreclosure and housing, early adopters are poised to act, and others may follow if they have support.
以止赎危机为例，考察地方卫生部门（LHD）在应对健康的社会决定因素方面的参与情况。对166名LHD工作人员进行了关于止赎危机的全国性调查（2006 - 2014年）。约四分之一（28%）的受访者表示，他们所在的LHD参与了与止赎危机相关的工作，7%计划参与，65%没有或不打算参与。对于LHD在应对止赎危机中的作用，看法不一：30%表示LHD应致力于止赎问题。相当数量的受访者称他们所在的LHD处理了止赎问题，或支持参与其中，但对于LHD的适当角色存在不同看法。LHD遵循创新扩散理论所描述的模式：创新型LHD可以分享他们在止赎和住房方面的工作，早期采用者准备采取行动，而其他机构如果得到支持可能会效仿。
