Department of Public Health, Brigham Young University, Provo, UT, United States.
Front Public Health. 2020 Oct 15;8:573003. doi: 10.3389/fpubh.2020.573003. eCollection 2020.
Public health programming efforts have traditionally focused on either an individualistic or population approach, neglecting the family as a setting for or partner in health promotion efforts. Due to the multi-faceted influence of families on individual health, family-focused, and family-friendly public health interventions are important to making lasting changes for individual and community health. The purpose of this study was to examine the degree to which health promotion programs in a state in the US Intermountain West involve and support families across four family impact principles: family engagement, family stability, family responsibility, and family diversity. A survey was completed by 67 health promotion administrators and practitioners from 12 out of 13 county health departments with additional responses from public health practitioners at the State Health Department. The results of the survey indicated that health promotion efforts were best at supporting family responsibility and a diverse group of families but were weaker in family engagement and family stability. Applying a more family-centered and family-focused approach to health promotion efforts can be achieved by employing interdisciplinary efforts and by taking advantage of tools like the Public Health Family Impact Checklist to intentionally engage and support families in programs and interventions.
公共卫生规划工作历来侧重于个体主义或人口方法，忽视了家庭作为健康促进工作的环境或合作伙伴。由于家庭对个人健康的多方面影响，以家庭为中心和对家庭友好的公共卫生干预措施对于实现个人和社区健康的持久变化非常重要。本研究的目的是考察美国西部山间地带一个州的健康促进计划在多大程度上涉及并支持跨越四项家庭影响原则的家庭：家庭参与、家庭稳定、家庭责任和家庭多样性。该调查由来自 13 个县卫生部门中的 12 个县的 67 名健康促进管理员和从业者完成，州卫生部门的公共卫生从业者也提供了额外的回复。调查结果表明，健康促进工作在支持家庭责任和多样化的家庭方面做得最好，但在家庭参与和家庭稳定方面较弱。通过采用跨学科的努力，并利用公共卫生家庭影响清单等工具，有针对性地参与和支持家庭参与计划和干预措施，公共卫生规划工作可以更好地以家庭为中心和以家庭为重点。
