Centre for Environmental Health Equity, School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, Ontario, K7L 3N6, Canada; Canadian Partnership for Children's Health and Environment, Ottawa, Ontario, Canada.
RentSafe Tenants' Rights Advocate, Owen Sound, Ontario, Canada; Community Voices, Owen Sound, Ontario, Canada.
Soc Sci Med. 2021 Feb;270:113416. doi: 10.1016/j.socscimed.2020.113416. Epub 2020 Oct 3.
Local communities are struggling with persistent health inequities driven by income disparity, housing inadequacy, and other intersecting factors that constrain individual and community well-being. Increasingly, intersectoral approaches are recognized as essential to tackle such challenges, given their intersecting nature. This paper describes Equity-focused Intersectoral Practice (EquIP), a novel methodology that merges participatory research principles with the purposeful positioning of grounded expertise (lived experience) to shift the gaze of intersectoral actors towards the contextual factors that contribute to health inequities. The EquIP methodology creates uncommon spaces for intersectoral encounter that support critical reflexivity and relationship-building among institutional and community-based intersectoral actors. A case example of the EquIP methodology, implemented in a small, rural Canadian city in the context of a regional housing crisis, illustrates how investment in reflexivity and relational praxis among diverse intersectoral actors supports the identification of existing structures, beliefs, and practices within institutional settings that constrain effective intersectoral response to health inequities.
当地社区正努力应对由收入差距、住房不足和其他相互交织的因素导致的持续存在的健康不平等问题，这些因素限制了个人和社区的福祉。鉴于这些挑战的交叉性质，越来越多的人认识到需要采取跨部门方法来应对这些挑战。本文描述了以公平为重点的跨部门实践（EquIP），这是一种将参与式研究原则与扎根专业知识（生活经验）的有目的定位相结合的新方法，旨在将跨部门行为者的注意力转向导致健康不平等的背景因素。EquIP 方法为跨部门接触创造了不同寻常的空间，支持机构和社区层面的跨部门行为者之间的批判性反思和关系建立。在一个小型农村加拿大城市，在区域住房危机的背景下实施的 EquIP 方法的案例示例说明了在不同的跨部门行为者之间投资于反思性和关系实践如何支持确定机构环境中现有的结构、信仰和实践，这些结构、信仰和实践限制了对健康不平等问题的有效跨部门反应。
