Centre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Alberta Cancer Prevention Legacy Fund, Population, Public and Indigenous Health, Alberta Health Services, Calgary, Alberta, Canada.
Glob Health Promot. 2021 Mar;28(1):42-50. doi: 10.1177/1757975920984182. Epub 2021 Feb 18.
Financial well-being describes when people feel able to meet their financial obligations, feel financially secure and are able to make choices that benefit their quality of life. Financial strain occurs when people are unable to pay their bills, feel stressed about money and experience negative impacts on their quality of life and health. In the face of the global economic repercussions of the COVID-19 pandemic, community-led approaches are required to address the setting-specific needs of residents and reduce the adverse impacts of widespread financial strain. To encourage evidence-informed best practices, a provincial health authority and community-engaged research centre collaborated to conduct a rapid review. We augmented the rapid review with an environmental scan and interviews. Our data focused on Western Canada and was collected prior to the pandemic (May-September 2019). We identified eight categories of community-led strategies to promote financial well-being: systems navigation and access; financial literacy and skills; emergency financial assistance; asset building; events and attractions; employment and educational support; transportation; and housing. We noted significant gaps in the evidence, including methodological limitations of the included studies (e.g. generalisability, small sample size), a lack of reporting on the mechanisms leading to the outcomes and evaluation of long-term impacts, sparse practice-based data on evaluation methods and outcomes, and limited intervention details in the published literature. Critically, few of the included interventions specifically targeted financial strain and/or well-being. We discuss the implications of these gaps in addition to possibilities and priorities for future research and practice. We also consider the results in relation to the COVID-19 pandemic and its economic consequences.
财务幸福感是指人们能够履行财务义务、感到财务安全并能够做出有益于生活质量的选择的状态。当人们无法支付账单、对金钱感到压力并经历生活质量和健康的负面影响时，就会出现财务压力。面对 COVID-19 大流行对全球经济的影响，需要采取以社区为导向的方法来满足居民的特定需求，并减少广泛的财务压力的不利影响。为了鼓励循证最佳实践，省级卫生当局和社区参与的研究中心合作进行了快速审查。我们通过环境扫描和访谈对快速审查进行了扩充。我们的数据主要集中在加拿大西部，收集于大流行之前（2019 年 5 月至 9 月）。我们确定了八项社区主导的策略来促进财务幸福感：系统导航和接入；金融扫盲和技能；紧急财政援助；资产建设；活动和景点；就业和教育支持；交通；以及住房。我们注意到证据中存在显著差距，包括纳入研究的方法学限制（例如可推广性、样本量小）、缺乏关于导致结果的机制的报告以及对长期影响的评估、实践为基础的数据关于评估方法和结果的稀疏以及已发表文献中干预细节的有限。重要的是，纳入的干预措施很少专门针对财务压力和/或幸福感。我们讨论了这些差距的影响，以及未来研究和实践的可能性和优先事项。我们还考虑了这些结果与 COVID-19 大流行及其经济后果的关系。
