Center for Middle Eastern studies, Lund University, Lund, Sweden.
Faculty of Health and Society, Department of Care Science, Malmö university, Malmö, Sweden.
Health Promot Int. 2022 Feb 17;37(1). doi: 10.1093/heapro/daab069.
Health promotion is thus not only a participatory practice, but a practice for empowerment and social justice. The study describes findings from a community-based participatory and challenge-driven research program. that aimed to improve health through health promotion platform in an ethnically diverse low-income neighbourhood of Malmö, Sweden. Local residents together with lay health promoters living in the area were actively involved in the planning phase and decided on the structure and content of the program. Academic, public sector and commercial actors were involved, as well as NGOs and residents. Empowerment was used as a lens to analyse focus group interviews with participants (n=322) in six co-creative health-promoting labs on three occasions in the period 2017-2019. The CBPR interview guide focused on the dimensions of participation, collaboration and experience of the activities. The CBPR approach driven by community member contributed to empowerment processes within the health promotion labs: Health promotors building trust in social places for integration, Participants motivate each other by social support and Participants acting for community health in wider circle. CBPR Health promotion program should be followed up longitudielly with community participants to be able to see the processes of change and empowerment on the community level.
健康促进不仅是一种参与式实践,也是一种赋权和社会正义的实践。本研究描述了一项基于社区的参与式和挑战驱动的研究计划的结果。该计划旨在通过在瑞典马尔默一个种族多样化的低收入社区的健康促进平台来改善健康。当地居民和居住在该地区的非专业健康促进者积极参与了规划阶段,并决定了该计划的结构和内容。学术、公共部门和商业行为者,以及非政府组织和居民都参与其中。赋权被用作分析工具,以分析 2017 年至 2019 年期间六次共同创造健康促进实验室中 322 名参与者的焦点小组访谈。CBPR 访谈指南侧重于参与、合作和活动体验的维度。由社区成员驱动的 CBPR 方法促进了健康促进实验室中的赋权过程:健康促进者在社会融合的地方建立信任,参与者通过社会支持相互激励,参与者在更广泛的圈子中为社区健康而行动。CBPR 健康促进计划应在社区参与者中进行纵向跟踪,以便能够看到社区层面的变化和赋权过程。