Department of Public Administration, School of Humanities & Law, Northeastern University, Shenyang 110169, China.
Party School of Weihai Municipal Committee of Communist Party of China, Weihai 264213, China.
Int J Environ Res Public Health. 2023 Feb 23;20(5):3996. doi: 10.3390/ijerph20053996.
Community plays a crucial role in the successful prevention and control of the COVID-19 pandemic in China. However, evaluation of community capability to fight against COVID-19 is rarely reported. The present study provides a first attempt to assess community capability to combat COVID-19 in Shenyang, the capital city of Liaoning province in Northeast China, based on a modified framework of a community readiness model. We conducted semi-structured interviews with ninety key informants from fifteen randomly selected urban communities to collect the data. The empirical results indicate that the overall level of community capability for epidemic prevention and control in Shenyang was at the stage of preparation. The specific levels of the fifteen communities ranged from the stages of preplanning to preparation to initiation. Concerning the level of each dimension, community knowledge about the issue, leadership, and community attachment exhibited significant disparities between communities, while there were slight differences among communities on community efforts, community knowledge of efforts, and community resources. In addition, leadership demonstrated the highest overall level among all the six dimensions, followed by community attachment and community knowledge of efforts. Community resources displayed the lowest level, followed by community efforts. This study not only extends the application of the modified community readiness model to evaluate community capability of epidemic prevention in the Chinese community context, but also offers practical implications for enhancing Chinese communities' capabilities to deal with various future public health emergencies.
社区在中国 COVID-19 疫情的成功防控中发挥了至关重要的作用。然而,评估社区抗击 COVID-19 的能力却很少有报道。本研究首次尝试基于社区准备模型的改进框架,评估中国东北地区辽宁省省会沈阳的社区抗击 COVID-19 的能力。我们对来自 15 个随机选择的城市社区的 90 名关键信息提供者进行了半结构化访谈,以收集数据。实证结果表明,沈阳社区预防和控制疫情的整体能力处于准备阶段。15 个社区的具体阶段从规划前到准备阶段到启动阶段不等。关于每个维度的水平,社区对问题的了解、领导能力和社区凝聚力在社区之间存在显著差异,而在社区努力、社区对努力的了解和社区资源方面,社区之间的差异较小。此外,领导力在所有六个维度中表现出最高的总体水平,其次是社区凝聚力和社区对努力的了解。社区资源的水平最低,其次是社区的努力。本研究不仅将改进后的社区准备模型应用于评估中国社区的疫情防控能力,还为提高中国社区应对未来各种突发公共卫生事件的能力提供了实践意义。