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通过预防或减轻绅士化的影响促进健康公平:理论与方法指南

Promoting Health Equity Through Preventing or Mitigating the Effects of Gentrification: A Theoretical and Methodological Guide.

作者信息

Cole Helen V S, Anguelovski Isabelle, Triguero-Mas Margarita, Mehdipanah Roshanak, Arcaya Mariana

机构信息

Barcelona Lab for Urban Environmental Justice and Sustainability, Institut de Ciència i Tecnologia Ambientals (ICTA-UAB), Universitat Autònoma de Barcelona, Barcelona, Spain; email:

Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain.

出版信息

Annu Rev Public Health. 2023 Apr 3;44:193-211. doi: 10.1146/annurev-publhealth-071521-113810.

DOI:10.1146/annurev-publhealth-071521-113810
PMID:37010925
Abstract

Public health researchers are increasingly questioning the consequences of gentrification for population health and health equity, as witnessed in the rapid increase in public health publications on the health (equity) effects of gentrification. Despite methodological challenges, and mixed results from existing quantitative research, qualitative evidence to date points to the role of gentrification processes in exacerbating health inequities. Here we discuss past methodological and theoretical challenges in integrating the study of gentrification with public health research. We suggest taking an interdisciplinary approach, considering the conceptualization of gentrification in measurement techniques and conceiving this process as a direct exposure or as a part of broader neighborhood changes. Finally, we discuss existingpolicy approaches to mitigating and preventing gentrification and how these could be evaluated for effectiveness and as public health promotion and specifically as interventions to promote health equity.

摘要

公共卫生研究人员越来越质疑中产阶级化对人口健康和健康公平性的影响,这一点从关于中产阶级化对健康(公平性)影响的公共卫生出版物数量迅速增加中可见一斑。尽管存在方法上的挑战,且现有定量研究结果不一,但迄今为止的定性证据表明,中产阶级化进程在加剧健康不平等方面起到了作用。在此,我们讨论过去在将中产阶级化研究与公共卫生研究相结合时所面临的方法和理论挑战。我们建议采取跨学科方法,在测量技术中考虑中产阶级化的概念化,并将这一过程视为一种直接暴露或更广泛社区变化的一部分。最后,我们讨论现有的减轻和预防中产阶级化的政策方法,以及如何对这些方法的有效性进行评估,以及作为促进公共卫生特别是促进健康公平的干预措施进行评估。

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