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[The Chilean Health Care System: the task ahead].[智利医疗保健系统:未来的任务]
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A pre-and-post study of an urban renewal program in a socially disadvantaged neighbourhood in Sydney, Australia.澳大利亚悉尼一个社会弱势群体聚居区的城市更新计划的前后研究。
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The association of neighborhood characteristics and domestic violence in Santiago, Chile.智利圣地亚哥邻里特征与家庭暴力的关联。
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Crime, fear of crime, environment, and mental health and wellbeing: mapping review of theories and causal pathways.犯罪、犯罪恐惧、环境以及心理健康和幸福:理论和因果途径的制图综述。
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[A proposal of policies and interventions to reduce social inequalities in health in Spain.Commission to Reduce Social Inequalities in Health in Spain].[关于减少西班牙健康领域社会不平等的政策与干预措施提案。西班牙健康领域社会不平等减少委员会]
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智利“我要我的街区”项目的城市卫生视角思考。

Considerations for an urban health perspective in Chile from the "Quiero Mi Barrio" program.

机构信息

Universidad de La Frontera. Facultad de Medicina. Departamento de Salud Pública. Temuco, Chile.

Universidad de La Frontera. Unidad de Vicerrectoría Investigación y Postgrado. Temuco, Chile.

出版信息

Rev Saude Publica. 2023 Apr 14;57:13. doi: 10.11606/s1518-8787.2023057004264. eCollection 2023.

DOI:10.11606/s1518-8787.2023057004264
PMID:37075396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10118418/
Abstract

OBJECTIVES

To explore the perceptions of residents regarding their health and well-being in areas of personal and collective life, in relation to the experience of urban transformation originated by the Program for the Recovery of Neighborhoods in Chile "Quiero mi Barrio" (PQMB).

METHODS

Qualitative study conducted in eight neighborhoods, which were subject to interventions between 2012-2015, located in seven communes of Chile: Arica, Renca, Padre Las Casas, Villarrica, Castro, Ancud. Eighteen focus groups and 27 interviews were conducted between 2018 and 2019. A content analysis was carried out following the social determinants of health approach.

RESULTS

Material conditions of neighborhood infrastructure and psychosocial determinants were the main emerging and predominant categories in the residents' narratives. The new or improved infrastructure enhances sports and playing practices, as well as contributes to the feeling of safety and to the improvement of walkable spaces, support networks, socialization and dynamization of social organization. However, neglected aspects were visualized. The program had limitations of structural character that operate locally, such as aging, individual lifestyles that limit participation, and contexts of insecurity, especially in neighborhoods victims of drug trafficking.

CONCLUSIONS

The urban changes originated by the PQMB included improvements in neighborhood infrastructure and in the psychosocial environment, which are perceived by residents as beneficial aspects and promoters of collective wellbeing. However, global phenomena, and those related to the program, limit its scope and have repercussions on the perception of overall wellbeing of the residents in the neighborhoods. To go deeper into how this or other state neighborhood programs may or may not favor equitable access of different social groups, or which works may be better used by the groups, is an aspect that enhances the integral action with other sectors and local actors in the territories.

摘要

目的

探讨居民对个人和集体生活领域健康和福祉的看法,以及智利“我要我的街区”(PQMB)邻里恢复计划引发的城市转型经验之间的关系。

方法

在 2012 年至 2015 年期间进行了干预的八个街区进行了定性研究,这些街区位于智利的七个市:阿里卡、伦卡、帕德雷·拉卡萨、比利亚里卡、卡斯特罗、安库德。2018 年至 2019 年期间进行了 18 个焦点小组和 27 次访谈。按照健康社会决定因素方法进行了内容分析。

结果

邻里基础设施的物质条件和心理社会决定因素是居民叙述中的主要新兴和主导类别。新的或改善的基础设施增强了体育和游戏实践,有助于提高安全感,并改善可步行空间、支持网络、社交和社会组织的活力。然而,也出现了被忽视的方面。该计划存在地方运作的结构性限制,例如老龄化、限制参与的个人生活方式以及不安全的背景,尤其是在受到贩毒影响的街区。

结论

PQMB 引发的城市变化包括邻里基础设施和心理社会环境的改善,居民认为这些改善是有益的方面,是集体福祉的推动者。然而,全球现象以及与该计划相关的现象限制了其范围,并对居民对邻里整体福祉的看法产生了影响。深入了解其他州邻里计划或类似计划是否可能有利于不同社会群体公平获得,或者哪些计划可能更好地被群体利用,是一个方面,增强了与其他部门和地方行为体在领土上的整体行动。