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探索健康状况不佳和不利地区基于场所的方法中的社区参与:范围综述。

Exploring community engagement in place-based approaches in areas of poor health and disadvantage: A scoping review.

机构信息

Monash Rural Health - Churchill, Monash University, Northways Road, Churchill, Victoria, 3842, Australia.

Monash Rural Health - Warragul, Monash University, 15 Sargeant Street, Warragul, Victoria, 3820, Australia.

出版信息

Health Place. 2023 May;81:103026. doi: 10.1016/j.healthplace.2023.103026. Epub 2023 Apr 19.

Abstract

A scoping review was conducted to explore the characteristics, barriers, and enablers of community engagement in place-based approaches to improving health outcomes in a designated area of poor health and disadvantage. The Joanna Briggs Institute methodology for scoping reviews was used. Forty articles met the inclusion criteria of which 31 were conducted in the United Kingdom, United States, Canada, or Australia, and 70% used qualitative methods. The health initiatives were delivered in multiple settings including neighbourhoods, towns, and regions and with a range of population groups including Indigenous and migrant communities. Trust, power, and cultural considerations were the most significant barriers and enablers to community participation in place-based approaches. Developing trust is key to success in community-led, place-based initiatives.

摘要

一项范围综述旨在探讨在指定的健康状况不佳和劣势地区,通过基于场所的方法改善健康结果的社区参与的特点、障碍和促成因素。使用了 Joanna Briggs 研究所的范围综述方法。有 40 篇文章符合纳入标准,其中 31 篇在英国、美国、加拿大或澳大利亚进行,70%使用了定性方法。健康倡议在包括社区、城镇和地区在内的多个环境中提供,涉及包括土著和移民社区在内的多种人群。信任、权力和文化因素是社区参与基于场所方法的最大障碍和促成因素。在社区主导的基于场所的倡议中,建立信任是成功的关键。

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