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公共卫生从业者和倡导者对积极生活社区发展的观点:有哪些持久影响?

Perspectives From Public Health Practitioners and Advocates on Community Development for Active Living: What are the Lasting Impacts?

机构信息

Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Office of Educational Innovation and Evaluation, Kansas State University, Manhattan, KS, USA.

出版信息

Am J Health Promot. 2024 Jan;38(1):80-89. doi: 10.1177/08901171231198403. Epub 2023 Aug 23.

Abstract

PURPOSE

Evidence suggests differential impacts of community development, including gentrification and displacement. Public health practitioners and advocates are key stakeholders involved in the community development process related to active living, yet little is known about their perceptions of its impacts. We explored the perspectives of relevant leaders of public health departments and key community and advocacy organizations on community development, gentrification, and displacement.

APPROACH

Purposive key informant interviews.

SETTING

CDC State Physical Activity and Nutrition (SPAN) funding recipients.

PARTICIPANTS

CDC SPAN recipient leadership (n = 10 of 16) and advocacy organizations they partnered with (n = 7 of 16).

METHOD

Interviews were recorded, transcribed, coded, and thematically analyzed with direct quotes representing key themes.

RESULTS

Both groups felt community development held important benefits, specifically by creating healthy living opportunities, but also potentially leading to the displacement of long-time residents. Practitioners reported the benefits were for all community members, whereas advocates noted the benefits were seen in those with privilege, and the consequences were disproportionately seen in disadvantaged communities. Both mentioned the importance and difficulty of getting diverse representation for community engagement.

CONCLUSIONS

Learning how key stakeholders perceive and navigate the community development process can help inform recommendations for better equity in active living community improvements. More work is needed to further elucidate best practices for health and social equity in the community development process.

摘要

目的

有证据表明,社区发展(包括高档化和居民外迁)会产生不同的影响。公共卫生从业人员和倡导者是积极生活相关社区发展过程中的主要利益相关者,但人们对他们对这些影响的看法知之甚少。我们探讨了公共卫生部门相关领导人和主要社区及倡导组织对社区发展、高档化和居民外迁的看法。

方法

采用有针对性的关键知情人访谈。

地点

疾病预防控制中心州立体育活动与营养(SPAN)资助接受者。

参与者

疾病预防控制中心 SPAN 资助接受者领导层(16 人中的 10 人)和他们合作的倡导组织(16 人中的 7 人)。

访谈进行了录音、转录、编码,并采用主题分析法进行分析,直接引用代表关键主题的内容。

结果

这两个群体都认为社区发展具有重要的好处,特别是通过创造健康生活机会,但也可能导致长期居民外迁。从业者报告称,这些好处是为所有社区成员带来的,而倡导者则指出,这些好处是为那些享有特权的人带来的,而后果则不成比例地出现在处境不利的社区。双方都提到了让不同群体有代表参与社区活动的重要性和困难。

结论

了解主要利益相关者如何看待和驾驭社区发展过程,可以帮助为积极生活社区改善方面的公平性提出建议。需要做更多的工作来进一步阐明社区发展过程中促进健康和社会公平的最佳实践。

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