Adabanya Uzochukwu, Awosika Ayoola, Moon Jin Hyung, Reddy Yenamala Ushasri, Ugwuja Ferdinand
Community Medicine, Mercer University School of Medicine, Columbus, USA.
College of Medicine, University of Illinois, Chicago, USA.
Cureus. 2023 Aug 24;15(8):e44023. doi: 10.7759/cureus.44023. eCollection 2023 Aug.
There are many approaches to changing a community to ensure it serves the people's fundamental needs. For example, enabling equitable access to critical aspects of the community, such as quality healthcare, high-quality education, and job training, is vital for promoting community safety through enhancing tolerance and respect for diversity. However, creating a community that serves the fundamental needs of the people demands a substantive investment of effort. Understanding the nature of these efforts requires discussion of community engagement, examining community networks and their role in fostering cooperative action, enhancing public safety, and identifying the structures of involvement and pertinent routes for developing community land. Understanding such efforts entails knowing the issues related to gentrification and disbandment. These hands-on possibilities can help avert the possibility of people being pushed out of their community settings. These insights further shed light on how the family unit and larger community are able to create collective unity and foster each member's responsibility in community service provision that promotes community integration. Examining how violence and other factors affect a community's collective power is necessary to determine how a community can avoid such violence and encourage positive changes at the individual and family levels to promote community cooperation and safety. Essentially, changing a community can yield significant improvements in public health. Addressing factors such as access to nutritious food, healthcare, physical activity, and social amenities and fostering social cohesion through community engagement can collectively contribute to reducing the burden of chronic diseases and promoting overall well-being. This review provides insight into crucial issues that have long plagued the societal disconnect between the local community and the leadership, policymakers, or other authoritative institutions that govern them, thus affecting the implementation of strategic social and public health initiatives. We will also explore strategies to mitigate these potential pitfalls.
改变社区以确保其满足人民的基本需求有多种方法。例如,使人们能够公平地获得社区的关键要素,如优质医疗保健、高质量教育和职业培训,对于通过增强对多样性的宽容和尊重来促进社区安全至关重要。然而,创建一个满足人民基本需求的社区需要大量的努力投入。理解这些努力的本质需要讨论社区参与,审视社区网络及其在促进合作行动、加强公共安全以及确定参与结构和开发社区土地的相关途径方面的作用。理解这些努力需要了解与高档化和社区解体相关的问题。这些实际可行的方法有助于避免人们被赶出社区环境的可能性。这些见解进一步揭示了家庭单位和更大的社区如何能够创造集体团结,并培养每个成员在提供促进社区融合的社区服务中的责任感。审视暴力和其他因素如何影响社区的集体力量,对于确定社区如何避免此类暴力并鼓励在个人和家庭层面进行积极变革以促进社区合作与安全是必要的。从本质上讲,改变社区可以在公共卫生方面带来显著改善。解决诸如获得营养食品、医疗保健、体育活动和社会便利设施等因素,并通过社区参与促进社会凝聚力,能够共同有助于减轻慢性病负担并促进整体福祉。本综述深入探讨了长期困扰当地社区与领导、政策制定者或其他管理他们的权威机构之间社会脱节的关键问题,从而影响了战略社会和公共卫生倡议的实施。我们还将探索减轻这些潜在陷阱的策略。