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利用实施科学通过邻里和政策干预来推进环境正义研究并实现健康公平。

Leveraging Implementation Science to Advance Environmental Justice Research and Achieve Health Equity through Neighborhood and Policy Interventions.

机构信息

Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.

Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

Annu Rev Public Health. 2024 May;45(1):89-108. doi: 10.1146/annurev-publhealth-060222-033003. Epub 2024 Apr 3.

DOI:10.1146/annurev-publhealth-060222-033003
PMID:38166499
Abstract

Environmental justice research is increasingly focused on community-engaged, participatory investigations that test interventions to improve health. Such research is primed for the use of implementation science-informed approaches to optimize the uptake and use of interventions proven to be effective. This review identifies synergies between implementation science and environmental justice with the goal of advancing both disciplines. Specifically, the article synthesizes the literature on neighborhood-, community-, and policy-level interventions in environmental health that address underlying structural determinants (e.g., structural racism) and social determinants of health. Opportunities to facilitate and scale the equitable implementation of evidence-based environmental health interventions are highlighted, using urban greening as an illustrative example. An environmental justice-focused version of the implementation science subway is provided, which highlights these principles: Remember and Reflect, Restore and Reclaim, and Reinvest. The review concludes with existing gaps and future directions to advance the science of implementation to promote environmental justice.

摘要

环境正义研究越来越关注社区参与式、参与性的调查,这些调查测试改善健康的干预措施。这种研究非常适合使用实施科学为依据的方法来优化已被证明有效的干预措施的采用和使用。本综述确定了实施科学与环境正义之间的协同作用,旨在推进这两个学科的发展。具体来说,本文综合了有关环境健康中针对底层结构决定因素(如结构性种族主义)和健康社会决定因素的社区和政策层面干预措施的文献。本文利用城市绿化作为一个说明性的例子,强调了促进公平实施循证环境健康干预措施的机会。提供了一个以环境正义为重点的实施科学地铁图,强调了以下原则:记住和反思、恢复和夺回、再投资。本综述最后讨论了现有差距和未来方向,以推进实施科学,促进环境正义。

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PLoS One. 2024 Dec 30;19(12):e0316161. doi: 10.1371/journal.pone.0316161. eCollection 2024.
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Asking Why Is Necessary to Address Health Disparities: A Critical Approach for Solution-Oriented Environmental Epidemiological Research.
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