Alana M. W. LeBrón is with the Department of Health, Society, and Behavior in the Program in Public Health and the Department of Chicano/Latino Studies in the School of Social Sciences, University of California, Irvine. Gloria I. Montiel is with AltaMed Health Services Corporation and Latino Health Access, Santa Ana, CA. S. Arpero, J. Jimenez, G. Torres, H. Ortiz, N. Mejía, and A. Bracho are with Latino Health Access.
Am J Public Health. 2024 Jul;114(S6):S525-S533. doi: 10.2105/AJPH.2024.307763.
This essay describes a process for integrating US Latiné communities as drivers of a grassroots vision for healthy Latiné communities and health equity planning that addresses racial injustices. Transforming structural conditions to promote Latiné community health happens alongside creating conditions for community-level self-determination to foster community-based ecosystems of health. Integrating a life course perspective, we describe a vision for community-based ecosystems of Latiné health that is rooted in forging connections and cultivating community; building community power to address structural drivers of health; leveraging the expertise and assets of to reach, engage, and mobilize communities; scaling solutions through policy, system, and environment changes; and grounding research processes in community-driven priorities. Such processes must affirm the expertise of and Latiné communities and recognize the interconnectedness of communities and systems (e.g., food, housing, living wages) to nurture health at local levels. Research can advance the science and evidence-based models that support community-based ecosystems of Latiné health. (. 2024;114(S6):S525-S533. https://doi.org/10.2105/AJPH.2024.307763) [Formula: see text].
本文描述了一个将美国拉丁裔社区整合为健康拉丁裔社区和公平规划的基层愿景的过程，旨在解决种族不公正问题。要实现促进拉丁裔社区健康的结构条件的转变，就必须同时为社区层面的自决创造条件，以促进基于社区的健康生态系统。通过生命周期的视角，我们描述了一个以建立联系和培养社区为基础的拉丁裔健康社区生态系统的愿景；建立社区权力，以解决健康的结构性驱动因素；利用 和 的专业知识和资产来接触、参与和动员社区；通过政策、系统和环境变革来扩大解决方案；并将研究过程建立在社区驱动的优先事项之上。这些过程必须肯定 的专业知识和拉丁裔社区的作用，并认识到社区和系统（例如，食品、住房、最低工资）的相互联系，以在地方层面促进健康。研究可以推进支持拉丁裔健康社区生态系统的科学和循证模型。（. 2024；114（S6）：S525-S533。https://doi.org/10.2105/AJPH.2024.307763）[公式：见正文]。
