健康公平实践与科学的连续统一体：为伤害预防构建健康公平研究与实践的概念
Continuum of health equity practice and science: conceptualising health equity research and practice for injury prevention.
作者信息
Scheuer Hannah, Wulz Avital R, Carmichael Andrea E, Welder Laura E
机构信息
University of Washington, Seattle, Washington, USA
Division of Injury Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
出版信息
Inj Prev. 2024 Sep 27. doi: 10.1136/ip-2024-045373.
BACKGROUND
Integrating and advancing health equity are a core tenant of the Centers for Disease Control and Prevention's mission. Comprehensive frameworks that clearly conceptualise equity are needed to prioritise and inform the advancement of health equity within public health.
METHODS
To help meet this need, the investigative team developed The Continuum of Health Equity Practice & Science (The Continuum). The Continuum was developed in two phases: (1) an initial survey distributed to internal CDC Division of Injury Prevention investigators, and (2) a review of public health frameworks and the current health equity evidence base.
RESULTS
The Continuum is a framework that includes seven key components of health equity and ultimately aims to guide public health practice and research towards the advancement of health equity. To illustrate its usefulness, we provide an example using adolescent suicide for each component of The Continuum and demonstrate how this may inform efforts to advance health equity.
CONCLUSION
With a specific focus on conceptualising health equity and addressing systemic inequities, The Continuum may be used to inform efforts to advance equity in injury prevention and beyond.
背景
整合并推进健康公平是疾病控制与预防中心使命的核心内容。需要有清晰界定公平概念的综合框架，以便在公共卫生领域确定健康公平推进工作的优先事项并提供指导。
方法
为满足这一需求，研究团队开发了《健康公平实践与科学连续统一体》（The Continuum）。该连续统一体分两个阶段开发：（1）向疾病预防控制中心内部伤害预防司的调查人员发放初始调查问卷，（2）审查公共卫生框架和当前的健康公平证据基础。
结果
该连续统一体是一个包含健康公平七个关键要素的框架，最终目标是指导公共卫生实践和研究以推进健康公平。为说明其效用，我们针对该连续统一体的每个要素给出一个青少年自杀的例子，并展示这如何为推进健康公平的努力提供信息。
结论
该连续统一体特别关注健康公平概念的界定和系统性不平等问题，可用于为在伤害预防及其他领域推进公平的工作提供信息。
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