Asmar Marie Line El, Karki Manisha, Mall Bathsheba, Riboli-Sasco Eva, El-Osta Austen
Self-Care Academic Research Unit (SCARU), Imperial College London School of Public Health, London, UK.
London Borough of Hammersmith and Fulham, London, UK.
BMC Public Health. 2024 Dec 18;24(1):3432. doi: 10.1186/s12889-024-20579-6.
In the UK, Health and Wellbeing Strategies (JHWS) were introduced to identify and help address the health needs of local communities. JHWS translate a borough's Joint Strategic Needs assessment into actionable outcomes and prioritises areas of focus, but the content and approach of JHWS may vary across different local authorities (LAs) due to demographic and priority differences.
Characterise the key health and wellbeing components of existing and emerging health and wellbeing strategies of 33 local authorities in London.
Scoping review study with content assessment.
An online search was conducted to identify JHWS documents. This search was supplemented with outreach to health and wellbeing boards to ensure that the latest documents were retrieved. A set of 62 health and wellbeing themes and words to be captured spanning 13 categories was developed by a team of researchers, and data collection was independently carried out by two researchers. Occurrences of words in the strategy documents were recorded, and a configuration matrix was created and used to determine data trends across the local authorities. A broad search of the context in which the search terms appeared was also performed to understand the trends.
Thirty-three JHWS were analysed to identify key search term frequencies. The analysis encompassed strategies from 2015 to 2030, ranging from 7 to 94 pages. Mental health and youth terms emerged as the two top priorities across all strategies. Other frequent terms were related to access to healthcare, inequality, employment, smoking, housing, carers, and elderly individuals. Conversely, terms related to dental health, pollution, nutrition, sexual health, green spaces, breastfeeding, and climate were less cited.
This analysis provides insights into regional health priorities and a comprehensive overview of health and wellbeing strategies across London's local authorities. Despite certain limitations, the findings offer valuable insights for local authorities' strategic planning and future research.
在英国，引入了健康与福祉战略（JHWS）来识别并帮助满足当地社区的健康需求。JHWS将行政区的联合战略需求评估转化为可操作的成果，并确定重点关注领域，但由于人口结构和优先事项的差异，不同地方当局（LA）的JHWS内容和方法可能有所不同。
描述伦敦33个地方当局现有和新出现的健康与福祉战略的关键健康与福祉组成部分。
采用内容评估的范围审查研究。
进行在线搜索以识别JHWS文件。通过与健康与福祉委员会联系进行补充搜索，以确保检索到最新文件。一组由研究人员团队制定的涵盖13个类别的62个健康与福祉主题及要捕捉的词汇，由两名研究人员独立进行数据收集。记录战略文件中词汇的出现情况，并创建一个配置矩阵来确定各地方当局的数据趋势。还对搜索词出现的背景进行了广泛搜索以了解趋势。
分析了33份JHWS以确定关键搜索词的频率。分析涵盖了2015年至2030年的战略，篇幅从7页到94页不等。心理健康和青年相关词汇在所有战略中成为两大首要重点。其他常见词汇与医疗保健可及性、不平等、就业、吸烟、住房、护理人员和老年人有关。相反，与牙齿健康、污染、营养、性健康、绿地、母乳喂养和气候相关的词汇引用较少。
该分析提供了对区域健康优先事项的见解以及伦敦各地方当局健康与福祉战略的全面概述。尽管存在某些局限性，但研究结果为地方当局的战略规划和未来研究提供了有价值的见解。
