Heard Emma, Bartleet Brydie-Leigh
Creative Arts Research Institute, Griffith University, South Brisbane, Australia.
Health Promot Int. 2025 May 13;40(3). doi: 10.1093/heapro/daaf057.
Health promotion researchers and practitioners the world over are grappling with how to tackle growing health inequity. The Ottawa Charter for Health Promotion (Ottawa Charter) provides a framework for addressing inequity from an intersectoral, strengths-based, and social justice approach; yet this framework continues to be underutilized. Similarly, evidence suggests creative arts can support positive health and well-being but the potential for the arts to contribute to efforts addressing health inequity is underexplored. In this community-embedded, qualitative case study, we investigate the contribution community-centred music making can have across the five health promotion action areas outlined in the Ottawa Charter. Findings from this study highlight the potential for community music to contribute to personal skill development in relation to maintaining a healthy and well life and engaging in equity-focussed change. Community music can create supportive environments through fostering social connections and activating community spaces. Community music can be a powerful means of strengthening community action by bringing communities together around local issues and activism. When integrated into social services, community music can support the re-orienting of health services by connecting people with services and by encouraging people to share health-related knowledge and resources. Finally, our findings demonstrate that community music can shape public opinion and be a conduit to reach people in positions of power in ways that have the potential to influence healthy public policy. This study demonstrates that health promotion researchers and practitioners can and should look to communities' cultural and creative assets in our efforts towards health equity.
世界各地的健康促进研究人员和从业者都在努力应对日益严重的健康不平等问题。《渥太华健康促进宪章》（Ottawa Charter）提供了一个框架，用于从跨部门、基于优势和社会正义的角度解决不平等问题；然而，这个框架仍未得到充分利用。同样，有证据表明，创意艺术可以促进积极的健康和幸福，但艺术对解决健康不平等问题的贡献潜力尚未得到充分探索。在这个以社区为基础的定性案例研究中，我们调查了以社区为中心的音乐制作在《渥太华宪章》概述的五个健康促进行动领域中可以发挥的作用。这项研究的结果突出了社区音乐在促进个人技能发展方面的潜力，这些技能与维持健康和美好的生活以及参与以公平为重点的变革有关。社区音乐可以通过促进社会联系和激活社区空间来创造支持性环境。社区音乐可以成为加强社区行动的有力手段，通过围绕当地问题和行动主义将社区聚集在一起。当融入社会服务时，社区音乐可以通过将人们与服务联系起来，并鼓励人们分享与健康相关的知识和资源，来支持卫生服务的重新定位。最后，我们的研究结果表明，社区音乐可以塑造公众舆论，并成为接触有权力地位的人的渠道，有可能影响健康的公共政策。这项研究表明，健康促进研究人员和从业者在努力实现健康公平的过程中，可以而且应该关注社区的文化和创意资产。
