Schlicht Wolfgang, Bucksch Jens, Kohlmann Carl-Walter, Renner Britta, Steinacker Jürgen, Walling Fabian
Fakultät für Wirtschafts- und Sozialwissenschaften, Universität Stuttgart, Taubenstraße 46, 72108 Rottenburg, Deutschland.
Pädagogische Hochschule Heidelberg, Heidelberg, Deutschland.
Pravent Gesundh. 2022;17(3):266-274. doi: 10.1007/s11553-021-00889-y. Epub 2021 Aug 10.
Communities are environments which can protect and promote or, conversely, can endanger the health of their members. Community health promotion takes place and a community. Implementing programs and measures a community mainly focus on individuals and reducing endpoints such as morbidity and mortality, as well as increasing the quality of life. Extending this individual-focused approach, health promotion a community aims at developing a "healthy community".
What does health promotion with the community aim at? When is a community "healthy"? Beyond a reduction of endpoints such as the incidence and prevalence of nonommunicable diseases, what is the goal of programs, measures, and activities to motivate and support residents to adopt health-promoting behaviors?
Against the backdrop of "grand societal challenges" and drawing on socioecological approaches, the paper discusses what constitutes a "healthy community" and what health promotion the community aims to achieve.
A "healthy community" develops through cooperation of multiple stakeholders from different sectors such as politics, administration, civil society, and residents. The "healthy community" is designed as a fair environment. It opens up possibilities for the individual to act and provides opportunities for them to pursue personally important goals.
The socioecological perspective sharpens the view for the dynamic interaction of environmental and individual factors. Fairness, spaces of opportunity, and realization chances are three criteria that are suitable as indicators for a "healthy community".
社区是既能保护和促进其成员健康,反之也可能危害成员健康的环境。社区健康促进在社区中开展。在社区实施项目和措施主要聚焦于个体,降低发病率和死亡率等终点指标,并提高生活质量。扩展这种以个体为中心的方法,社区健康促进旨在发展一个“健康社区”。
社区健康促进的目标是什么?社区何时是“健康的”?除了降低非传染性疾病的发病率和患病率等终点指标外,激励和支持居民采取健康促进行为的项目、措施和活动的目标是什么?
在“重大社会挑战”的背景下,借鉴社会生态方法,本文讨论了什么构成“健康社区”以及社区健康促进旨在实现什么目标。
“健康社区”通过政治、行政、民间社会和居民等不同部门的多个利益相关者的合作而发展起来。“健康社区”被设计为一个公平的环境。它为个人提供了行动的可能性,并为他们追求个人重要目标提供了机会。
社会生态视角使人们更清晰地认识到环境和个体因素的动态相互作用。公平、机会空间和实现机会是适合作为“健康社区”指标的三个标准。