Blaine T M, Forster J L, Hennrikus D, O'Neil S, Wolfson M, Pham H
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454-1015, USA.
Health Educ Behav. 1997 Oct;24(5):640-51. doi: 10.1177/109019819702400510.
This article describes the community activation and policy change process in seven Minnesota communities involved in the Tobacco Policy Options for Prevention (TPOP) study. The study's intervention employed a direct action organizing model, which relies on mobilizing large numbers of people to alter decision making and leverage the power of elites. As part of the organizing process, TPOP organizers and teams made 1,319 personal contacts with community members, generated 309 media stories, and initiated 445 public events related to tobacco use. These actions resulted in the establishment of comprehensive tobacco ordinances in all seven communities. The authors discuss the goals, training, activities and political factors relevant to four phases of the TPOP intervention: information gathering and team recruitment, community awareness building and ordinance development, preparing for city council, and ordinance establishment and enforcement. Included are suggestions for practitioners interested in using policy change and community-based advocacy to resolve public health problems.
本文描述了参与预防烟草政策选项（TPOP）研究的明尼苏达州七个社区的社区动员和政策变革过程。该研究的干预采用了直接行动组织模式，该模式依靠动员大量民众来改变决策并借助精英的力量。作为组织过程的一部分，TPOP组织者和团队与社区成员进行了1319次个人接触，产生了309篇媒体报道，并发起了445次与烟草使用相关的公共活动。这些行动导致所有七个社区都制定了全面的烟草条例。作者讨论了与TPOP干预四个阶段相关的目标、培训、活动和政治因素：信息收集与团队招募、社区意识培养与条例制定、为市议会做准备以及条例制定与执行。其中还包括对有兴趣利用政策变革和基于社区的宣传来解决公共卫生问题的从业者的建议。
