The Health Equity Framework: A Science- and Justice-Based Model for Public Health Researchers and Practitioners.
The Health Equity Framework: A Science- and Justice-Based Model for Public Health Researchers and Practitioners.
复制标题
DOI：
10.1177/1524839920950730
复制
发表时间：
2021-11
影响因子：
1.9
通讯作者：
Coyle K
中科院分区：
文献类型：
--
作者：
Peterson A;Charles V;Yeung D;Coyle K
在本文中，我们描述了一个基于科学和正义的框架，旨在促进公共卫生和社会科学领域的研究人员和从业人员设计的健康公平。我们通过两个迭代开发阶段开发了健康公平框架（HEF；etr.org/healthequityframework）。 HEF 以现有模型为基础，阐释了人与环境之间复杂的相互作用如何影响健康结果。该框架以三个基本概念为中心：以健康结果为核心的公平；多个相互作用的影响范围；以及历史和生命历程的视角。健康公平被定义为拥有个人能动性并公平地获得实现最佳身体、情感和社会福祉所需的资源和机会。通过以人口结果为中心，HEF 鼓励研究人员和从业者超越关注个人行为和选择的传统方法进行思考，以评估和确定他们在承认和解决来自多个影响领域的因素方面的差距。我们确定了四个相互作用的影响范围，它们代表了健康结果的风险和保护因素，以及解决这些因素的战略和干预措施的机会。 HEF 强调了多层次影响对健康结果的显性和隐性相互作用，并强调健康不平等是整个生命周期和几代人累积经验的结果。 HEF 是公共卫生研究和实践领域的领导者和专业人士的实用工具，可用于反思和支持解决结构性、关系性、个人和生理因素相互作用造成的健康不平等问题。
In this article, we describe a science- and justice-based framework for promoting health equity designed for researchers and practitioners working across public health and social science fields. We developed the health equity framework (HEF; etr.org/healthequityframework) in two phases of iterative development. Building on existing models, the HEF illustrates how health outcomes are influenced by complex interactions between people and their environments. The framework centers on three foundational concepts: equity at the core of health outcomes; multiple, interacting spheres of influence; and a historical and life-course perspective. Health equity is defined as having the personal agency and fair access to resources and opportunities needed to achieve the best possible physical, emotional, and social well-being. By centering population outcomes, the HEF encourages researchers and practitioners to think beyond traditional approaches that focus on individual behaviors and choices to assess and identify their gaps in acknowledging and addressing factors from multiple spheres of influence. We identified four, interacting spheres of influence that represent both categories of risk and protective factors for health outcomes as well as opportunities for strategies and interventions that address those factors. The HEF highlights the explicit and implicit interactions of multilevel influences on health outcomes and emphasizes that health inequities are the result of cumulative experiences across the life span and generations. The HEF is a practical tool for leaders and professionals in public health research and practice to reflect on and support a shift toward addressing health inequities resulting from the interplay of structural, relational, individual, and physiological factors.
登录
查看更多内容
DOI：
10.1016/s0140-6736(16)00579-1
发表时间：
2016-06-11
期刊：
Lancet (London, England)
影响因子：
--
作者：
Patton GC;Sawyer SM;Santelli JS;Ross DA;Afifi R;Allen NB;Arora M;Azzopardi P;Baldwin W;Bonell C;Kakuma R;Kennedy E;Mahon J;McGovern T;Mokdad AH;Patel V;Petroni S;Reavley N;Taiwo K;Waldfogel J;Wickremarathne D;Barroso C;Bhutta Z;Fatusi AO;Mattoo A;Diers J;Fang J;Ferguson J;Ssewamala F;Viner RM
通讯作者：
Viner RM
影响因子：
15.8
作者：
Holt-Lunstad J;Smith TB;Layton JB
通讯作者：
Layton JB
影响因子：
8
作者：
Johnson, Sara B.;Riley, Anne W.;Riis, Jenna
通讯作者：
Riis, Jenna
影响因子：
12.7
作者：
Alvidrez, Jennifer;Castille, Dorothy;Tabor, Derrick
通讯作者：
Tabor, Derrick
影响因子：
2.3
作者：
Hogan, Vijaya;Rowley, Diane L.;Faustin, Yanica
通讯作者：
Faustin, Yanica