Healthy eating and exercising to reduce diabetes: exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention.
Healthy eating and exercising to reduce diabetes: exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention.
复制标题
健康饮食和锻炼以减少糖尿病：在社区参与性糖尿病预防的背景下探索健康框架社会决定因素的潜力。
DOI：
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发表时间：
2005
影响因子：
12.7
通讯作者：
S. Kannan
中科院分区：
文献类型：
--
作者：
A. Schulz;S. Zenk;A. Odoms;Teretha Hollis;Robin B Nwankwo;Murlisa Lockett;William Ridella;S. Kannan
目标
我们研究了基于社区的参与性糖尿病干预措施，以确定社区持续努力解决促进健康的社会因素的促进因素和障碍。
方法
我们在健康社会决定因素概念模型的理论背景下，对“健康饮食和锻炼以减少糖尿病”项目进行了案例研究描述和分析。
结果
我们确定了对社区确定的疾病重点（在本例中为糖尿病）的社会决定因素进行分析的几个障碍和促进因素。障碍包括流行的概念模型，这些模型强调健康行为和生物医学范式，排除了健康的社会决定因素。促进因素包括（1）将个人健康问题与社会背景联系起来的机会，以及（2）可以从不同的合作伙伴那里获得具有一系列补充资源的支持。
结论
为社区成员提供有形资源来管理现有健康问题并整合对健康问题社会决定因素的分析的伙伴关系可以促进社区成员和卫生专业人员持续参与解决健康差距的多层次努力。
OBJECTIVES
We examined a community-based participatory diabetes intervention to identify facilitators of and barriers to sustained community efforts to address social factors that contribute to health.
METHODS
We conducted a case study description and analysis of the Healthy Eating and Exercising to Reduce Diabetes project in the theoretical context of a conceptual model of social determinants of health.
RESULTS
We identified several barriers to and facilitators of analysis of social determinants of a community-identified disease priority (in this case, diabetes). Barriers included prevailing conceptual models, which emphasize health behavioral and biomedical paradigms that exclude social determinants of health. Facilitating factors included (1) opportunities to link individual health concerns to social contexts and (2) availability of support from diverse partners with a range of complementary resources.
CONCLUSIONS
Partnerships that offer community members tangible resources with which to manage existing health concerns and that integrate an analysis of social determinants of health can facilitate sustained engagement of community members and health professionals in multilevel efforts to address health disparities.
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