Moving communities toward policy change: APPEAL's 4-prong policy change model.
Moving communities toward policy change: APPEAL's 4-prong policy change model.
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DOI：
10.1177/1524839913484763
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发表时间：
2013-09
影响因子：
1.9
通讯作者：
Lew R
中科院分区：
文献类型：
--
作者：
Tong EK;Lew R
人们认识到政策变化是烟草控制成功的主要原因。然而，关于亚裔美国人、夏威夷原住民和太平洋岛民（AA 和 NHPI）社区如何参与政策变革，几乎没有证据和关注。 AA 和 NHPI 社区面临的挑战包括种族/民族和地理多样性，以及准确代表社区的烟草数据。在过去的十年中，亚太赋权、倡导和领导力合作伙伴 (APPEAL) 一直致力于为 AA 和 NHPI 社区制定和实施政策变革。本文描述了 APPEAL 的四管齐下的政策变革模型，在其与社区进行政策变革的总体战略框架的背景下，该框架考虑了不同程度的准备和领导能力，并针对四个不同级别的政策变革（社区、主流机构、立法和企业）。该框架对烟草控制政策参与的健康促进意义在于提高对政策变革有效途径的理解，促进政策分析的创新方法，并将其转化为政策举措的有效实施和可持续性。 APPEAL 战略框架可以超越其他社区和健康主题，最终可能有助于消除健康差距。
Policy change is recognized for underlying much of the success of tobacco control. However, there is little evidence and attention on how Asian American and Native Hawaiian and Pacific Islander (AA and NHPI) communities may engage in policy change. Challenges for AA and NHPI communities include the racial/ethnic and geographic diversity, and tobacco data accurately representing the communities. Over the past decade, the Asian Pacific Partners for Empowerment, Advocacy and Leadership (APPEAL) has worked to develop and implement policy change for AA and NHPI communities. This article describes APPEAL’s 4-prong policy change model, in the context of its overall strategic framework for policy change with communities that accounts for varying levels of readiness and leadership capacity, and targets four different levels of policy change (community, mainstream institution, legislative, and corporate). The health promotion implication of this framework for tobacco control policy engagement is for improving understanding of effective pathways to policy change, promoting innovative methods for policy analysis, and translating them into effective implementation and sustainability of policy initiatives. The APPEAL strategic framework can transcend into other communities and health topics that ultimately may contribute to the elimination of health disparities.