Using Participatory Mapping to Diagnose Upstream Determinants of Health and Prescribe Downstream Policy-Based Interventions.

Using Participatory Mapping to Diagnose Upstream Determinants of Health and Prescribe Downstream Policy-Based Interventions.
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使用分解映射来诊断健康的上游决定因素,并规定下游基于政策的干预措施。

DOI:
10.5888/pcd17.200123
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发表时间:
2020-11-05
影响因子:
5.5
通讯作者:
Grills CT
Grills CT
中科院分区:
医学3区
文献类型:
--
作者:
Douglas JA;Subica AM;Franks L;Johnson G;Leon C;Villanueva S;Grills CT

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在与社区居民合作研究公共卫生差异的社会和环境决定因素方面,比例绘图是一种强有力的方法。然而,这种赋权方法在公共卫生研究和实践中的应用很少,文献中的例子有限。为了解决这一文献差距,我们1)审查参与式测绘方法,可应用于探索基于地点的因素,影响社区健康,和2)提出了一个混合方法的参与式地理信息系统(PGIS)检查邻里资产(如路灯)和挑战(如犯罪和暴力的空间)有关的访问公共公园在南洛杉矶,加州。通过采取参与式的,细粒度的空间方法来检查公共公园的访问与输入从40南洛杉矶青少年和成年居民,我们的社区参与的PGIS方法确定烟草商店作为以前未被承认的社区机构,与增加邻里犯罪和暴力。我们的调查揭示了社区级公共公园访问的独特挑战,这些挑战可能被传统的空间流行病学和社会科学方法(如调查和问卷)所忽视。此外,我们的精细化社区知情方法支持居民和利益相关者通过社区组织和政策变革举措减少烟草店扩散的宣传工作。因此,我们认为,这将有利于公共卫生研究和实践,进一步整合授权,基层为基础的参与性绘图方法,为宣传工作和政策,促进健康和福利的弱势社区。
Participatory mapping is a powerful methodology for working with community residents to examine social and environmental determinants of public health disparities. However, this empowering methodology has only been applied sparingly in public health research and practice, with limited examples in the literature. To address this literature gap, we 1) review participatory mapping approaches that may be applied to exploring place-based factors that affect community health, and 2) present a mixed-methods participatory geographic information systems (PGIS) examination of neighborhood assets (eg, streetlights) and challenges (eg, spaces of crime and violence) related to access to public parks in South Los Angeles, California. By taking a participatory, fine-grained spatial approach to examining public park access with input from 40 South Los Angeles adolescent and adult residents, our community-engaged PGIS approach identified tobacco shops as previously unrecognized community institutions that are associated with increased neighborhood crime and violence. Our investigation revealed unique challenges in community-level public park access that would likely have been overlooked by conventional spatial epidemiology and social science methods, such as surveys and questionnaires. Furthermore, our granular community-informed approach supported resident and stakeholder advocacy efforts toward reducing the proliferation of tobacco shops through community organizing and policy change initiatives. We thus contend that it would benefit public health research and practice to further integrate empowering, grassroots-based participatory mapping approaches toward informing advocacy efforts and policies that promote health and well-being in disadvantaged communities.
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