Supporting individuals' healthy eating requires genuine engagement with communities
Supporting individuals' healthy eating requires genuine engagement with communities
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DOI：
10.1111/nbu.12364
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发表时间：
2019-03-01
影响因子：
3.3
通讯作者：
Stevens, D. E.
中科院分区：
文献类型：
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作者：
Hancock, C.;Clarke, S. K.;Stevens, D. E.
C3健康合作（C3）旨在通过关注三大风险因素（烟草使用、不良饮食和缺乏身体活动）来应对非传染性疾病的流行。社区卫生参与调查解决方案（CHESS (TM)）是一项创新战略，旨在将围绕预防和卫生干预措施的决策转移到当地社区，同时减少更广泛的健康决定因素中的不平等现象。在印度、中国、墨西哥和美国的研究基础上，C3已经在英国的八个伦敦行政区、哈利法克斯和格文实施了CHESS （TM）。最近在英格兰和苏格兰完成的一个项目涉及5000人（约占当地人口的三分之一）。CHESS （TM）促进社区在数据驱动的健康和建筑环境调查中充当“公民科学家”。通过移动工具，社区收集和解释有关当地资产和有利于（或不利于）良好健康的障碍的定量和定性数据。这些结果为以公共卫生专门知识为指导的循证行动计划提供了信息，以便采取干预措施，使所有人都更容易保持健康。社区制定他们自己可以做出的改变，并以令人信服的理由向决策者提出改变的建议。由于国际象棋（TM）的证据，社区已收到200多万英镑，用于在其社区实施卫生干预措施。健康社区项目于2017年9月完成，促进了体育活动和健康饮食倡议，包括烹饪课、园艺、早餐和茶俱乐部，以及为学童提供健康午餐。从项目中吸取的经验教训为那些希望改善社区健康，特别是在饮食方面的人提供了建议。
C3 Collaborating for Health (C3) aims to counter the non-communicable disease (NCD) epidemic by focusing on the three big risk factors: tobacco use, poor diet and lack of physical activity. Community Health Engagement Survey Solutions (CHESS (TM)) is an innovative strategy to shift decision-making around prevention and health interventions to local communities, while also reducing inequalities in the broader determinants of health. Emerging from research in India, China, Mexico and the US, C3 has implemented CHESS (TM) in the UK in eight London boroughs, Halifax and Girvan. A recently completed project in England and Scotland engaged 5000 people (approximately one-third of the local populations). CHESS (TM) facilitates communities to act as 'citizen scientists' in data-driven investigations about health and the built environment. Through a mobile tool, communities collect and interpret quantitative and qualitative data on local assets and barriers conducive to good health (or not). These results inform evidence-based action plans, guided by public health expertise, for interventions that make it easier for all to be healthy. The community enacts the changes they can make themselves and presents recommendations to decision-makers in a compelling argument for change. Thanks to CHESS (TM) evidence, communities have received over 2 pound million to implement health interventions in their neighbourhoods. The Healthy Communities project, completed in September 2017, led to physical activity and healthy eating initiatives, including cooking lessons, gardening, breakfast and tea clubs, and healthy lunches for schoolchildren. Learnings from the project have informed recommendations for those wanting to improve community health, particularly in relation to diet.