Moving Health Education and Behavior Upstream: Lessons From COVID-19 for Addressing Structural Drivers of Health Inequities
Moving Health Education and Behavior Upstream: Lessons From COVID-19 for Addressing Structural Drivers of Health Inequities
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DOI：
10.1177/1090198120929985
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发表时间：
2020-05-14
影响因子：
4.2
通讯作者：
Israel, Barbara A.
中科院分区：
文献类型：
--
作者：
Schulz, Amy J.;Mehdipanah, Roshanak;Israel, Barbara A.
在这一视角下，我们立足于健康教育领域的社会正义和解放传统，以及该领域长期致力于建立知识和共享权力以促进健康公平的承诺，研究COVID-19大流行带来的健康教育的教训和机会。随着大流行在底特律大都市的展开，对非洲裔美国人和低收入社区的影响不成比例，我们研究了导致过度暴露，死亡率和减少获得关键健康保护资源的条件。使用生命过程框架，我们考虑了大流行病对健康公平的持久影响。最后，我们建议在三个重点领域--环境、职业和住房--采取几项战略行动，这些行动可以由健康教育工作者与社区成员、研究人员和决策者合作采取，例如使用基于社区的参与性研究方法，以减少COVID-19的不利影响并促进健康的长期公平。
In this Perspective, we build on social justice and emancipatory traditions within the field of health education, and the field's long-standing commitment to building knowledge and shared power to promote health equity, to examine lessons and opportunities for health education emerging from the COVID-19 pandemic. Examining patterns that emerged as the pandemic unfolded in Metropolitan Detroit, with disproportionate impacts on African American and low-income communities, we consider conditions that contributed to excess exposure, mortality, and reduced access to critical health protective resources. Using a life course framework, we consider enduring impacts of the pandemic for health equity. Finally, we suggest several strategic actions in three focal areas-environment, occupation, and housing-that can be taken by health educators working in partnership with community members, researchers, and decision makers, using, for example, a community-based participatory research approach, to reduce adverse impacts of COVID-19 and promote long-term equity in health.