Addressing the socioeconomic determinants of adolescent health: experiences from the WHO/HBSC Forum 2007
Addressing the socioeconomic determinants of adolescent health: experiences from the WHO/HBSC Forum 2007
复制标题
解决青少年健康的社会经济决定因素：2007 年 WHO/HBSC 论坛的经验
DOI：
10.1007/s00038-009-5420-x
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发表时间：
2009
影响因子：
4.6
通讯作者：
the Hbsc Positive Health Focus Group
中科院分区：
文献类型：
--
作者：
T. Koller;A. Morgan;A. Guerreiro;C. Currie;E. Ziglio;the Hbsc Positive Health Focus Group
过去 25 年来，世卫组织开展的学龄儿童跨国健康行为 (HBSC) 合作研究不断积累证据，为如何促进年轻人的健康和福祉提供了见解。 HBSC 加深了对年轻人健康决定因素的了解，特别是与他们生活、学习和娱乐的社会环境相关的因素。该研究现已覆盖欧洲和北美 43 个国家和地区。HBSC 为国家、地方和国际各级公共卫生政策和实践的制定和评估提供情报。然而，仅仅存在证据并不会自动改变政策，也不一定会改善年轻人的生活。需要有效的机制来确保在政策制定和实践中使用证据。WHO/HBSC 论坛系列是一个旨在促进将证据转化为行动的平台。论坛流程聚集了来自欧洲各地的研究人员、政策制定者和从业者，分析数据、审查政策和干预措施，并总结经验教训，通过解决影响青少年健康的社会背景的行动来改善青少年的健康。每个论坛流程都包括国家和地区跨学科团队制作的案例研究、跨国证据审查、欧洲磋商、最终出版物中的成果声明以及基于网络的知识平台。除了强调将研究转化为行动外，论坛系列还重点关注增加专业知识以扩大部门间政策和干预措施；减少健康不平等；并让年轻人参与政策和干预措施的设计、实施和评估。对 2007 年论坛进程中选定的参与者的访谈表明，参与对国家层面的影响是：在案例研究起草小组成员和活动国家代表团之间建立新的或加强现有的工作关系；为国家政策或实践设计的制定提供支持；能够将信息系统、政策、干预措施和工作方法与其他国家以及证据基础进行比较，从而鼓励新的活动和/或验证现有活动。WHO/HBSC 论坛系列是一个不断发展的平台。每个论坛流程的方法都吸收了过去论坛的经验教训（在资源限制范围内），并基于效率和效果的原则。通过上述访谈并根据共同组织者的反映确定的需要进一步发展的领域包括确定确保系统、适当和有意义的青年参与的手段；最大限度地发挥欧洲磋商的效用；确定预算项目和评估该进程在国家层面影响的框架。
Over the past 25 years, the WHO collaborative cross-national Health Behaviour in School-aged Children (HBSC) study has been accumulating evidence that provides insights into how to promote the health and well-being of young people. HBSC has increased understanding of the determinants of young people’s health, particularly in relation to the social contexts in which they live, learn and play. The study now spans 43 countries and regions in Europe and North America.HBSC provides intelligence for the development and evaluation of public health policy and practice at national, sub-national and international levels. However, the mere existence of evidence does not automatically change policy nor necessarily improve the lives of young people. Effective mechanisms to ensure use of evidence in policy-making and practice are needed.The WHO/HBSC Forum series is a platform designed to facilitate the translation of evidence into action. Forum processes convene researchers, policy-makers and practitioners from across Europe to analyse data, review policies and interventions, and identify lessons learned to improve the health of adolescents through actions that address the social contexts that influence their health. Each Forum process consists of case studies produced by interdisciplinary teams in countries and regions, cross-country evidence reviews, a European consultation, an outcomes statement within a final publication, and a Web-based knowledge platform. In addition to emphasizing the translation of research into action, the Forum series focuses on increasing know-how to scale up intersectoral policies and interventions; reduce health inequities; and involve young people in the design, implementation and evaluation of policies and interventions.Interviews with selected participants in the 2007 Forum process revealed that national-level impacts of involvement were:brokering new or strengthening existing working relationships among members of case study drafting teams and national delegations to events;feeding into the formulation of national policy or practice design; andenabling the comparison of information systems, policies, interventions, and working methods with other countries and against the evidence base, thus providing encouragement for new and/or validation of existing activities.The WHO/HBSC Forum series is an evolving platform. The methodology for each Forum process incorporates lessons learnt through past Fora – within resource constraints – and is based on the principles of efficiency and effectiveness. Areas requiring further development, identified through the aforementioned interviews and based on the reflections of co-organizers, include identification of means to ensure systematic, appropriate and meaningful youth involvement; maximization of the usefulness of the European consultation; and definition of a budget line and framework for evaluation of the process’ impact at country level.