Use of health impact assessment in the US - 27 case studies, 1999-2007

Use of health impact assessment in the US - 27 case studies, 1999-2007
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DOI:
10.1016/j.amepre.2007.11.015
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发表时间:
2008-03-01
影响因子:
5.5
通讯作者:
Rutt, Candace D.
Rutt, Candace D.
中科院分区:
医学2区
文献类型:
--
作者:
Dannenberg, Andrew L.;Bhatia, Rajiv;Rutt, Candace D.

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目的:记录美国越来越多地使用健康影响评估(HIA)方法,以帮助规划者和其他人考虑其决策的健康后果。方法:使用多种搜索策略,确定在1999-2007年间在美国完成的27项HIA。结果:这些HIA的主题从生活工资和课后计划的政策到关于发电厂和公共交通的项目:大多数HIA是由当地卫生部门、基金会或联邦机构资助的:在住房、城市重建、家庭能源补贴和工资政策方面,对健康差距的担忧尤其重要。定量和非定量方法的使用因重债穷国的不同而有所不同。大多数HIA提出了为改善健康而改变政策或项目的建议。结论:这些已完成的HIA有助于开展未来的HIA,并有助于对公共卫生官员和其他人员进行有关HIA的培训。需要开展更多工作,以记录高风险投资的影响,从而增加其在决策过程中的价值。
Objectives: To document the growing use in the United States of health impact assessment (HIA) methods to help planners and others consider the health consequences of their decisions.Methods: Using multiple search strategies, 27 HIAs were identified that were completed in the U.S. during 1999-2007. Key characteristics of each HIA were abstracted from published and unpublished sources.Results: Topics examined in, these HIAs ranged from policies about living wages and after-school programs to projects about power plants and public transit: Most HIAs were funded by local health departments, foundations, or federal agencies: Concerns about health disparities were especially important in HIAs on housing, urban redevelopment, home energy subsidies, and wage policy. The use of quantitative and nonquantitative methods varied among HIAs. Most HIAs presented recommendations for policy or project changes to improve health. Impacts of the HIAs were infrequently documented.Conclusions: These completed HIAs are useful for helping conduct future HIAs and for training public health officials and others about HIAs. More work is needed to document the impact of HIAs and thereby increase their value in decision-making processes.