Community engagement and its impact on child health disparities: building blocks, examples, and resources.
Community engagement and its impact on child health disparities: building blocks, examples, and resources.
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DOI：
10.1542/peds.2009-1100l
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发表时间：
2009-11-01
期刊：
影响因子：
8
通讯作者：
Nash, Creshelle
中科院分区：
文献类型：
--
作者：
Ochoa, Eduardo R Jr;Nash, Creshelle
在过去几十年中，国家对种族和族裔健康差距的关注有所增加，但少数群体健康，特别是儿童健康的显著改善一直缓慢出现。持续社区参与的生命周期观点考虑到了少数群体和低收入社区健康状况不佳的根本原因。这一观点涉及各种初级保健，公共卫生和学术利益相关者。从生命过程的角度看问题，很有希望对卫生不平等现象产生积极影响。在本文中，我们提供了有关参与社区的可用工具和资源的背景信息。我们还提供了社区初级保健提供者干预措施的例子，这些措施对种族和民族健康差异产生了积极影响。这些项目的共同要素进行了说明;额外的地方和国家资源列出;和未来的研究需要，特别是在社区周围的问题是有关儿童，被阐明。整个儿科史上的例子表明，不仅对儿童，而且对整个生命过程中的所有人群，消除种族和民族健康差异的潜力。
National attention to racial and ethnic health disparities has increased over the last decades, but marked improvements in minority health, especially among children, have been slow to emerge. A life-course perspective with sustained community engagement takes into account root causes of poor health in minority and low-income communities. This perspective involves a variety of primary care, public health, and academic stakeholders. A life-course perspective holds great promise for having a positive impact on health inequities. In this article we provide background information on available tools and resources for engaging with communities. We also offer examples of community-primary care provider interventions that have had a positive impact on racial and ethnic health disparities. Common elements of these projects are described; additional local and national resources are listed; and future research needs, specifically in communities around issues that are relevant to children, are articulated. Examples throughout the history of pediatrics show the potential to eliminate racial and ethnic health disparities not only for children but also for all populations across the life course.