From Partnership to Policy The Evolution of Active Living by Design in Portland, Oregon

From Partnership to Policy The Evolution of Active Living by Design in Portland, Oregon
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DOI:
10.1016/j.amepre.2009.09.008
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发表时间:
2009-12-01
影响因子:
5.5
通讯作者:
Gilroy, Amy R.
Gilroy, Amy R.
中科院分区:
医学2区
文献类型:
--
作者:
Dobson, Noelle G.;Gilroy, Amy R.

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背景:波特兰的“积极生活设计”侧重于两个面临不同积极生活挑战的社区:Lents是一个城市低收入社区,自行车/行人和公园基础设施较差,而大马士革是一个半乡村社区,预计在未来30年将出现广泛的城市增长。干预措施:试点项目在一个具有相当增长潜力的半农村社区和一个收入较低、种族多元化的城市社区实施。合作伙伴的主要积极生活目标包括:准备和维持一个公共卫生、规划、社区和政策制定合作伙伴网络;影响城市规划和政策决策,从而影响波特兰社区的建筑环境变化;支持积极生活计划和推广合作伙伴。结果:合作伙伴将重点放在建设跨学科合作的能力和领导政策、环境和社会变革的战略努力上。合作伙伴一直致力于政策宣传和战略活动倡议,以及社区项目努力,为服务不足的社区带来积极的生活机会。经验教训:ALbD社区行动模式是组织干预活动和将不同合作伙伴聚集在共同愿景下的宝贵工具。参与土地使用和运输合作的公共卫生专业人员必须在成为新学科技术方面的专家和处理各种积极的生活决定因素之间取得平衡。拥抱健康的社区议程可以创造富有成效的新伙伴关系,并增加对系统性变革的影响。结论:许多伙伴关系通过政策、环境和社会变革来鼓励健康社区的合作努力在很大程度上取得了成功,可以作为其他社区的榜样。[J] .中华预防医学杂志;2009;37 (6):436- 444
Background: Portland's Active Living by Design focused on two communities facing different active living challenges: Lents is an urban, lower-income community with poor bicycle/pedestrian and park infrastructure, and Damascus is a semirural community expected to see extensive urban growth in the next 30 years.Intervention: Pilot projects were implemented in a semirural community with consider-able growth potential, and a lower-income, ethnically diverse urban neighborhood. The partners' primary active-living goals included: prepare and sustain a network of public health, planning, community, and policymaking partners; affect urban planning and policy decisions to influence built-environment changes in Portland neighborhoods; and support active-living program and promotion partners.Results: Partners have focused on building capacity for cross-disciplinary collaboration and leading strategic efforts toward policy, environmental, and social change. Partners have been engaged in policy advocacy and strategic campaign initiatives, as well as community program efforts that bring active living opportunities to underserved neighborhoods.Lessons learned: The ALbD community-action model served as a valuable tool for organizing intervention activities and bringing diverse partners together under a shared vision. Public health professionals engaged in land-Use and transportation collaborations must strike a balance between becoming experts in technical aspects of new disciplines and addressing a wide range of active living determinants. Embracing a healthy community agenda can create fruitful new partnerships and increase the impact on systemic change.Conclusions: Many of the partnerships' collaborative efforts to encourage healthy communities through policy, environmental, and social change have been largely successful and can serve as a model for other communities. (Am J Prev Med 2009;37 (6S2):S436-S444) (C) 2009 American Journal of Preventive Medicine