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Two strategies used by local intersectoral networks to create healthier environments: a cross-case analysis in the Montreal urban setting 地方部门间网络用于创造更健康环境的两项战略:蒙特利尔城市环境的跨案例分析
3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-10-12 DOI: 10.1080/09581596.2023.2260936
Angèle Bilodeau, Catherine Chabot, Mélissa Di Sante, Nadine Martin, Louise Potvin
Action aimed at developing healthier living conditions requires intersectoral collaboration, both across sectors and between levels of government. It also calls for the commitment of political and institutional authorities at municipal and higher levels. This article focuses on strategies of local intersectoral networks rooted in civil society for addressing living conditions. A longitudinal cross-case analysis was performed on eight case studies in Montreal (Canada). Data sources include 1445 documents and 41 interviews. Case studies were analyzed based on a theoretical framework focusing on critical events and a repertoire of transitional outcomes (TOs) that local intersectoral networks mobilised in order to produce change. The analysis focussed on the distribution of TOs in each case. Two types of strategies were identified. The Do It strategy relied primarily on acquiring resources as well as expanding and strengthening networks and projects. In this strategy, networks held the key decision-making and action levers to drive projects by themselves. In contrast, the Make It Happen strategy was mainly constructed around actions that led to self-representation and influencing others. In this strategy, networks held certain levers – such as mobilizing their citizen and community bases – but they also had to convince decision-makers to support action. This article describes and compares the key features of these two types of action strategies for local change.
旨在发展更健康生活条件的行动需要跨部门和各级政府之间的部门间合作。它还要求市级和更高一级的政治和机构当局作出承诺。本文的重点是植根于民间社会的地方跨部门网络解决生活条件的战略。对蒙特利尔(加拿大)的八个案例研究进行了纵向交叉案例分析。数据来源包括1445份文件和41次访谈。案例研究是根据侧重于关键事件的理论框架和地方部门间网络为产生变革而动员的一系列过渡性成果(TOs)进行分析的。分析的重点是每种情况下TOs的分布。确定了两种策略。Do It战略主要依赖于获取资源以及扩大和加强网络和项目。在这一战略中,网络掌握了关键的决策和行动杠杆,以自己推动项目。相比之下,“实现”策略主要是围绕导致自我表现和影响他人的行为构建的。在这一战略中,网络具有一定的杠杆作用,例如动员其公民和社区基础,但它们也必须说服决策者支持行动。本文描述并比较了这两种类型的局部变化行动策略的主要特征。
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引用次数: 0
From collaborator to colleague: a community-based program science approach for engaging Kenyan communities of gay, bisexual and other men who have sex with men in HIV research 从合作者到同事:以社区为基础的项目科学方法,使肯尼亚同性恋、双性恋和其他男男性行为者社区参与艾滋病毒研究
3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-25 DOI: 10.1080/09581596.2023.2260935
Bernadette Kina Kombo, Matthew Thomann, Helgar Musyoki, Kennedy Olango, Samuel Kuria, Martin Kyana, Memory Otieno, Margaret Njiraini, Janet Musimbi, Pariniti Bhattacharjeea, Robert Lorway, Lisa Lazarus
ABSTRACTSince the 1990s, researchers have used community-based participatory approaches to achieve outcomes relevant to local communities, to build collaborative and sustainable research infrastructures, and to address disparities in knowledge production. Notwithstanding these strengths, communities and researchers have questioned its success in addressing power imbalances inherent in collaborative research encounters. In this methodological paper, we describe a novel community-based program science approach to guide an interdisciplinary research project on HIV self-testing among men who have sex with men in three Kenyan counties. Drawing on ethnographic field notes, we detail how community researchers and their academic and programmatic partners collaborated through all phases of the research process, including research design and data collection. Importantly, community researchers also played an integral role in data analysis and dissemination, going well beyond the conventional role of ‘community engagement’ in global health research. We also present findings from qualitative interviews conducted by community researchers with their peers to inform the rollout of HIV self-testing kits in their respective county-contexts. Our approach highlights that engaging community directly in evidence production allows research findings – owned and generated by communities on their own behalf – to be fed more swiftly and effectively into community-led program delivery.KEYWORDS: Community-based participatory researchmen who have sex with menHIV testing Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1. Article 162 of the Kenyan Penal Code, a relic of British colonial-era laws criminalizing ‘carnal knowledge against the order of nature’, was upheld by the Kenyan High Court in 2019.Additional informationFundingThe work was supported by the Bill and Melinda Gates Foundation [OPP-11191068].
摘要自20世纪90年代以来,研究人员利用基于社区的参与式方法实现了与当地社区相关的成果,建立了协作和可持续的研究基础设施,并解决了知识生产中的差异。尽管有这些优势,社区和研究人员质疑它在解决合作研究遭遇中固有的权力不平衡方面的成功。在这篇方法学论文中,我们描述了一种新颖的基于社区的项目科学方法,用于指导肯尼亚三个县的男男性行为者进行艾滋病毒自我检测的跨学科研究项目。根据民族志的实地记录,我们详细介绍了社区研究人员及其学术和项目合作伙伴如何在研究过程的各个阶段进行合作,包括研究设计和数据收集。重要的是,社区研究人员还在数据分析和传播中发挥了不可或缺的作用,远远超出了“社区参与”在全球卫生研究中的传统作用。我们还介绍了社区研究人员与其同行进行的定性访谈的结果,以便为在各自国家的情况下推出艾滋病毒自我检测试剂盒提供信息。我们的方法强调,让社区直接参与证据生产,可以使研究成果——由社区代表自己拥有和产生——更迅速、更有效地投入到社区主导的项目交付中。关键词:基于社区的参与性研究男男性行为者hiv检测披露声明作者未报告潜在的利益冲突。肯尼亚高等法院于2019年维持了《肯尼亚刑法》第162条的原判,该条款是英国殖民时代法律的遗留物,将“违反自然秩序的肉体知识”定为犯罪。这项工作得到了比尔和梅林达·盖茨基金会的支持[OPP-11191068]。
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引用次数: 0
“Anticipate the need”: a narrative analysis of service providers’ experiences working with sexual and gender minority youth in British Columbia, Canada, during the COVID-19 pandemic “预见需求”:对服务提供者在2019冠状病毒病大流行期间在加拿大不列颠哥伦比亚省与性和性别少数群体青年合作的经验进行叙述分析
3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-21 DOI: 10.1080/09581596.2023.2259063
Sophie McKenzie, Cassandra Hesse, Anna Carson, Trevor Goodyear, Rod Knight
ABSTRACTThis study explores service providers’ accounts of working with sexual and gender minority (SGM) youth and the improvised and non-institutionalized adaptations to their delivery of care in response to the COVID-19 pandemic. We present a narrative analysis of data from qualitative, in-depth semi-structured interviews conducted between July 2020 and August 2021 with 16 service providers who deliver programs and services for SGM youth in British Columbia (BC), Canada. Drawing on a central narrative of uncertainty in driving improvised adaptations to service provision amid the pandemic, we identified three sub-narratives: (i) uncertainty as characteristic of liminality; (ii) uncertainty as conducive to cooperation and collaboration; and (iii) uncertainty as enabling ‘blue-sky thinking’ and innovation. In each sub-narrative, we document service providers’ accounts of how they navigated both uncertainty in the absence of direction from their organizations and constraint by COVID-19 public health mandates and guidelines. Amid pandemic-driven interruptions in structured guidance, these improvised practices of care became key in shaping the delivery of care to SGM youth in BC. These accounts offer insights into how uncertainty can be harnessed as a potent source of improvement of services for SGM youth now and throughout future phases of the COVID-19 pandemic.KEYWORDS: Uncertaintysexual and gender minoritiesyouthCOVID-19adaptations AcknowledgementsWe acknowledge our participants, each of whom took time from their busy schedules to share information about their experiences. We would also like to thank Naseeb Bolduc, Peter Hoong and Alya Govorchin for their contributions to this study.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingWe acknowledge the support of our funder, the Canadian Institutes of Health Research [CTW-155550].
摘要本研究探讨了服务提供者与性和性别少数群体(SGM)青年合作的情况,以及为应对COVID-19大流行提供护理的临时和非制度化适应。我们在2020年7月至2021年8月期间对加拿大不列颠哥伦比亚省(BC)为SGM青年提供项目和服务的16家服务提供商进行了定性、深入的半结构化访谈,并对这些访谈数据进行了叙述性分析。根据大流行期间推动临时适应服务提供的不确定性这一核心叙述,我们确定了三种子叙述:(i)不确定性是阈限性的特征;(ii)有利于合作与协作的不确定性;(三)不确定性可以促进“蓝天思维”和创新。在每个子叙述中,我们记录了服务提供商如何在缺乏组织指导和COVID-19公共卫生任务和指南约束的情况下应对不确定性的描述。在大流行导致结构化指导中断的情况下,这些临时护理做法成为向不列颠哥伦比亚省SGM青年提供护理的关键。这些描述让我们深入了解了如何利用不确定性,将其作为在当前和未来COVID-19大流行阶段改善对SGM青年服务的有力来源。关键词:不确定性性和性别少数群体青年covid -19适应感谢我们的参与者,他们每个人都在繁忙的日程中抽出时间分享了他们的经历。我们还要感谢Naseeb Bolduc、Peter Hoong和Alya Govorchin对这项研究的贡献。披露声明作者未报告潜在的利益冲突。我们感谢我们的资助者,加拿大卫生研究院[CTW-155550]的支持。
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引用次数: 0
The role of small, locally-owned businesses in advancing community health and health equity: a qualitative exploration in a historically Black neighborhood in the USA 小型本地企业在促进社区健康和健康公平中的作用:美国历史上黑人社区的定性探索
3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-18 DOI: 10.1080/09581596.2023.2256945
Shoba Ramanadhan, Sabrina Werts, Collin Knight, Sara Kelly, Justin Morgan, Lauren Taylor, Sara Singer, Alan Geller, Emma Louise Aveling
Multi-sector efforts to address the structural drivers of health inequities faced by racial and ethnic minority communities in the USA often ignore the potential of action by for-profit businesses, perhaps due to skepticism about the role of business in such efforts. However, given the need to harness diverse forms of capital to address structural harms, and recent calls to identify oft-ignored systemic pathways to health, we examined the role of business – specifically small, locally-owned businesses – in promoting community health and well-being. This study explored the role of small, locally owned businesses in community health, and local understandings of the value of such action, in the context of Roxbury, Massachusetts, a historically Black community with a substantial Latinx population. We conducted 20 semi-structured interviews between June and November 2021 with small business owners and staff, as well as leaders and staff from local non-profit organizations, anchor institutions, and one large business. Constructivist and critical perspectives guided the work. We used a team-based, thematic analysis approach; the team included residents and a small local business owner. Participants described pride in the neighborhood and emphasized small businesses’ contribution to long-term community well-being by investing social, cultural, human, and financial capital. Business owners saw their work as a way of giving back and did so in ways reflecting their deep understanding of community needs, aspirations, and identity. Public health efforts should engage pro-social small businesses embedded in marginalized communities, thereby supporting and amplifying businesses’ existing contributions to advancing equitable community health.
多部门努力解决美国种族和少数民族社区面临的卫生不平等的结构性驱动因素,往往忽视了营利性企业采取行动的潜力,这可能是由于对企业在此类努力中的作用持怀疑态度。然而,鉴于需要利用各种形式的资本来解决结构性危害,以及最近呼吁确定经常被忽视的系统性健康途径,我们研究了企业-特别是小型的地方企业-在促进社区健康和福祉方面的作用。本研究以马萨诸塞州罗克斯伯里为例,探讨了当地小型企业在社区卫生中的作用,以及当地人对这种行动价值的理解。罗克斯伯里是一个历史上的黑人社区,拥有大量拉丁裔人口。我们在2021年6月至11月期间对小企业主和员工,以及当地非营利组织、锚定机构和一家大型企业的领导和员工进行了20次半结构化访谈。建构主义和批判观点指导了这项工作。我们使用了基于团队的主题分析方法;该团队包括居民和当地一名小企业主。与会者描述了对社区的自豪感,并强调小企业通过投资社会、文化、人力和金融资本,为社区的长期福祉做出了贡献。企业主将他们的工作视为回馈社会的一种方式,并以反映他们对社区需求、愿望和身份的深刻理解的方式这样做。公共卫生工作应使边缘化社区的亲社会小企业参与进来,从而支持和扩大企业对促进公平社区卫生的现有贡献。
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引用次数: 0
Silenced stories of illicit drug use in the aftermath of Hurricane Maria in Puerto Rico: experiences of healthcare providers, policymakers, and patients 波多黎各飓风“玛丽亚”过后,关于非法药物使用的无声故事:医疗保健提供者、政策制定者和患者的经历
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.1080/09581596.2023.2250908
Violeta Contreras, Sheilla R. Madera, M. Padilla
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引用次数: 0
‘We were called guardian angels; Was that sincere? I do not think so’: retention of certified nurse assistants during the COVID-19 crisis in long-term care facilities in Montreal, Quebec, Canada “我们被称为守护天使;那是真诚的吗?我不这么认为”:在2019冠状病毒病危机期间,加拿大魁北克省蒙特利尔长期护理机构保留持证护士助理
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-25 DOI: 10.1080/09581596.2023.2250539
Saidou Sabi Boun, G. Moullec, T. Druetz
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引用次数: 0
Engaging with communities and precarity theory to bring new perspectives to public mental health 参与社区和不稳定性理论,为公众心理健康带来新的视角
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-17 DOI: 10.1080/09581596.2023.2247143
H. Lynch, C. King
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引用次数: 0
Parallel vaccine discourses in Guinea: ‘grounding’ social listening for a non-hegemonic global health 几内亚的平行疫苗讨论:非霸权全球卫生的“基础”社会倾听
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-17 DOI: 10.1080/09581596.2023.2245964
Leonard W. Heyerdahl, Frédéric Le Marcis, Totran Nguyen, Arsenii Alenichev, Bienvenu Salim Camara, Koen Peeters Grietens
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引用次数: 0
More than one crisis: COVID-19 response actors navigating multi-dimensional crises in Flanders, Belgium 不止一场危机:新冠肺炎应对行动方在比利时法兰德斯应对多层面危机
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-10 DOI: 10.1080/09581596.2023.2240480
Tarun Kattumana, Leonard W. Heyerdahl, Totran Nguyen, Stef Dielen, Koen Peeters Grietens, A. Vandamme, T. Giles-Vernick, H. Larson, N. Vandaele, C. Vandermeulen, C. Gryseels, C. Van Riet
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引用次数: 0
The law of diminishing returns? The challenge of using freedom of information legislation for health policy research 收益递减法则?利用信息自由立法进行卫生政策研究的挑战
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-28 DOI: 10.1080/09581596.2023.2220134
B. Hawkins, E. Brooks, Rob Ralston, K. Lauber, Nancy Karreman, Sarah Steele
Freedom of information (FOI) laws are designed to increase transparency and political accountability. Where designed and implemented effectively, they can serve to catalyse public interest and democratic participation in politics, as well as exposing instances of corruption in, and influence over, the policy process (Fowler et al., 2013). A number of recent studies in the area of public health have drawn on data accessed through FOI requests (see for example: Lauber et al., 2021; Maani Hessari et al., 2019; Mitchell & McCambridge, 2023; Ralston, 2021; Robertson & Steele, 2023) including those published in the current journal (Glover et al., 2023; Sacks et al., 2018). Yet FOI laws remain underutilised as a research tool. This is due in part to the increasingly stringent application of disclosure exemptions within these laws. Below, we highlight examples of some of the difficulties encountered by health-policy researchers in the United Kingdom (UK) seeking to use FOI requests to access information held by public bodies, and the issues these raise for both scholarship and democratic oversight. While focused on the UK, these experiences are likely more widespread and of relevance to health and public policy researchers facing similar barriers in other contexts.
信息自由法旨在提高透明度和政治问责制。如果设计和实施有效,它们可以促进公众利益和政治民主参与,以及揭露政策过程中的腐败和影响(Fowler et al., 2013)。最近在公共卫生领域的一些研究利用了通过信息自由请求获得的数据(例如:Lauber等人,2021年;Maani Hessari等人,2019;Mitchell & McCambridge, 2023;拉斯顿,2021;Robertson & Steele, 2023),包括发表在当前期刊上的研究(Glover et al., 2023;Sacks等人,2018)。然而,信息自由法作为一种研究工具仍未得到充分利用。这在一定程度上是由于这些法律对披露豁免的适用越来越严格。下面,我们将重点介绍联合王国卫生政策研究人员在寻求利用《信息自由法》请求获取公共机构持有的信息时遇到的一些困难,以及这些困难给学术研究和民主监督带来的问题。虽然这些经验主要集中在英国,但它们可能更为广泛,对在其他情况下面临类似障碍的卫生和公共政策研究人员也具有相关性。
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引用次数: 1
期刊
Critical Public Health
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