Alana M W LeBrón, Gloria Itzel Montiel, Saraí Arpero, Josefina Jimenez, Gina Torres, Hilda Ortiz, Nancy Mejía, America Bracho
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引用次数: 0
Abstract
This essay describes a process for integrating US Latiné communities as drivers of a grassroots vision for healthy Latiné communities and health equity planning that addresses racial injustices. Transforming structural conditions to promote Latiné community health happens alongside creating conditions for community-level self-determination to foster community-based ecosystems of health. Integrating a life course perspective, we describe a vision for community-based ecosystems of Latiné health that is rooted in forging connections and cultivating community; building community power to address structural drivers of health; leveraging the expertise and assets of promotores to reach, engage, and mobilize communities; scaling solutions through policy, system, and environment changes; and grounding research processes in community-driven priorities. Such processes must affirm the expertise of promotores and Latiné communities and recognize the interconnectedness of communities and systems (e.g., food, housing, living wages) to nurture health at local levels. Research can advance the science and evidence-based models that support community-based ecosystems of Latiné health. (Am J Public Health. 2024;114(S6):S525-S533. https://doi.org/10.2105/AJPH.2024.307763) [Formula: see text].
这篇文章描述了将美国拉美裔社区整合为基层健康拉美裔社区愿景和解决种族不公的健康公平规划的驱动力的过程。在改变结构性条件以促进拉美裔社区健康的同时,还要为社区层面的自决创造条件,以促进基于社区的健康生态系统。结合生命历程的视角,我们描述了基于社区的拉美裔健康生态系统的愿景,该愿景根植于建立联系和培养社区;建立社区力量以解决健康的结构性驱动因素;利用促进者的专业知识和资产来接触、参与和动员社区;通过政策、系统和环境变化来推广解决方案;以及将研究过程建立在社区驱动的优先事项之上。这些过程必须肯定促进者和拉美社区的专业知识,并认识到社区与系统(如食品、住房、生活工资)之间的相互关联性,以便在地方层面促进健康。研究可以推动科学和循证模式的发展,支持以社区为基础的拉美裔健康生态系统。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307763) [公式:见正文]。
期刊介绍:
The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.