Disability Inclusion in Local Public Health Community Health Assessments and Community Health Improvement Plans.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Management and Practice Pub Date : 2025-02-25 DOI:10.1097/PHH.0000000000002141

Haleigh Leslie, Kate Beatty, Dawn Rowe, Thomas Quade, Kailee Havrda, Casey P Balio

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引用次数: 0

Abstract

Objective: To quantify and describe disability inclusion in community health assessments (CHAs) and community health improvement plans (CHIPs) at the local health department (LHD) level.

Methods: This study uses a cross-sectional design of the 2019 NACCHO Profile and Public Health Accreditation Board-accredited LHD CHAs and CHIPs to quantify and describe disability inclusion.

Results: Less than 25% of LHDs included a CHIP goal, objective, or activity that specifically includes people with disabilities. Having a disability partner as part of CHA and CHIP steering committees was associated with greater odds of including a CHIP goal, objective, or activity that includes people with disabilities (adjusted odds ratio (aOR) = 3.2, P =<.01) as were CHAs and CHIPs conducted by mixed groups of community partners (but not an official coalition) (aOR = 5.04, P = .005).

Conclusions: Given the role of CHAs and CHIPs in informing the work of public health, being disability inclusive in such materials is likely to reflect the activities of LHDs. However, disability inclusion and representation in CHAs and CHIPs are limited. These findings may help inform CHA and CHIP development processes and tools to increase disability inclusion efforts in public health.

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残疾纳入地方公共卫生社区健康评估和社区健康改善计划。

目的：量化和描述地方卫生部门（LHD）层面的社区健康评估（CHAs）和社区健康改善计划（CHIPs）中的残疾纳入情况。方法：本研究采用2019年NACCHO概况和公共卫生认证委员会认可的LHD CHAs和芯片的横截面设计来量化和描述残疾纳入。结果：不到25%的lhd包括CHIP目标、目的或活动，特别包括残疾人。有残疾伙伴作为CHA和CHIP指导委员会的一部分，纳入CHIP目标、目标或包括残疾人的活动的可能性更大（调整优势比(aOR) = 3.2, P =）。结论：鉴于CHA和CHIP在告知公共卫生工作中的作用，在这些材料中纳入残疾人可能反映了LHDs的活动。然而，残疾人在CHAs和chip中的纳入和代表性是有限的。这些发现可能有助于为CHA和CHIP开发流程和工具提供信息，以加强公共卫生中的残疾包容工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.40

自引率

9.10%

发文量

287

期刊介绍： Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.