社区参与:为什么选择俄克拉何马州?为什么是现在?

Sharyl Kinney, Alix Darden, Kathryn M L Konrad, Paul M Darden, Christi Madden
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摘要

重要性:俄克拉荷马州在2017年美国健康排行榜上排名第43位,这主要是由于成年人肥胖、缺乏体育活动和吸烟等健康行为。俄克拉荷马州的儿童也有不良的童年经历,导致健康状况不佳。社区参与是一个由地理位置和共同利益相关的人共同努力解决影响社区福祉的问题的过程,是一种常见的模式,在俄克拉荷马州社区解决儿童健康问题方面取得了一些成功。观察结果:导致俄克拉荷马州健康状况不佳的因素不仅包括肥胖和吸烟等健康行为,还包括由于缺乏医疗保险和初级保健提供者而无法获得医疗服务,再加上该州主要是农村性质。美国国立卫生研究院致力于资助旨在改善农村和弱势群体健康的研究。从历史上看,这些人群很难接触到,可能对国家卫生研究举措不感兴趣,而是希望关注对其社区重要的卫生问题。结论和相关性:在这篇文章中,我们讨论了俄克拉荷马州一些最紧迫的儿科健康需求,解决这些问题的社区参与努力,以及OUHSC新资助的NIH拨款,旨在支持和学习这些努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Community Engagement: Why Oklahoma? Why Now?

Importance: Oklahoma ranked 43rd in the 2017 America's Health Rankings largely due to health behaviors such as adult obesity, lack of physical activity and smoking. Oklahoma children also suffer from adverse childhood experiences that contribute to poor health outcomes. Community engagement, a process that involves people affiliated by geographic location and shared interest working together to address issues affecting community wellbeing, is a common model that has had some success in Oklahoma communities addressing child health.

Observations: Factors that contribute to poor health in Oklahoma include not only health behaviors such as obesity and smoking, but also lack of access to care created by a lack of health insurance and primary care providers, compounded by the largely rural nature of the state. The National Institutes of Health is committed to funding research aimed at improving the health of rural and disadvantaged populations. Historically, these populations are difficult to reach and may not be interested in the national health research initiatives, but rather want to focus on health issues important to their communities.

Conclusions and relevance: In this article we discuss some of Oklahoma's most pressing pediatric health needs, community engagement efforts to address these issues and a newly funded NIH grant at OUHSC aimed at supporting and learning from these efforts.

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