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首页> 美国卫生研究院文献>International Journal for Equity in Health >A spatial equity analysis of a public health intervention: a case study of an outdoor walking group provider within local authorities in England
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A spatial equity analysis of a public health intervention: a case study of an outdoor walking group provider within local authorities in England

机译：公共卫生干预措施的空间公平性分析：以英格兰地方政府内部的户外步行团体提供者为例

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IntroductionIf an intervention is not well spatially targeted, appropriate levels of uptake, efficacy, long-term compliance and improved health outcomes are unlikely to be attained. Effective health interventions should seek to achieve not only absolute improvements in health but also to reduce inequity. There is often a disparity whereby preventative interventions are more likely to be successful amongst the more affluent, a process which has been coined the ‘inverse prevention law’. Physical inactivity is known to be socially patterned and disproportionately prevalent in disadvantaged communities yet there is a lack of clear evidence on which interventions have the potential to influence inequity.Walking groups have been found to have multiple health benefits and increase physical activity. In England the major facilitator is a not for profit organisation which has 70,000 regular walkers and is lay led with 10,000 volunteers. The aim of this study was to evaluate the extent to which walking groups operated in those places with the greatest health need and whether consequently the scheme has the potential to influence health inequity.
机译：简介如果干预措施的空间定位不佳，则不可能获得适当的摄取水平，疗效，长期依从性和改善的健康结局。有效的健康干预措施不仅应寻求绝对改善健康状况，而且还应减少不平等现象。通常，在富裕程度较高的人群中，预防性干预措施更有可能取得成功，这一过程被称为“逆向预防法”。缺乏体育活动在社会上是众所周知的，在处境不利的社区中比例不成比例，但缺乏明确的证据表明哪些干预措施可能会影响不平等。步行人群被发现具有多种健康益处并能增加体育锻炼。在英格兰，主要的推动者是一个非营利组织，该组织有70,000名常规步行者，并由10,000名志愿者领导。这项研究的目的是评估步行小组在那些健康需求最大的地方开展活动的程度，以及该计划是否因此有可能影响健康不平等。

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