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首页> 美国卫生研究院文献>Frontiers in Public Health >Health by Design: Interweaving Health Promotion into Environments and Settings
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Health by Design: Interweaving Health Promotion into Environments and Settings

机译：通过设计实现健康：将健康促进融入环境和环境中

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The important influence of the environmental context on health and health behavior—which includes place, settings, and the multiple environments within place and settings—has directed health promotion planners from a focus solely on changing individuals, toward a focus on harnessing and changing context for individual and community health promotion. Health promotion planning frameworks such as Intervention Mapping provide helpful guidance in addressing various facets of the environmental context in health intervention design, including the environmental factors that influence a given health condition or behavior, environmental agents that can influence a population’s health, and environmental change methods. In further exploring how to harness the environmental context for health promotion, we examine in this paper the concept of interweaving of health promotion into context, defined as weaving or blending together health promotion strategies, practices, programs, and policies to fit within, complement, and build from existing settings and environments. Health promotion interweaving stems from current perspectives in health intervention planning, improvement science and complex systems thinking by guiding practitioners from a conceptualization of context as a backdrop to intervention, to one that recognizes context as integral to the intervention design and to the potential to directly influence health outcomes. In exploring the general approach of health promotion interweaving, we examine selected theoretical and practice-based interweaving concepts in relation to four key environments (the policy environment, the information environment, the social/cultural/organizational environment, and the physical environment), followed by evidence-based and practice-based examples of health promotion interweaving from the literature. Interweaving of health promotion into context is a common practice for health planners in designing health promotion interventions, yet one which merits further intentionality as a specific health promotion planning design approach.
机译：环境背景对健康和健康行为的重要影响-包括地点，环境以及地点和环境中的多种环境-指导健康促进计划者从仅关注改变个人的方向，转向利用和改变环境的关注重点。促进个人和社区健康。诸如干预图之类的健康促进计划框架为解决健康干预设计中环境背景的各个方面提供了有益的指导，包括影响给定健康状况或行为的环境因素，可能影响人口健康的环境因素以及环境变化方法。在进一步探索如何利用环境来促进健康时，我们在本文中探讨了将健康促进与环境相结合的概念，即将健康促进策略，实践，计划和政策编织或融合在一起以适应，补充，并根据现有设置和环境进行构建。促进健康的交织源于当前的卫生干预计划，改善科学和复杂系统思维的观点，指导从业人员从情境的概念化作为干预的背景，到指导人们认识到情境是干预设计不可或缺的要素，并具有直接影响的潜力。健康状况。在探索健康促进交织的一般方法时，我们研究了与四个关键环境（政策环境，信息环境，社会/文化/组织环境和物理环境）相关的选定的基于理论和实践的交织概念，然后通过文献中基于证据和基于实践的健康促进交织示例。健康促进人员与环境的交织是健康规划人员设计健康促进干预措施时的一种普遍做法，但值得一提的是，将其作为一种特定的健康促进计划设计方法应具有更多的意向。

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