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首页> 外文期刊>International Journal of Environmental Research and Public Health >“An Environment Built to Include Rather than Exclude Me”: Creating Inclusive Environments for Human Well-Being
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“An Environment Built to Include Rather than Exclude Me”: Creating Inclusive Environments for Human Well-Being

机译：“构建一个包含而不是排斥我的环境”：为人类福祉创造包容性环境

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摘要

Contemporary discourses which challenge the notion of health as the “absence of disease” are prompting changes in health policy and practice. People with disability have been influential in progressing our understanding of the impact of contextual factors in individual and population health, highlighting the impact of environmental factors on functioning and inclusion. The World Health Organization’s (WHO) more holistic definition of health as “wellbeing” is now applied in frameworks and legislation, and has long been understood in occupational therapy theory. In practice, however, occupational therapists and other professionals often address only local and individual environmental factors to promote wellbeing, within systems and societies that limit equity in population health and restrict inclusion in communities. This paper presents an in-depth analysis of the supports and accommodations identified by a cohort of individuals (n-100) living with disability. A range of environmental facilitators and barriers were identified in peoples’ experience of “inclusive community environs” and found to influence inclusion and wellbeing. The roles and responsibilities of individuals, professionals, and society to enact change in environments are discussed in light of these findings. Recommendations include a focus on the subjective experience of environments, and application of theory from human rights and inclusive economics to address the multiple dimensions and levels of environments in working towards inclusion and wellbeing.
机译：挑战健康作为“无疾病”概念的当代话语正在促使卫生政策和实践发生变化。残疾人在增进我们对情境因素对个人和人群健康的影响的理解方面具有影响力，突出了环境因素对功能和包容性的影响。世界卫生组织（WHO）对健康的整体定义为“幸福”，现在已在框架和立法中应用，并且早已在职业治疗理论中得到理解。但是，实际上，职业治疗师和其他专业人员通常会在限制人口健康公平并限制社区融入的系统和社会中，仅着眼于当地和个人的环境因素来促进福祉。本文对由一群残障人士（n-100名）确定的支持和适应进行了深入分析。人们在“包容性社区环境”的经验中发现了一系列环境促进因素和障碍，并发现它们会影响包容和福祉。根据这些发现，讨论了个人，专业人员和社会在改变环境中所扮演的角色和责任。建议的重点是环境的主观经验，并运用人权和包容性经济学的理论来解决环境的多个维度和层次，以实现包容性和福祉。

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