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首页> 外文期刊>Social science and medicine >Community participation in general health initiatives in high and upper-middle income countries: A systematic review exploring the nature of participation, use of theories, contextual drivers and power relations in community participation
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Community participation in general health initiatives in high and upper-middle income countries: A systematic review exploring the nature of participation, use of theories, contextual drivers and power relations in community participation

机译：社区参与高中和高收入国家的一般健康举措：系统审查探讨了参与的性质，在社区参与中使用理论，语境司机和权力关系

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Community participation is commonly regarded as pivotal in enabling the success of many health initiatives. However, the theoretical constructs, and evidence about the contextual drivers and relational issues that shape participation is lacking. The aim of this systematic review was to examine the evidence for published academic literature on community participation in relation to general, non-disease specific health initiatives, including the use of theories to inform community participation, and the study of contextual drivers and relational issues that influence community participation, with a focus on high and upper-middle income countries. We searched multiple databases including Medline, Embase, Scopus, LILACs and Global Health from January 2000 to September 2016. We screened papers for inclusion, then conducted data extraction and a narrative synthesis of the data. Only papers that focused on general health were included. Disease-specific literature was excluded. 27,232 records were identified, with 23,468 after duplicate removal. 79 papers met our final inclusion criteria. Overall, our findings show that strategies to encourage community participation in health initiatives can be categorized along a continuum that varies from less to more participation and control among the community. Our analysis of reported outcomes demonstrates that community participation in general health initiatives can contribute to positive process, social and health outcomes. Social outcomes are more often associated with increasing community participation in our selection of papers. Overall, our findings reaffirm the understanding that community participation is a complex process that is strongly influenced by the context in which it occurs, and that social factors such as power relations must be carefully considered. There is a need for more robustly designed studies to improve the theorization of community participation, and to draw out a better understanding of how tangible and intangible elements such as power, influence community participation and its outcomes.
机译：社区参与通常被视为关键，使许多健康倡议的成功取得成功。然而，缺乏理论构建和关于塑造参与的上下文驱动因素和关系问题的证据。这种系统审查的目的是审查公布的学术文学的证据，以与一般，非疾病特定的卫生倡议有关，包括使用理论来告知社区参与，以及研究中地司机和关系问题的研究影响社区参与，专注于高中和高等收入国家。我们搜索了多个数据库，包括从2000年1月到2016年1月到9月的Medline，Embase，Scopus，Lilacs和全球卫生的数据库。我们筛选了包涵式，然后进行了数据提取和叙述性的数据。只有专注于一般健康的论文。不包括疾病特异性文献。鉴定了27,232条记录，重复拆除后23,468次。 79篇论文符合了我们的最终纳入标准。总体而言，我们的调查结果表明，鼓励社区参与健康倡议的策略可以沿着持续的连续统一化，这些连续体因少而在社区之间的更多参与和控制不变。我们对报告的结果分析表明，社区参与一般卫生倡议可以为积极的过程，社会和健康成果做出贡献。社会成果更常见于越来越多的社区参与我们的论文。总体而言，我们的调查结果重申了解社区参与是一个复杂的过程，这是强烈影响其发生的背景，并且必须仔细考虑诸如权力关系等社会因素。需要更加强大地设计的研究，以改善社区参与的理论，并更好地了解如何有线和无形的元素，如权力，影响社区参与及其结果。

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