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首页> 外文期刊>Journal of public health management and practice: JPHMP >Enhancing Themes and Strengths Assessment: Leveraging Academic-Led Qualitative Inquiry in Community Health Assessment to Uncover Roots of Community Health Inequities
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Enhancing Themes and Strengths Assessment: Leveraging Academic-Led Qualitative Inquiry in Community Health Assessment to Uncover Roots of Community Health Inequities

机译：加强主题和优势评估：利用社区健康评估中的学术主导的定性查询，揭示社区卫生资料的根源

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Context: Rigorous qualitative research can enhance local health departments' efforts to gain a deeper insight into residents' perceived community health inequities necessary for productive community health assessments (CHAs) and community health improvement plans (CHIPs). Objective: The Chicago Department of Public Health and the Partnership for Healthy Chicago used the National Association of County & City Health Officials' Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct its CHA/CHIR Healthy Chicago 2.0 (HC 2.0). Public health graduate students conducted qualitative research for part of the Community Themes and Strengths Assessment (CTSA), one of the 4 MAPP assessments. Design: Using a health equity lens, this qualitative component included focus groups and oral histories with residents in Chicago Community Areas with the highest social and economic hardship to better understand how residents perceive health inequities in their respective neighborhoods. Settings: Community-based organizations in 6 Chicago neighborhoods with the highest quartile of social and economic hardship. Participants: Forty-eight Chicago residents from 5 community areas participated in focus groups, and 6 residents of a Mexican ethnic enclave shared oral histories. Main Outcome Measure: Residents' perceptions of community needs and assets. Results: Needs identified include inaccessible resources and opportunities, economic instability, and safety. Assets include the efficacy and agency of resilient residents, as well as faith and spirituality. Systemic and institutional discrimination was identified at the roots of community health inequities. Conclusion: Through qualitative inquiry, the more nuanced understanding of how residents perceive health inequities better positioned HC 2.0 to develop upstream strategies in line with advanced health equity practice. Engaging qualitative academic researchers in CTSA brings academic expertise to enrich the CHA while providing real-time learning experiences to prepare future public health practitioners to work on upstream structural determinants of health.
机译：背景：严格的定性研究可以提高当地卫生部门的努力，了解居民的居民感知社区健康评估（CHAS）和社区健康改善计划（芯片）所需的居民感知的社区卫生资金。目的：芝加哥公共卫生部和健康芝加哥的伙伴关系通过规划和伙伴关系（MAPP）模型来调动国家和城市卫生官员的国家协会，以进行其CHA / CHIR健康芝加哥2.0（HC 2.0）。公共卫生研究生对4个MAPP评估之一的社区主题和优势评估（CTSA）进行了定性研究。设计：使用健康股票镜头，这种定性组成部分包括芝加哥社区领域的居民的重点小组和口腔历史，具有最高的社会和经济困难，以更好地了解居民如何在各自的社区感知健康状况。设置：6个芝加哥社区组织，社区社区最高四分位数。参与者：来自5个社区区域的四十八个芝加哥居民参加了焦点小组，6名墨西哥民族飞地共享口腔历史的6居民。主要结果措施：居民对社区需求和资产的看法。结果：所确定的需求包括无法访问的资源和机遇，经济不稳定和安全。资产包括弹性居民的效力和机构，以及信仰和灵性。在社区卫生资格的根源上确定了系统和制度歧视。结论：通过定性查询，对居民如何感知健康不公平的更加细致的理解，优先考虑HC 2.0，以发展上游策略，符合先进的健康股权实践。 CTSA的定性学术研究人员带来了学术专长，以丰富CHA，同时提供实时学习经验，为未来的公共卫生从业者准备工作的健康上游结构决定因素。

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