Health promotion by communities and in communities: Current issues for research and practice

作者：South Jane^*

来源：Scandinavian Journal of Public Health, 2014, 42(15_suppl): 82-87.

DOI：10.1177/1403494814545341

• Community participation
• volunteering
• health promotion
• health systems
• assets
• health champions
• walking groups
• evidence

Background and aims: This paper explores contemporary issues around community-based health promotion in the light of international health policies reaffirming the central role of community action within broader efforts to achieve health equity. Adopting a system-level approach poses challenges for current health promotion practice and evaluation, particularly where there is a shift in emphasis from small-scale community health projects towards mainstream community programmes, capable of engaging widely across diverse populations. Methods: Drawing on research with community members carried out by the Centre for Health Promotion Research, Leeds Metropolitan University, UK, the paper re-examines assumptions about the nature of interventions within community settings, and what participation means from a lay perspective. Key research issues for community-based health promotion are highlighted. Conclusions: The paper concludes by proposing that community-based interventions need to be reframed, if the dual challenges of citizen involvement and evidence based practice are to be met.

• 出版日期2014-11