Health Equilibrium Initiative: a public health intervention to narrow the health gap and promote a healthy weight in Swedish children

BMC Public Health

Chris Pickering²  Lauren Lissner¹  Malgorzata Smaga-Blom³  Moa Hallmyr Lewis¹  Maria Magnusson¹ 

[1] Department of Public Health and Community Medicine, Unit of Public Health Epidemiology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Box 454, SE-405 30 Gothenburg, Sweden;Department of Psychiatry and Neurochemistry, Addiction Biology Unit, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden;Department of Public Health and Community Medicine, Unit of Social Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

关键词: Socioeconomic status;    Self-efficacy;    Prevention;    Memory;    Learning;    Healthy weight;    Health equity;    Health economic assessment;    Empowerment;    Community based participatory research;   

Others  :  1128900
DOI  :  10.1186/1471-2458-14-763

 received in 2014-06-17, accepted in 2014-07-04,  发布年份 2014

【 摘 要 】

Background

Inequity in health is a global concern. Even in Sweden there are considerable health gaps between different social groups, not least concerning life-style related conditions. Interventions drawing on Community-based participatory research (CBPR) have potential to build prerequisites for complex, supportive structures that constitute basis for implementation of sustainable health promoting programs. CBPR rests on principles of empowerment. The researchers are responsible for the scientific quality and that ethical standards are met. Health Equilibrium Initiative (HEI) aims at narrowing the health gap and promoting healthy weight in children; “healthy weight” including both anthropometric criteria and aspects having to do with self-esteem and self-efficacy. Evaluation objectives are to compare outcome between children in intervention and control areas, conduct health economic assessments (HEA) and evaluate the processes of the project.

Methods/design

HEI is a repeated cross-sectional and longitudinal study. The Program Logic Model is based on Social Cognitive Theory and Intervention Mapping. Primary contact groups are children in disadvantaged communities. Core efforts are to confirm and convey knowledge, elucidate and facilitate on-going health work and support implementation of continuous health work. Socioeconomic status is assessed on area level by the parameters yearly average income, degree of employment, tertiary education and percent of inhabitants born in countries where violent conflicts recently have taken place or were ongoing. Anthropometry, food patterns, physical activity and belief in ability to affect health; together with learning, memory and attention assessment will be assessed in 350 children (born 2006). Examinations will be repeated after two years, forming the basis of a health economic analysis. The process evaluation procedure will use document analysis (such as structured reports from meetings and dialogues, school/workplaces policies and curriculum, food service menus); key informant interviews and focus groups with parents, children and professionals.

Discussion

Inviting, awaiting and including local perspectives create mutual confidence and collaboration. Enhanced self-efficacy and access to relevant knowledge has potential to enable individuals and communities to choose alternatives that are relevant for their health and well-being in a long perspective. The economic of this study may contribute in decision- making processes regarding appropriate public health interventions.

【 授权许可】

   
2014 Magnusson et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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