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Toward resourcefulness: pathways for community positive health
Communities are powerful and necessary agents for defining and pursuing their health, but outside organizations often adopt community health promotion approaches that are patronizing and top-down. Conversely, bottom-up approaches that build on and mobilize community health assets are often critiqued...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9607950/ https://www.ncbi.nlm.nih.gov/pubmed/34806465 http://dx.doi.org/10.1177/17579759211051370 |
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author | Peters, Laura E. R. Shannon, Geordan Kelman, Ilan Meriläinen, Eija |
author_facet | Peters, Laura E. R. Shannon, Geordan Kelman, Ilan Meriläinen, Eija |
author_sort | Peters, Laura E. R. |
collection | PubMed |
description | Communities are powerful and necessary agents for defining and pursuing their health, but outside organizations often adopt community health promotion approaches that are patronizing and top-down. Conversely, bottom-up approaches that build on and mobilize community health assets are often critiqued for tasking the most vulnerable and marginalized communities to use their own limited resources without real opportunities for change. Taking into consideration these community health promotion shortcomings, this article asks how communities may be most effectively and appropriately supported in pursuing their health. This article reviews how community health is understood, moving from negative to positive conceptualizations; how it is determined, moving from a risk-factor orientation to social determination; and how it is promoted, moving from top-down to bottom-up approaches. Building on these understandings, we offer the concept of ‘resourcefulness’ as an approach to strengthen positive health for communities, and we discuss how it engages with three interrelated tensions in community health promotion: resources and sustainability, interdependence and autonomy, and community diversity and inclusion. We make practical suggestions for outside organizations to apply resourcefulness as a process-based, place-based, and relational approach to community health promotion, arguing that resourcefulness can forge new pathways to sustainable and self-sustaining community positive health. |
format | Online Article Text |
id | pubmed-9607950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-96079502022-10-28 Toward resourcefulness: pathways for community positive health Peters, Laura E. R. Shannon, Geordan Kelman, Ilan Meriläinen, Eija Glob Health Promot Original Articles Communities are powerful and necessary agents for defining and pursuing their health, but outside organizations often adopt community health promotion approaches that are patronizing and top-down. Conversely, bottom-up approaches that build on and mobilize community health assets are often critiqued for tasking the most vulnerable and marginalized communities to use their own limited resources without real opportunities for change. Taking into consideration these community health promotion shortcomings, this article asks how communities may be most effectively and appropriately supported in pursuing their health. This article reviews how community health is understood, moving from negative to positive conceptualizations; how it is determined, moving from a risk-factor orientation to social determination; and how it is promoted, moving from top-down to bottom-up approaches. Building on these understandings, we offer the concept of ‘resourcefulness’ as an approach to strengthen positive health for communities, and we discuss how it engages with three interrelated tensions in community health promotion: resources and sustainability, interdependence and autonomy, and community diversity and inclusion. We make practical suggestions for outside organizations to apply resourcefulness as a process-based, place-based, and relational approach to community health promotion, arguing that resourcefulness can forge new pathways to sustainable and self-sustaining community positive health. SAGE Publications 2021-11-22 2022-09 /pmc/articles/PMC9607950/ /pubmed/34806465 http://dx.doi.org/10.1177/17579759211051370 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Peters, Laura E. R. Shannon, Geordan Kelman, Ilan Meriläinen, Eija Toward resourcefulness: pathways for community positive health |
title | Toward resourcefulness: pathways for community positive health |
title_full | Toward resourcefulness: pathways for community positive health |
title_fullStr | Toward resourcefulness: pathways for community positive health |
title_full_unstemmed | Toward resourcefulness: pathways for community positive health |
title_short | Toward resourcefulness: pathways for community positive health |
title_sort | toward resourcefulness: pathways for community positive health |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9607950/ https://www.ncbi.nlm.nih.gov/pubmed/34806465 http://dx.doi.org/10.1177/17579759211051370 |
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