PMID: 11314851Apr 21, 2001Paper

Disadvantaged persons' participation in health promotion projects: some structural dimensions

Social Science & Medicine
W F Boyce

Abstract

A structural perspective was used in studying community participation of disadvantaged groups (poor women, street youth, and disabled persons) in health promotion projects. Five community projects in the Canadian Health Promotion Contribution Program were examined in a comparative case study utilizing in-depth interviews, documents, and secondary sources. Analysis revealed relatively low numbers and restricted range of participants, difficulties in recruiting and maintaining participants, declining rates of active participation over time, and limited target group influence and power. This paper reports on the relationship between various dimensions of structure (social-cultural, organizational, political-legal-economic) and the community participation process. Participation was influenced by structural factors such as bureaucratic rules and regulators, perceived minority group rights and relations, agency reputations and responsibilities, available resources, and organizational roles. Control of projects by target group members, rather than by service agencies, was an important overall organizational structural factor which allowed community members to achieve influence in projects. The study concludes that a conceptual model b...Continue Reading

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Citations

Feb 7, 2013·Journal of Community Health Nursing·Abram OudshoornCheryl Forchuk
Jun 15, 2011·Health Communication·Jeffery Chaichana Peterson, Aline Gubrium
Mar 21, 2007·Annual Review of Public Health·Kara WilliamsVivian Reznik
Jan 1, 2014·African Journal of Primary Health Care & Family Medicine·Nicodemus O Owusu
Mar 28, 2008·American Journal of Preventive Medicine·Kevin O'NeillVivian Reznik
Aug 19, 2007·American Journal of Preventive Medicine·Jeffery C PetersonSally M Davis
Jun 14, 2005·Social Science & Medicine·Camilla Maria AnderssonClaes-Göran Ostenson
Mar 27, 2012·Social Science & Medicine·Phillip ChungJennifer E Mosley
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Apr 8, 2004·Qualitative Health Research·David S BuckUNKNOWN Committee of Helthcare for the Homeless--Houston (HHH)
Feb 6, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Sarah ToddRaymond Randall
Apr 29, 2006·Medicine, Health Care, and Philosophy·Michèle St-PierreJacques-Bernard Gauthier

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