| Titre : | Disadvantaged persons'participation in health promotion projects : some structural dimensions. (2001) |
| Auteurs : | William-F BOYCE |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 52, n° 10, 2001) |
| Pagination : | 1551-1564 |
| Langues: | Anglais |
| Mots-clés : | Participation communautaire ; Promotion santé ; Programme communautaire ; Programme santé ; Pauvreté ; Handicap ; Sans domicile fixe ; Homme ; Santé communautaire ; Canada ; Amérique ; Motivation ; Politique ; Organisation ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST oR0xl6fA. Diffusion soumise à autorisation]. 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 based on structural factors is useful in explaining how key factors from federal and local levels can restrict or facilitate the community participation process. |
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