全球智库信息集成服务系统(G2TT): Toward an Initial Conceptual Framework to Assess Community Allostatic Load: Early Themes from Literature Review and Community Analyses on the Role of Cumulative Community Stress

G2TT

来源类型	Research Reports
规范类型	报告
DOI	https://doi.org/10.7249/RR2559
来源ID	RR-2559-RWJ
	Toward an Initial Conceptual Framework to Assess Community Allostatic Load: Early Themes from Literature Review and Community Analyses on the Role of Cumulative Community Stress
	Anita Chandra; Meagan Cahill; Douglas Yeung; Rachel Ross
发表日期	2018
出版年	2018
页码	101
语种	英语
结论	Community environments influence the allostatic load of individuals but also influence how a community collectively responds to stress. Community resilience frameworks that deal with chronic stress are also useful in understanding community-level allostasis. Issues of segregation and marginalization affect community allostatic load. Persistent policies that may exacerbate discrimination (or perceived discrimination across race or ethnicity, culture, social status, or economic status) and inequity, as well as changes in demography, can influence the level of community allostasis. Community perception of stress is an important factor in the accumulation of community allostatic load. Trust and the role of civil society are important factors in understanding community allostatic load.
摘要	Community leaders can use measures to describe the current stress level in a community and sense challenges before a triggering event. The framework can be used to elevate the role of different drivers in influencing community allostatic load. For instance, one could imagine a community narrative that discusses how a community did or did not handle a stressful event and how that experience is now influencing future ability to address or improve community health. The framework could be used in an assessment tool, using each element of the framework to measure and assess different elements of community health and well-being. Programs seeking grant funding or community support could use this framework as part of the assessment regarding the likelihood that an intervention would be successful or sustainable or to determine whether additional community supports were needed because of this history of community stress. Future avenues for related work might include examining how community stress interacts with individual stress experiences generationally and across the community, exploring to what extent community design can facilitate the mitigating factors that help with stress experience and community narrative, and informing conversations about facilitators of and barriers to population health improvement and guiding prioritization of interventions.
主题	Community Health ; Community Resilience ; Health-Related Quality of Life ; Neighborhood Influences on Health ; Neighborhoods ; Police-Community Relations
URL	https://www.rand.org/pubs/research_reports/RR2559.html
来源智库	RAND Corporation (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/108797
推荐引用方式 GB/T 7714	Anita Chandra,Meagan Cahill,Douglas Yeung,et al. Toward an Initial Conceptual Framework to Assess Community Allostatic Load: Early Themes from Literature Review and Community Analyses on the Role of Cumulative Community Stress. 2018.

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