Using community-based system dynamics modeling to understand the complex systems that influence health in cities: The SALURBAL study.

Autor:	Langellier BA; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA. Electronic address: bal95@drexel.edu., Kuhlberg JA; Department of Health Policy & Management, Gillings School for Global Public Health, University of North Carolina, Chapel Hill, NC, USA., Ballard EA; Social System Design Lab, Brown School, Washington University in St. Louis, St. Louis, MO, USA., Slesinski SC; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA., Stankov I; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA., Gouveia N; Departamento de Medicina Preventiva, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Meisel JD; Facultad de Ingeniería, Universidad de Ibagué, Ibagué, Colombia., Kroker-Lobos MF; INCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala., Sarmiento OL; Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia., Caiaffa WT; Observatório de Saúde Urbana de Belo Horizonte, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Diez Roux AV; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Jazyk:	angličtina
Zdroj:	Health & place [Health Place] 2019 Nov; Vol. 60, pp. 102215. Date of Electronic Publication: 2019 Oct 03.
DOI:	10.1016/j.healthplace.2019.102215
Abstrakt:	We discuss the design, implementation, and results of a collaborative process designed to elucidate the complex systems that drive food behaviors, transport, and health in Latin American cities and to build capacity for systems thinking and community-based system dynamics (CBSD) methods among diverse research team members and stakeholders. During three CBSD workshops, 62 stakeholders from 10 Latin American countries identified 98 variables and a series of feedback loops that shape food behaviors, transportation and health, along with 52 policy levers. Our findings suggest that CBSD can engage local stakeholders, help them view problems through the lens of complex systems and use their insights to prioritize research efforts and identify novel solutions that consider mechanisms of complexity. (Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Full Text from ScienceDirect