Building Health Impact Assessment in community health promotion

概要

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The purpose of the present study was to review the concept, procedures, purpose, methods and current status of Health Impact Assessment (HIA), and to discuss the possibility of its application toward community health promotion in Japan.HIA has been widely used in Europe and the USA; out of 151 case studies, 40% reported the results of HIA adaptation to total health policy for healthy cities. In a workshop at the 20th IUHPE wold conference, presenters from Britain, Switzerland, Canada, and Australia reported on the content of HIA. HIA played a positive role in supporting decision makers, addressing health inequalities, facilitating interconnected forms of reasoning and judgment, and extending citizens' participation, as a tool for multi-level community health promotion. On the other hand, few such reports were available in Japan.Applying the HIA toward community health promotion represents an important method for building more effective and efficient health policy. The initiative of the local health center staff members would be expected, because they occupy central positions among decision makers, specialists, and citizens. First of all, it is important to create a culturally specific method based on the HIA; this should be followed by its practical application to increase the evidence of HIA implementation in Japan.
日本健康教育学会の論文