Sustainable and Collaborative Health Promotion in Urban Communities: Practical Implementation and Outcomes Based on Community Capital
Abstract
:1. Introduction
2. Literature Review
2.1. Community Capital and Health Promotion
2.2. Community-Building Strategies and Practices
2.3. Sustainable Development Practices and Challenges
2.4. Asset-Based Community Development (ABCD) Model
3. Materials and Methods
Study Subjects and Tools
- Community Asset Inventory Form: A community asset inventory form was created for 50 community organizations in Taipei City. The process involved visits and briefings to help communities identify and define their specific strengths and assets. Community organizations conducted discussions and completed the asset inventory within two months. The inventory form covered six categories of community assets: (1) individual skills or talents, (2) organizational or group capacities, (3) private and non-profit organizations, (4) government departments, (5) other assets, and (6) potential resources (such as welfare and public investments).
- Survey on Social Capital, Community Building, and Community Development: The research tools included a survey adapted from Huang Yuan-hsueh’s scale on social capital, community building, and community development [35], and a “Community Sustainability Scale” revised based on Li Yong-zhan’s criteria for urban sustainable communities [36]. The survey was divided into several sections: (1) respondent demographics, (2) community basic information, (3) organizational characteristics, (4) community capital (interaction), (5) community building and development, and (6) three dimensions of community sustainability. Community sustainability Scale is divided into three sub-aspects, namely economic, social, and environmental aspects. There are 14 items in total, including 2 items on the economic side, 7 items on the social side, and 5 items on the environmental side. The overall scale had a Cronbach’s alpha value of 0.82, indicating good reliability. The survey was reviewed and approved by the Chang Gung Medical Foundation’s Institutional Review Board. A total of 120 questionnaires were distributed to community leaders, with 112 responses collected for analysis. Asset data and community building reports from 10 selected community organizations were analyzed.
- Community Asset Application Type Analysis: In the study of “Community Asset Application Type Analysis”, we can provide specific definitions for each application type to clarify their content and operation in the methodology section.
4. Results
4.1. Community Profile Analysis
4.2. Analysis of Community Asset Inventory Results
4.3. Analysis of Community Asset Application Types
4.4. Analysis of Community Asset Application Content
- Health Activities and Workshops: Communities frequently collaborated with community organizations, private or non-profit entities, and government departments to conduct health activities, health seminars, and nutritional health courses. This demonstrates a strong emphasis on educational and participatory approaches to health promotion.
- Teacher Matching and Resource Collaboration: Teacher matching and event collaboration were commonly used strategies. These collaborations involved bringing in expert trainers or facilitators for health-related activities, indicating the importance of leveraging external expertise and resources.
- Health Screening and Care Services: Communities organized health screenings for cancer (four major types), provided regular exercise programs, and offered dementia care services. This reflects a focus on preventive health measures and support for specific health conditions, showing a commitment to comprehensive health care.
- Outdoor Activities and Referrals: Outdoor sports activities and referrals for elderly care were also prevalent. This suggests an understanding of the importance of physical activity and proper care for the elderly in maintaining overall community health.
4.5. Research Limitations
- Scope Limitation: This study focused on communities in Taipei City. Due to limited resources, only 50 community organizations were included for asset inventory, and 10 units were selected for analysis, which is a limitation of this study.
- Data Collection Challenges: Data collection required engagement with multiple community organizations or individuals, sometimes relying on data provided by community leaders to represent the entire community, which posed practical challenges.
- Subjectivity Issues: The concept of community assets includes both subjective and objective aspects, with the survey focusing more on the subjective dimension. This introduces a limitation related to the subjective nature of the data collected.
5. Discussion
5.1. Analysis of Community Asset Application Content
- Distribution Patterns
- 2.
- Asset Utilization Effectiveness
- 3.
- Opportunities for Improvement
5.2. Impact and Predictive Power Analysis of Community Capital and Community Building on Community Sustainability
- Community Capital: The unstandardized coefficient is 0.418, the standardized coefficient is 0.369, and the t-value is 5.355 with a significance level of <0.001 (p < 0.001). This indicates that community capital has a significant positive impact on community sustainability, reflecting the important role of internal resources and social networks in enhancing community sustainability.
- Community Building: The unstandardized coefficient is 0.625, the standardized coefficient is 0.570, and the t-value is 8.286 with a significance level of <0.001 (p < 0.001). This shows that community building has an even more significant impact on community sustainability, suggesting that effective community building strategies and practices have a powerful role in enhancing community sustainability.
- Application of Community Capital and Health Promotion.
- 2.
- Resource Integration and Sustainable Development.
- 3.
- Sustainable Development and Environmental Protection.
- 4.
- Compare with the experience of other foreign communities in promoting sustainable development.
- 5.
- This study highlights the critical role of community capital in improving the health and sustainability of urban areas.
6. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Gender | Number of People (%) | Number of Community Residents | Number of People (%) |
---|---|---|---|
Male | 46 (41%) | •less than 1000 | 4 (4%) |
Female | 66 (59%) | •1000 to 5000 | 40 (3%) |
Community Leader Jobs | Number of people (%) | •5000 to 10,000 | 60 (54%) |
Chairperson | 36 (32%) | More than 10,000 | 8 (7%) |
Executive Director | 15 (13%) | Community Establishment Time | Number of people (%) |
Board Member | 16 (14%) | 1 to 5 years | 20 (18%) |
Supervisor | 7 (6%) | 6 to 10 years | 34 (30%) |
Village Chief | 3 (3%) | 11 to 15 years | 22 (20%) |
Director | 3 (3%) | 16 to 20 years | 18 (16%) |
Team Leader | 3 (3%) | More than 20 years | 18 (16%) |
Other | 29 (26%) |
Asset Category | Community Asset Content | Total Asset Count | Average Inventory of Assets per Community |
---|---|---|---|
Personal Abilities or Individual Talents | Volunteers and Individuals with Specialized Skills (e.g., doctors, pharmacists, nutritionists, artists, professors, dance teachers, occupational therapists, fitness instructors, horticulture teachers, etc.) | 607 | 12.14 |
Organizational or Association Capabilities | Community Offices and Organizations (e.g., neighborhood watch teams, community development associations, farms, community care centers, research institutions, community planning teams, temples, and various community clubs and associations) | 364 | 7.28 |
Private and Non-Profit Organizations | Hospitals, Health Service Centers, Association, Traffic Control Teams, Clinics, Rehabilitation Centers, Associations, and Elder Care Institutions | 369 | 7.38 |
Government Departments | Schools at All Levels, Universities, District Offices, Markets, Activity Centers, Libraries, and Police Stations | 660 | 13.2 |
Other | Department Stores, Businesses, MRT Underground Malls, Parks, and Community Open Spaces | 189 | 3.78 |
Developable Resources (Various Welfare Programs and Public Investments) | Senior Service Centers, Community Care Points, Green Spaces, Museums, Education Centers, Commercial Districts, and Public Housing | 1218 | 24.36 |
3407 | 68.14 |
Resource Referral | Teacher Matching | Venue Borrowing | Event Collaboration | Human Resource Support | Total Community Resource Utilization | |
---|---|---|---|---|---|---|
Total Community Resource Utilization | 35 | 365 | 186 | 132 | 49 | 752 |
Percentage | 4.7% | 48.5% | 24.7% | 17.6% | 6.5 | 100% |
Community Asset Attribute | Community Asset Application Content | Linked Community Asset Types |
---|---|---|
Personal Abilities or Individual Talents | 1. Community Nutritionist Health Seminar (Community A) 2. DIY Cooking Experience (Community F) 3. Health Seminars by Doctors/Nurses (Community G) 4. Elderly Mental Counseling (Community H) 5. Chair Exercises and Training (Community J) | -Resource Referral -Teacher Matching -Event Collaboration -Human Resource Support |
Organizational or Association Capabilities | 1. Preventive Medicine Seminar (Community A) 2. Dementia Promotion (Community C) 3. Healthy Eating for Children (Community C) 4. Healthy Breakfast Workshop (Community D) 5. Dementia Awareness Seminars (Community D) 6. Elderly Achievement Event (Community G) 7. Neighborhood Office Venues (Community I) 8. Healthy Eating Seminars (Community I) | -Resource Referral -Teacher Matching -Venue Borrowing -Event Collaboration -Human Resource Support |
Private and Non-Profit Organizations | 1. Dementia Elders Referral (Community A) 2. My Silver Influence Program (Community B) 3. Joyful Living for Seniors (Community B) 4. Walking Exercise Promotion (Community C) 5. Whole-Grain Courses (Community C) 6. Health Seminars with Hospitals (Community D) 7. Community Activity Organization (Community E) 8. Online Dining Consultation (Community F) 9. Health Consultations (Community G) 10. Health Promotion Lectures (Community H) | -Resource Referral -Teacher Matching -Venue Borrowing -Event Collaboration -Human Resource Support |
Government Departments | 1. Activities at Mingmei Park (Community A) 2. Medical Lecturers Match (Community A) 3. Diabetes Care Network (Community A) 4. Elderly Service Center Activities (Community A) 5. Dahu Park Fair (Community B) 6. Community Marketing (Community E) 7. Dementia Seminars (Community F) 8. Regular Exercise Programs (Community G) 9. Elderly Consultation Services (Community G) 10. Health Screenings (Community H) | -Resource Referral -Teacher Matching -Venue Borrowing -Event Collaboration -Human Resource Support |
Other | 1. Healthy Breakfast Workshop (Community D) 2. Family Health Eating Workshops (Community F) 3. Senior Fitness Training Courses (Community F) | -Resource Referral -Teacher Matching -Venue Borrowing -Event Collaboration -Human Resource Support |
Y = Community Sustainability | Non-Standardized Coefficient | Standardized Coefficient | T-Value | Significance | |
---|---|---|---|---|---|
B | Standard Error | Beta | |||
Intercept | −0.155 | 0.176 | −0.878 | 0.382 | |
Community Capital | 0.418 | 0.078 | 0.369 | 5.355 | <0.001 |
Community Building | 0.625 | 0.075 | 0.570 | 8.286 | <0.001 |
Overall Model Y(Community Sustainability) = −0.155 + 0.418 × 1(Community Capital) + 0.625 × 2(Community Building) |
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Hou, C.-H. Sustainable and Collaborative Health Promotion in Urban Communities: Practical Implementation and Outcomes Based on Community Capital. Sustainability 2024, 16, 9112. https://doi.org/10.3390/su16209112
Hou C-H. Sustainable and Collaborative Health Promotion in Urban Communities: Practical Implementation and Outcomes Based on Community Capital. Sustainability. 2024; 16(20):9112. https://doi.org/10.3390/su16209112
Chicago/Turabian StyleHou, Chia-Hui. 2024. "Sustainable and Collaborative Health Promotion in Urban Communities: Practical Implementation and Outcomes Based on Community Capital" Sustainability 16, no. 20: 9112. https://doi.org/10.3390/su16209112
APA StyleHou, C. -H. (2024). Sustainable and Collaborative Health Promotion in Urban Communities: Practical Implementation and Outcomes Based on Community Capital. Sustainability, 16(20), 9112. https://doi.org/10.3390/su16209112