Community Health Empowerment in the Chinese Cultural Context: A Hybrid Concept Analysis

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to define the concept of health empowerment within thecommunity and explore its key characteristics.
Methods: In this study, the concept was formulated utilizing the hybrid model proposed by Schwartz-Barcott and Kim. In the theoretical phase, comprehensive searches were conducted on PubMed, TheCochrane Library, Web of Science, CNKI, Wanfang Data, and SinoMed to gather relevant articles. In thefieldwork stage, semi-structured interviews were conducted with ten community workers and fifteencommunity residents, and the collected data were thoroughly analyzed using routine content analysistechniques. During the final analysis stage, the insights gained from both the theoretical and fieldworkstages were seamlessly integrated.
Results: In the theoretical stage, the five attributes of community health empowerment include communityparticipation, policy support, resource acquisition and utilization, cooperation and partnership,self-care, and health decision-making. Antecedents include social support, communication and cooperation,resource mobilization, health knowledge popularization and perceived control. Its consequencesinclude improvements in personal health and life, increased awareness of self-care, and enhancedidentity and belonging to the community. Attributes of community health empowerment in the fieldinterview stage: community participation and interaction, community capacity, information exchange,and sharing. Its Antecedents include community organization services, support networks (social structures),health beliefs, policy support, and sustainability. Consequences include process outcomes, healthoutcomes, and community outcomes. In the final analysis stage, we concluded that community healthempowerment is a multi-level process involving individuals, communities, and society as a whole.
Conclusion: In the context of Chinese culture, community health empowerment is a two-way interactiveprocess of health power between communities. Through community health empowerment, it is not onlyable to improve individual autonomy and decision-making, as well as self-health management abilities,but also able to enhance community cohesion and promote sustainable community development.