{"id":6615,"date":"2023-01-23T16:02:00","date_gmt":"2023-01-23T16:02:00","guid":{"rendered":"http:\/\/nccdh.local\/resource\/power-control-communities-and-health-inequalities-i-theories-concepts-and-analytical-frameworks\/"},"modified":"2025-11-06T17:15:46","modified_gmt":"2025-11-06T17:15:46","slug":"power-control-communities-and-health-inequalities-i-theories-concepts-and-analytical-frameworks","status":"publish","type":"resource","link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/power-control-communities-and-health-inequalities-i-theories-concepts-and-analytical-frameworks\/","title":{"rendered":"Power, control, communities and health inequalities I: Theories, concepts and analytical frameworks"},"content":{"rendered":"<p><em>Cette ressource est disponible en anglais seulement.<\/em><\/p>\n<p>L&rsquo;article de Jennie Popay et de ses coll&egrave;gues (2021) se veut une introduction pour les praticiens, les professionnels, les d&eacute;cisionnaires de la sant&eacute; publique et toute autre personne voulant appliquer une approche non oppressive &agrave; leurs initiatives d&rsquo;autonomisation communautaire. L&rsquo;article constitue un ouvrage de r&eacute;f&eacute;rence dans les domaines du d&eacute;veloppement communautaire, de l&rsquo;action sociale et des services.<\/p>\n<p>Les auteurs estiment que la pand&eacute;mie de COVID-19 a r&eacute;veill&eacute; l&rsquo;attention de la sant&eacute; publique sur le r&ocirc;le que pouvait jouer la collectivit&eacute; dans la promotion et la protection de la sant&eacute; des populations. Or, pour engager une action positive avec la collectivit&eacute;, les acteurs de la sant&eacute; publique doivent veiller &agrave; reconna&icirc;tre l&rsquo;influence du pouvoir, les contextes sociopolitiques et les autres facteurs structurels. Jennie Popay et ses coll&egrave;gues (2021) ont r&eacute;dig&eacute; l&rsquo;article pour aider les acteurs de la sant&eacute; publique &agrave; consacrer l&rsquo;&eacute;nergie qu&rsquo;il faut &agrave; l&rsquo;autonomisation communautaire. Le texte est le premier d&rsquo;une s&eacute;rie de trois articles visant &agrave; r&eacute;orienter les approches de la sant&eacute; publique en mati&egrave;re d&rsquo;autonomisation communautaire pour agir sur les facteurs structurels des iniquit&eacute;s de sant&eacute;.<\/p>\n<p>Pour r&eacute;aliser leur analyse, les auteurs se sont appuy&eacute;s sur l&rsquo;&eacute;valuation longitudinale d&rsquo;un projet d&rsquo;autonomisation communautaire britannique appel&eacute; Big Local. Ils ont &eacute;galement puis&eacute; dans la litt&eacute;rature sur la r&eacute;silience communautaire.<\/p>\n<p>Jennie Popay et ses coll&egrave;gues (2021) explorent en outre le contexte historique des initiatives d&rsquo;autonomisation communautaire en sant&eacute; publique. L&rsquo;une des grandes qualit&eacute;s du texte est l&rsquo;analyse critique faite des cons&eacute;quences du n&eacute;olib&eacute;ralisme qui a men&eacute;&nbsp;:<\/p>\n<ul>\n<li>au manque d&rsquo;attention port&eacute;e &agrave; la transformation sociale et politique n&eacute;cessaire &agrave; l&rsquo;av&egrave;nement de la justice en sant&eacute; (autrement dit, une d&eacute;politisation du domaine de la sant&eacute; publique);<\/li>\n<li>&agrave; l&rsquo;attention excessive port&eacute;e aux capacit&eacute;s psychosociales, aux changements de style de vie et &agrave; la situation proximale des quartiers dans les collectivit&eacute;s.<\/li>\n<\/ul>\n<p>Selon les auteurs, pour appliquer une approche ax&eacute;e sur l&rsquo;&eacute;quit&eacute; dans le contexte d&rsquo;autonomisation communautaire, les praticiens de la sant&eacute; publique doivent utiliser une initiative en trois volets qui clarifie les principaux concepts comme le contr&ocirc;le collectif et qui comporte deux cadres th&eacute;oriques permettant de guider la d&eacute;marche. Il importe de souligner que les auteurs proposent diverses conceptualisations du pouvoir qui peuvent orienter les d&eacute;marches de la sant&eacute; publique pour l&rsquo;&eacute;quit&eacute; en sant&eacute; et la justice sociale.<\/p>\n<p>&nbsp;<\/p>\n<h3>Servez-vous de cet outil pour&nbsp;:<\/h3>\n<ul>\n<li>sensibiliser au contexte historique ayant men&eacute; aux approches d&rsquo;autonomisation communautaire en sant&eacute; publique;<\/li>\n<li>&eacute;laborer des plans de projet d&rsquo;autonomisation communautaire fond&eacute;s sur une connaissance dynamique du pouvoir et des sources structurelles des iniquit&eacute;s de sant&eacute;;<\/li>\n<li>utiliser les cadres th&eacute;oriques pour orienter l&rsquo;action men&eacute;e avec les populations pour promouvoir l&rsquo;&eacute;quit&eacute;.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Ressources connexes :<\/h3>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/workshops-events\/entry\/covid-19-conversation-series-part-3-recognizing-power\">S&eacute;rie de conversations sur la COVID-19 &ndash; partie&nbsp;3&nbsp;: Reconna&icirc;tre le pouvoir<\/a><\/p>\n<p><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/type\/category\/power\"><strong>Voir d&rsquo;autres textes sur le pouvoir, la sant&eacute; et l&rsquo;&eacute;quit&eacute;.<\/strong><\/a><\/p>\n<hr \/>\n<h3>R&eacute;f&eacute;rence bibliographique&nbsp;:<\/h3>\n<p>Popay, J., Whitehead, M., Ponsford, R., Egan, M. et Mead, R. (2021). Power, control, communities and health inequalities I: Theories, concepts and analytical frameworks. Health Promotion International, 36(5), 1253-1263. https:\/\/doi.org\/10.1093\/heapro\/daaa133.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dans cet article, les auteurs proposent un cadre th\u00e9orique et des conceptualisations du pouvoir qui se r\u00e9v\u00e8lent de bons outils pour aider la sant\u00e9 publique \u00e0 r\u00e9orienter ses initiatives d\u2019autonomisation communautaire pour que celles-ci agissent sur les d\u00e9terminants structurels (facteurs) des iniquit\u00e9s de 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