Empowerment to reduce health disparities

Nina Wallerstein

Scandinavian Journal of Public Health · 2002 · 253 citations · 27 references

DOIFull text

Open access

Concepts

TL;DR

Empowerment is a theoretical construct that can reduce health disparities by strengthening social protective factors, and it is contrasted with social capital and community capacity while highlighting powerlessness as a risk factor linked to poverty, discrimination, workplace hazards, and income inequities. The authors call for future practice and research to address challenges in applying empowerment strategies. The authors illustrate a youth empowerment and policy project in New Mexico that targets social determinants such as harmful public policies and builds youth advocacy capacity. The case study demonstrates that empowerment strategies effectively target social determinants and enhance community capacities for youth advocacy.

Abstract

This article articulates the theoretical construct of empowerment and its importance for health-enhancing strategies to reduce health disparities. Powerlessness is explored as a risk factor in the context of social determinants, such as poverty, discrimination, workplace hazards, and income inequities. Empowerment is presented and compared with social capital and community capacity as strategies to strengthen social protective factors. A case study of a youth empowerment and policy project in New Mexico illustrates the usefulness of empowerment strategies in both targeting social determinants, such as public policies which are detrimental to youth, and improving community capacities of youth to be advocates for social change. Challenges for future practice and research are articulated.

References

27