原住民の健康 第1部:決定因子と病気のパターン
1Unity of First People of Australia, Perth, WA, Australia. m.gracey@optusnet.com.au
Lancet (London, England)
|July 7, 2009
まとめ
世界中の先住民族は,社会経済的要因と不十分な医療により,健康上の大きな格差に直面しています. これらの複雑な健康上の不平等に対処するには,より大きな意識,政治的意志,そしてコミュニティの関与が必要です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 原住民の健康について
- 健康の平等,健康の平等について
背景:
- 全世界の先住民族は,不釣り合いの低水準の健康状態を経験しています.
- 貧しい健康に寄与する要因には,貧困,栄養不良,衛生不良,感染症,環境汚染などがあります.
- 不十分な医療サービスがこれらの健康問題を悪化させる.
研究 の 目的:
- 世界中の先住民が直面している深刻な健康格差を強調する.
- これらの健康不平等の多面的な原因を特定する.
- 制度的変化と地域社会のエンパワーメントを提唱し,先住民の健康問題に取り組むこと.
主な方法:
- この研究は,先住民の健康に関する既存の文献とデータの包括的なレビューです.
- 社会経済的決定要因,環境要因,医療へのアクセスに関する分析.
- ライフスタイルの移行が病気の流行に与える影響の検討.
主要な成果:
- 先住民族は,社会的および環境的決定因子に関連した,広範囲にわたる健康状態の悪さに苦しんでいます.
- 生活習慣の変化は,慢性疾患 (肥満,心血管疾患,第2型糖尿病) と薬物乱用率の増加と関連しています.
- 政府による無視と否定は状況を悪化させる.
結論:
- 原住民の健康格差に対処するための意識と政治的コミットメントの増大が緊急に必要である.
- 原住民の権利と自決権の認識は,効果的な医療介入に不可欠です.
- 訓練と関与を通じて先住民族のコミュニティを力づくることは,健康上の課題を克服する鍵です.
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