議論のために:公衆衛生の改善における新しい波
Sally C Davies1, Eleanor Winpenny2, Sarah Ball2
1Office of the Chief Medical Officer, Department of Health, London, UK.
Lancet (London, England)
|April 8, 2014
まとめ
人口の健康を改善するには,環境と政策によって支えられる健康的な行動への社会的シフトが必要です. これは,健康の価値を最大化し,健康的なデフォルトを促進し,慢性疾患の負担と健康格差に対処するために不健康な影響を最小限に抑えることを意味します.
科学分野:
- 公衆衛生は公衆衛生である.
- 健康促進 健康促進について
- 健康の社会学 健康の社会学
背景:
- 慢性疾患の負担の増加は,世界的に公衆衛生システムに挑戦しています.
- 持続的な健康格差は,恵まれない集団に不釣り合いな影響を及ぼし,多発症率を高めます.
- 人口の健康を改善するための既存のアプローチは,継続的な課題に対処するために再評価を必要とします.
研究 の 目的:
- 公共衛生の改善の新しい波のための革新的な戦略を探求する.
- 人口の健康を改善する上で,健康を促進する社会的文脈の役割を検討する.
- 健康的な行動を支える文化を育むための重要なメカニズムを特定する.
主な方法:
- 公衆衛生改善戦略の概念分析と合成.
- 社会的な文脈と人口の健康に関する結果の関係に関する検討.
- 健康促進のための3つのコアメカニズムの特定と策定.
主要な成果:
- 人口の健康の改善は,健康的な行動を正常化する社会的文脈に依存しています.
- 健康的なマインドセットをサポートする環境 (制度的,社会的,物理的) が不可欠です.
- 3つの主要なメカニズムが提案されました:健康価値とインセンティブを最大化し,健康的なデフォルトを促進し,不健康な影響を最小限に抑えることです.
結論:
- 人口の健康を大幅に改善するには,多様なステークホルダーによる全体的な共同努力が必要である.
- 社会的規範と環境の転換は,慢性疾患と健康格差との効果的な闘いに不可欠です.
- 健康的な選択を奨励し,不健康な要因への曝露を減らす戦略の実施は,将来の公衆衛生の成功の鍵です.
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