社会的包摂の健康に効くもの: 疎外された人々に対する効果的な介入の概要
Serena Luchenski1, Nick Maguire2, Robert W Aldridge1
1Centre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK; The Farr Institute of Health Informatics Research, University College London, London, UK.
Lancet (London, England)
|November 16, 2017
まとめ
包摂的な医療サービスでは 脆弱なグループに対する不平等を 解決します 住居や雇用などの 構造的介入には より多くの研究とリソースが必要です
科学分野:
- 公衆衛生
- 医療サービス研究
- 健康の社会的決定因子
背景:
- 包摂的健康は 脆弱な集団の健康と社会的不平等に対処します
- 対象となる集団には ホームレスや薬物使用者 投獄者 性的労働者が含まれます
- これらのグループは重複する危険因子と高い罹病率/死亡率に直面しています.
研究 の 目的:
- 包摂的な健康集団のための健康と社会的介入に関する証拠を統合する.
- 特に構造的介入の証拠の欠陥を特定する.
主な方法:
- 健康と社会への介入に関する証拠の統合を行った.
- ホームレス,薬物使用,投獄,性労働を体験している人々への介入に焦点を当てた.
主要な成果:
- 身体的健康,精神的健康,薬物使用の改善のための多数の介入が特定されました.
- 住居,雇用,法的支援などの構造的介入の証拠は少ない.
- 影響を受ける人々との 専用のリソースと協力の必要性
結論:
- 既存の介入は有望ですが,よりよい実施とリソースが必要です.
- 研究は,早期介入と排除の原因 (例えば貧困,不良な子供時代の経験) を扱う政策に焦点を当てるべきである.
- 構造的介入は,排除を防止し,回復を促進するために不可欠です.
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