健康不平等的社会决定因素
1International Centre for Health and Society, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. m.marmot@ucl.ac.uk
Lancet (London, England)
|March 23, 2005
概括
全球健康差异,包括显著的预期寿命差距,并不是不可避免的. 社会决定因素对所有疾病的健康结果产生重大影响,需要跨部门的政策行动来解决健康不平等问题.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 卫生政策 卫生政策
背景情况:
- 在国家内部和国家之间存在严重的健康不平等,其证据是预期寿命的巨大差异.
- 研究越来越多地将社会因素确定为健康差异的根本原因.
- 这些社会决定因素影响着传染性疾病和非传染性疾病.
研究的目的:
- 为应对健康不平等的全球挑战.
- 启动世界卫生组织 (WHO) 健康社会决定因素委员会.
- 将公共卫生知识转化为针对弱势群体的政治行动.
主要方法:
- 审查有关健康社会决定因素的现有证据.
- 促进关于健康不平等的社会辩论.
- 推政策,以改善全球卫生公平.
主要成果:
- 确定社会因素是健康不平等的关键驱动因素.
- 承认社会决定因素对疾病类型的广泛影响.
- 强调需要对卫生政策采取多部门的方法.
结论:
- 健康不平等是可以改变的,而不是社会结构不可避免的后果.
- 健康的社会决定因素需要所有政策部门的关注,而不仅仅是健康.
- 世卫组织委员会旨在推动政策变革,以改善全球卫生结果.
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