以色列主要人口群体之间非传染性疾病的不平等:成就和挑战
Khitam Muhsen1, Manfred S Green2, Varda Soskolne3
1Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
尽管有全民医疗覆盖,但在非传染性疾病 (NCD) 方面仍然存在显著的健康差异,特别是在阿拉伯和犹太人口之间. 这些不平等与健康的社会决定因素有关,需要多部门努力.
科学领域:
- 公共卫生
- 流行病学
- 健康上的差异
背景情况:
- 以色列是一个高收入的经济体,拥有先进的医疗保健和全民保险,整体健康状况有所改善.
- 预期寿命已经上升,超过了经合组织的平均水平,但主要人口群体之间的差异仍然存在.
研究的目的:
- 调查以色列人口中非传染性疾病的发病率,死亡率和风险因素的差异.
- 在以色列不同的人口群体中识别和分析健康不平等.
主要方法:
- 在1975年至2014年间对非传染性疾病的发病率,死亡率和风险因素数据的分析.
- 包括以色列阿拉伯人,以色列犹太人,移民,极端正统犹太人和贝都因阿拉伯人在内的各种人口和社会经济群体的健康指标的比较.
主要成果:
- 以色列阿拉伯人的预期寿命低于以色列犹太人,
- 阿拉伯人患心脏病,中风和糖尿病的年龄调整死亡率较高;犹太人的癌症发病率/死亡率较高.
- 阿拉伯人中肥胖和体力活动较低的比例; 根据性别和种族而言, 吸烟模式各不相同.
- 卫生不平等也与社会经济地位和特定亚群相关.
结论:
- 尽管有普遍的医疗保健,但在以色列仍存在大量的非传染性疾病不平等.
- 这些健康差异可能与健康的社会决定因素有关.
- 综合性计划已经到位, 但持续的多部门努力对于减少不平等至关重要.
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