什么在包容性健康中有效:对边缘化和排斥群体的有效干预措施的概述
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
概括
包容性卫生服务解决弱势群体的不平等问题. 需要更多的研究和资源来改善住房和就业等结构性干预措施.
科学领域:
- 公共卫生
- 医疗服务研究
- 健康的社会决定因素
背景情况:
- 包容性健康解决弱势群体的健康和社会不平等问题.
- 目标群体包括无家可归者,吸毒者,囚犯和性工作者.
- 这些群体面临重叠的风险因素和高发病率/死亡率.
研究的目的:
- 综合健康和社会干预措施的证据.
- 发现证据基础上的差距,特别是结构性干预.
主要方法:
- 进行了健康和社会干预的证据综合.
- 专注于无家可归,吸毒,监禁和性工作的人群的干预.
主要成果:
- 许多干预措施旨在改善身体健康,心理健康和物质使用.
- 对于住房,就业和法律支持等结构性干预措施的证据很少.
- 需要专门的资源和与受影响群体的合作.
结论:
- 现有干预措施有前途,但需要更好的实施和资源.
- 研究应侧重于早期干预和政策,解决排斥的上游原因 (例如贫困,不良童年经历).
- 结构性干预对于防止排斥和促进复苏至关重要.
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