根据健康框架的适应性社会决定因素来定义结核病的脆弱性:叙事性审查
Shishi Wu1,2, Stefan Litvinjenko1,2, Olivia Magwood3,4
1Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Global public health
|June 11, 2023
概括
世界卫生组织 世界卫生组织
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康 公平 卫生 公平
背景情况:
- 世界卫生组织的终结结核病战略强调了结核病护理中的社会经济因素.
- 解决健康的社会决定因素对于预防和治疗结核病至关重要.
研究的目的:
- 定义结核病 (TB) 易感性,并确定易感人群.
- 提出针对结核病易患群体的运行标准,使用健康和公平的社会决定因素.
主要方法:
- 在文献中搜索结核病脆弱性和弱势群体的定义.
- 由健康的社会决定因素框架委员会指导的定义综合.
- 开发一个概念框架和结核病脆弱性的衍生标准.
主要成果:
- 定义结核病脆弱人群是那些处于不利社会经济地位,结核病风险较高,获得护理的机会有限的人群.
- 建议确定结核病脆弱性的三个维度:社会经济地位,结核病风险和获得护理.
- 根据这些标准,确定特定的弱势群体.
结论:
- 对结核病脆弱性的明确定义和标准对于有针对性的干预措施至关重要.
- 通过社会决定因素了解结核病的脆弱性,有助于识别和支持处于危险的群体.
- 这一框架有助于将干预措施与终结结核病战略相协调.
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