推动公平健康促进的针头:考虑到结构
1Department of Equity, Ethics and Policy, School of Population and Global Health, Faculty of Medicine and Health Sciences; Department of Sociology, Faculty of Arts, McGill University, Montreal, QC, Canada. amelie.quesnelvallee@mcgill.ca.
概括
公共卫生必须解决系统性问题,而不仅仅是个人行为,以减少健康不平等. 未来的议程需要关注结构因素,社区参与和公平的资源分配,以防止差距.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 50年前发表的拉隆德报告专注于健康决定因素.
- 加拿大持续存在的健康不平等需要超越个人层面的因素.
- 当前的公共卫生方法往往忽视了塑造健康结果的结构性力量.
研究的目的:
- 为了反思27年来对健康的社会和结构决定因素的研究.
- 倡导未来的公共卫生议程,包括交叉性和结构分析.
- 突出提前干预和社区参与解决健康不平等问题的必要性.
主要方法:
- 综合了关于健康的社会和结构决定因素的研究的评论.
- 分析了拉隆德@50会议的贡献.
- 整合诸如反向护理法和疾病的根本原因等概念.
主要成果:
- 由于资源分配不均,健康不平等仍然存在.
- 上游干预,本体主义谦卑,土著自决权和反种族主义做法至关重要.
- 要防止不平等,需要采用结构调整和预测性的公共卫生方法.
结论:
- 公共卫生必须超越个人层面的决定因素,以应对结构性力量.
- 跨部门,结构和社区参与的方法对于未来的公共卫生至关重要.
- 需要采取积极的战略,有效打击和预防健康差距.
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