妇女健康的阶段和未来:呼吁采取生命全程办法。

IF 2.9
Women's health (London, England) Pub Date : 2025-01-01 Epub Date: 2025-04-21 DOI:10.1177/17455057251331721
Zohra S Lassi, Jeannette M Wade, Edward Kwabena Ameyaw
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引用次数: 0

摘要

多年来,关于妇女健康的论述倾向于生殖健康,特别是与妇幼保健、避孕和与怀孕有关的护理有关的事项。尽管这些方面具有相关性,但这种狭隘的观点忽视了在不同生命阶段影响妇女的更广泛的健康问题,因此需要从生命过程的角度重新关注妇女的健康。生命历程观点是理解以时间和空间为中心的人类发展的一个框架。从青春期到老年,妇女面临各种各样的健康挑战和经历,包括非传染性疾病、精神健康障碍、肌肉骨骼疾病以及生命早期接触的长期后果。要解决这些问题,就需要转变思路,采取一种更加全面和包容的办法,认识到妇女保健需求的终身性质。生命历程视角不是孤立地处理健康问题,而是考虑生命早期暴露、社会决定因素和生活方式因素如何影响整个生命周期的健康轨迹。对女性来说,这意味着要认识到青春期的健康行为会影响中年疾病风险,更年期会影响心血管和骨骼健康,老年会带来独特的挑战,如身体虚弱和认知能力下降。这一模式强调了预防保健、早期干预和在生命的每个阶段提供量身定制的保健服务的重要性。因此,本社论从生命历程的角度出发,强调妇女的主要健康和健康相关现实,并将其分为三个基本阶段:成年初显期、成年期和成年后期。报告最后提请各国政府和国际社会注意,需要将卫生保健系统的重点放在普遍的、对性别问题敏感的卫生保健政策上,以保证可获得、可负担和高质量的服务,满足妇女在生命各个阶段的需求。在追求创造一个所有妇女,无论年龄或背景如何,都能实现最佳健康和福祉的未来的过程中,在生命的每个阶段支持妇女的政策和方案必须占据中心位置。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Stages and future of women's health: A call for a life-course approach.

Stages and future of women's health: A call for a life-course approach.

Over the years, discourse on women's health has skewed towards reproductive health, particularly on matters relating to maternal and child health, contraception, and pregnancy-related care. In spite of the relevance of these aspects, such a narrow perspective overlooks the broader spectrum of health concerns that affect women across different life stages, hence the need to refocus women's health through the lens of the life-course perspective. The life-course perspective is a framework for understanding human development that centers on time and space. From adolescence to old age, women encounter a wide array of health challenges and experiences, including non-communicable diseases (NCDs), mental health disorders, musculoskeletal conditions, and the long-term consequences of early-life exposures. Addressing these issues requires a paradigm shift toward a more comprehensive and inclusive approach that recognizes the lifelong nature of women's health needs. Rather than treating health issues in isolation, the life-course perspective considers how early-life exposures, social determinants, and lifestyle factors influence health trajectories over the life spectrum. For women, this means recognizing that adolescent health behaviors affect midlife disease risk, menopause has implications for cardiovascular and bone health, and older age brings unique challenges such as frailty and cognitive decline. This model underscores the importance of preventive care, early interventions, and tailored health services at every stage of life. Consequently, this editorial takes a life-course approach to highlight the dominant health and health-related realities of women, segmented into three cardinal phases: emerging adulthood, adulthood, and late adulthood. It concludes by drawing governments and the global community's attention to the need to focus healthcare systems on universal, gender-sensitive healthcare policies that guarantee accessible, affordable, and high-quality services tailored to women's needs at every stage of life. Policies and programs that support women at every stage of life must take center stage in the quest to create a future where all women, regardless of age or background, can achieve optimal health and well-being.

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