健康和死亡的相互依赖决定因素?研究新冠肺炎期间卫生公平、人权和民主之间的联系。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2023-09-18 eCollection Date: 2023-01-01 DOI:10.5334/aogh.4104
Lisa Forman, Carly Jackson
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引用次数: 0

摘要

背景:新冠肺炎大流行的特点是,在与新冠肺炎相关的发病率和死亡率方面存在健康不平等,在获得与新冠病毒相关的基本卫生保健干预措施(如疫苗)方面存在差异。疫情期间的不平等现象深刻说明了卫生不平等、人权和民主领导之间的相互依存关系,以及更深入研究健康、疾病和死亡的这些关键决定因素的必要性。方法:在这篇论文中,我们考虑新冠肺炎表明我们应该了解民主、人权和健康公平之间的关系。我们首先阐述了健康公平框架和讨论日益突出的问题。我们转而阐述新冠肺炎期间民主倒退和民粹主义领导的长期趋势。我们考虑到新冠肺炎和新冠肺炎应对措施所特有的侵犯人权行为以及国内和全球不平等现象。调查结果和结论:这场疫情表明,侵犯权利、疏忽和不公平的政治领导层可以深刻地决定健康结果。它同样表明,包括人权和公平在内的民主规范和制度如何提供话语、标准和工具,可以有效地用来挑战不公平的卫生领导。更根本的是,它强调了对植根于人权、公平和善政的公共卫生紧急情况的处理方法的巨大需求,包括通过谈判中的流行病条约。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Interdependent Determinants of Health and Death? Examining the Linkages between Health Equity, Human Rights, and Democracy during COVID-19.

Interdependent Determinants of Health and Death? Examining the Linkages between Health Equity, Human Rights, and Democracy during COVID-19.

Background: The COVID-19 pandemic has been characterised by health inequities in differential rates of COVID-19-related morbidity and mortality and differential access to essential COVID-19-related health care interventions such as vaccines. Inequities through the pandemic have deeply illuminated the interdependence between health inequities, human rights, and democratic leadership and the imperative to delve more deeply into these key determinants of health, illness, and death.

Methods: In this paper, we consider what COVID-19 suggests we should be learning about the relationships between democracy, human rights, and health equity. We first elaborate on the growing prominence of the framework and discourse of health equity. We turn to elaborate on a longer-standing trend of democratic backsliding and populist leadership during COVID-19. We consider human rights violations and domestic and global inequities that have characterised COVID-19 and COVID responses.

Findings and conclusions: The pandemic has illustrated how rights-violating, negligent, and inequitable political leadership can deeply determine health outcomes. It has equally shown how democratic norms and institutions, including human rights and equity, offer discourse, standards, and tools that can be effectively used to challenge inequitable leadership on health. More fundamentally, it underscores how great the need is for approaches to public health emergencies rooted in human rights, equity, and good governance, including through a pandemic treaty in negotiation.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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