健康不平等的社会决定因素

Agata Wypych-Ślusarska, J. Głogowska-Ligus, J. Słowiński
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引用次数: 2

摘要

根据世界卫生组织(卫生组织)的定义,应当从多方面考虑健康问题,同时考虑到人的心理和社会功能。就人口而言,人们越来越重视个人健康状况的社会决定因素,因为这些决定因素造成社会和健康不平等。后者可被定义为“或多或少享有社会特权的人群之间可能可以避免的健康差异”。它们发生在世界各地,具有普遍性和持久性。保健不平等最近已成为一个主要的公共卫生问题。为了了解这些因素,有必要分析健康的社会决定因素,以及超越所谓标准风险因素(即原因的原因)的观点。贫困、教育水平、从事的工作类型以及国家的社会和政治状况都可能影响个人的健康状况。这些因素的影响在流行病学因素如死亡率(包括婴儿死亡率)和预期寿命方面是明显的。这篇文章讨论了卫生不平等的概念。特别注意健康的某些社会决定因素,如贫穷、教育水平和工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social determinants of health inequalities
According to the definition of the World Health Organization (WHO), health should be considered in multidimensional terms, also taking into account the mental and social aspects of human functioning. With regard to the population, increasing importance is being put on the social determinants of one’s health status, because these determinants generate social and health inequalities. The latter may be defined as “potentially avoidable health differences between groups of people who are more or less socially privileged”. They occur worldwide and have a universal and persistent character. Health inequalities have recently become a major public health problem. To understand them, it is necessary to analyze the social determinants of health, as well as the perspective going beyond the so-called standard risk factors (i.e., cause of causes). Poverty, level of education, the type of work performed, and the social and political situation of state may shape the health profile of individual populations. The impact of these factors will be palpable in epidemiological factors such as mortality, including infant mortality, and life expectancy. The article discusses the concept of health inequalities. Particular attention has been paid to selected social determinants of health, such as poverty, level of education and work.
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