Building back fairer in public health policy requires collective action with and for the most vulnerable in society.

Building back fairer in public health policy requires collective action with and for the most vulnerable in society.
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要使公共卫生政策更加公平,就需要与社会中最脆弱的群体一道并为他们采取集体行动。

DOI:
10.1136/bmjgh-2021-005555
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发表时间:
2021-03
期刊:
影响因子:
8.1
通讯作者:
Binagwaho A
Binagwaho A
中科院分区:
医学2区
文献类型:
--
作者:
D'Ambruoso L;Abbott P;Binagwaho A

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什么是证据,证据是如何产生的?COVID-19反映并加剧了现有的社会不平等。在国家内部和国家之间,统计数据显示,少数民族社区和贫困地区之间的死亡率存在明显差异。虽然脆弱性随着威胁的类型而变化,但贫困和边缘化人群始终受到不成比例的影响。人们广泛讨论了健康不平等问题,包括社会、政治和商业驱动因素。尽管这项工作的寿命和广度,它仍然是相对罕见的放大那些最直接影响的声音。十年前,社会学家维森特纳瓦罗指出,“刻意避免的权力类别”的研究健康的社会决定因素,这不是不平等杀死人,这是那些谁负责的不平等杀死人。6
WHAT IS EVIDENCE AND HOW IS IT MADE? COVID-19 reflects and exacerbates existing social inequalities. Within and between countries, statistical data reveal stark differentials in mortality among minority ethnic communities and in deprived areas. 2 3 While vulnerability changes with the type of threat, poor and marginalised people are consistently disproportionately affected. Health inequalities have been extensively discussed, including in terms of social, political and commercial drivers. 4 5 Despite the longevity and breadth of this work, it remains relatively uncommon to amplify the voices of those most directly affected.A decade ago, sociologist Vicente Navarro pointed out the ‘studious avoidance of the category of power’in research into the social determinants of health and that it is not inequalities that kill people, it is those who are responsible for inequalities who kill people. 6
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