The inequality paradox: The population approach and vulnerable populations
The inequality paradox: The population approach and vulnerable populations
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DOI：
10.2105/ajph.2007.114777
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发表时间：
2008-02-01
影响因子：
12.7
通讯作者：
Potvin, Louise
中科院分区：
文献类型：
--
作者：
Frohlich, Katherine L.;Potvin, Louise
使用弱势群体的概念，我们研究如何在健康的差距可能会加剧人口的干预措施。我们展示了，从病因学的角度来看，如何生活过程流行病学，风险因素的集中，以及疾病的基本原因的概念可以解释的能力差异，在整个风险暴露分布，通过人口的方法干预措施提供的资源转化为健康。从干预的角度来看，我们认为，人口的方法干预可能会受到公共卫生从业人员和目标群体的社会和文化假设之间的不一致。我们提出了一些干预原则，以减轻与人群方法干预相关的健康差异。
Using the concept of vulnerable populations, we examine how disparities in health may be exacerbated by population approach interventions. We show, from an etiologic perspective, how life-course epidemiology, the concentration of risk factors, and the concept of fundamental causes of diseases may explain the differential capacity, throughout the risk-exposure distribution, to transform resources provided through population-approach interventions into health. From an intervention perspective, we argue that population-approach interventions may be compromised by inconsistencies between the social and cultural assumptions of public health practitioners and targeted groups. We propose some intervention principles to mitigate the health disparities associated with population-approach interventions.