Toward a policy-relevant analysis of geographic and racial/ethnic disparities in child health

Toward a policy-relevant analysis of geographic and racial/ethnic disparities in child health
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DOI:
10.1377/hlthaff.27.2.321
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发表时间:
2008-03-01
期刊:
影响因子:
9.7
通讯作者:
Williams, David R.
Williams, David R.
中科院分区:
医学1区
文献类型:
--
作者:
Acevedo-Garcia, Dcioves;Osypuk, Theyesa L.;Williams, David R.

文献摘要

被引文献

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在儿童进入“机会社区”方面存在着极端的种族/民族差异。这些差异源于高度的居住隔离,并对儿童时期和整个生命过程的健康和福祉产生影响。健康差距根源于诸如居住隔离和机会地理不平等等社会因素,这一事实不应对公共卫生界产生瘫痪作用。然而,我们需要超越传统的公共卫生和保健办法,考虑制定政策,通过加强住房流动性来改善进入机会丰富的社区的机会,并增加弱势社区健康生活的机会。
Extreme racial/ethnic disparities exist in children's access to "opportunity neighborhoods." These disparities arise from high levels of residential segregation and have implications for health and well-being in childhood and throughout the life course. The fact that health disparities are rooted in social factors, such as residential segregation and an unequal geography of opportunity, should not have a paralyzing effect on the public health community. However, we need to move beyond conventional public health and health care approaches to consider policies to improve access to opportunity-rich neighborhoods through enhanced housing mobility, and to increase the opportunities for healthy living in disadvantaged neighborhoods.