Do Social and Economic Policies Influence Health? A Review.
Do Social and Economic Policies Influence Health? A Review.
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社会和经济政策会影响健康吗？评论。
DOI：
10.1007/s40471-014-0013-5
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发表时间：
2014-09-01
影响因子：
3.3
通讯作者：
Acevedo-Garcia D
中科院分区：
文献类型：
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作者：
Osypuk TL;Joshi P;Geronimo K;Acevedo-Garcia D
虽然社会和经济政策不被视为卫生服务基础设施的一部分，但这些政策可能通过改变健康的社会决定因素（SDH）来影响健康和疾病。我们回顾了美国的社会和经济政策，这些政策在SDH的四个领域衡量了成年人的健康结果，包括住房和邻里、就业、家庭加强/婚姻和收入补充。这些政策大多针对低收入人群。这些社会政策很少将健康视为其首要任务或结果。在衡量健康时，这些项目记录了一半以上的人对心理健康和身体健康的好处，尽管有些效果会随着时间的推移而减弱。我们还发现，根据性别和家庭组成，项目资格存在相当大的隔离。决策者应设计未来的社会政策，利用有效的卫生措施评估卫生结果；更广泛地针对社会经济各阶层的女性；忽视家庭照顾责任会对健康产生意想不到的影响。
Although social and economic policies are not considered part of health services infrastructure, such policies may influence health and disease by altering social determinants of health (SDH). We review social and economic policies in the US that have measured health outcomes among adults in four domains of SDH including housing and neighborhood, employment, family strengthening/marriage, and income supplementation. The majority of these policies target low-income populations. These social policies rarely consider health as their initial mission or outcomes. When measuring health, the programs document mental health and physical health benefits more than half the time, although some effects fade with time. We also find considerable segregation of program eligibility by gender and family composition. Policy makers should design future social policies to evaluate health outcomes using validated health measures; to target women more broadly across the socioeconomic spectrum; and to consider family caregiving responsibilities as ignoring them can have unintended health effects.