Fair society, healthy lives
Fair society, healthy lives
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DOI：
10.1016/j.puhe.2012.05.014
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发表时间：
2012-09-01
期刊：
影响因子：
5.2
通讯作者：
Bell, R.
中科院分区：
文献类型：
--
作者：
Marmot, M.;Bell, R.
世界卫生组织健康问题社会决定因素委员会（CSDH）2008年发表的最后报告确认，社会不公正正在大规模地杀人，“糟糕的社会政策和方案、不公平的经济安排和糟糕的政治”的有毒组合是造成和加剧健康不平等的原因。报告对许多国家普遍存在的健康不平等现象进行了全面的循证讨论，表明健康结果存在社会梯度，这与健康的社会决定因素分布不公平有关。健康的社会决定因素包括人们出生、成长、生活、工作和衰老的条件，以及这些条件的基本驱动因素：权力、金钱和资源的分配。在公布CSDH报告和行动建议后，英国政府委托进行了英格兰健康不平等战略审查，本文概述了CSDH和英格兰健康不平等战略审查的结果，并对其进行了反思，审查了将公平置于所有政策制定核心的情况。在这一过程中，它强调需要就健康的社会决定因素采取行动，以解决健康不平等和健康结果的社会梯度问题。(C)2012年，皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
The final report of the World Health Organization Commission on the Social Determinants of Health (CSDH), published in 2008, affirmed that social injustice was killing on a grand scale, with a toxic combination of 'poor social policies and programmes, unfair economic arrangements, and bad politics' being responsible for producing and reinforcing health inequalities. It provided a comprehensive evidence-based discussion of pervasive inequalities of health in many countries, demonstrating the presence of a social gradient in health outcomes associated with the unfair distribution of the social determinants of health. The social determinants of health include the conditions in which people are born, grow, live, work and age, and the fundamental drivers of these conditions: the distribution of power; money; and resources. Following publication of the CSDH report and recommendations for action, the UK Government commissioned a Strategic Review of Health Inequalities in England.This article provides an overview and reflection on the findings from the CSDH and the Strategic Review of Health Inequalities in England, reviewing the case for putting fairness at the heart of all policy making. In the process, it highlights the need for action on the social determinants of health in order to address health inequalities and the social gradient in health outcomes. (C) 2012 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.