Social determinants of health inequalities
Social determinants of health inequalities
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DOI：
10.1016/s0140-6736(05)74234-3
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发表时间：
2005-03-19
期刊：
影响因子：
168.9
通讯作者：
Marmot, M
中科院分区：
文献类型：
--
作者：
Marmot, M
我们在国家内部和国家之间看到的保健方面的严重不平等是对世界的挑战。各国之间预期寿命相差48岁，国内相差20岁或更长，这并非不可避免。越来越多的研究发现，社会因素是造成健康不平等的根源。社会决定因素与传染性疾病和非传染性疾病都有关。因此，健康状况应引起各部门决策者的关注，而不仅仅是那些参与卫生政策的人。为了应对这一全球挑战，世卫组织正在成立健康社会决定因素委员会，该委员会将审查证据、引发社会辩论并提出政策建议，目标是改善世界上最弱势群体的健康。委员会的一个主要目标是将公共卫生知识转化为政治行动。
The gross inequalities in health that we see within and between countries present a challenge to the world. That there should be a spread of life expectancy of 48 years among countries and 20 years or more within countries is not inevitable. A burgeoning volume of research identifies social factors at the root of much of these inequalities in health. Social determinants are relevant to communicable and non-communicable disease alike. Health status, therefore, should be of concern to policy makers in every sector, not solely those involved in health policy. As a response to this global challenge, WHO is launching a Commission on Social Determinants of Health, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people. A major thrust of the Commission is turning public-health knowledge into political action.