Fair society, healthy lives : the Marmot Review : strategic review of health inequalities in England post-2010.
Fair society, healthy lives : the Marmot Review : strategic review of health inequalities in England post-2010.
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公平社会,健康生活:土拨鼠评论:2010 年后英格兰健康不平等的战略审查。
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发表时间:
2010
期刊:
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通讯作者:
M. Marmot
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作者:
M. Marmot
Building off the previous presentation, Michael G. Marmot noted that equity and poverty are important topics to discuss for two reasons: (1) the degree of poverty and social disadvantage can render people more susceptible to environmental challenges, and (2) these issues can be addressed by aligning policies on the physical and biological environ ments with those on the social environment. He pointed out that three major reviews support this approach: (1) Closing the Gap in a Gener ation (2008) from the Commission on Social Determinants of Health, (2) Fair Society, Healthy Lives: The Marmot Review (2010) from the Stra tegic Review of Health Inequalities in England, and (3) Review of Social Determinants of Health and the Health Divide in the WHO European Region: Final Report (2013). He stated that the European Review utilized a model based on the accumulation of positive and negative effects on health and well-being during the life course stages (prenatal, early years, working ages [16 to 64 years], and older ages) from the wider society, the broader macrolevel (which includes topics that Oswald Spring presented), and systems of governance. Marmot explained that all societies have social hierarchies, but the magnitude of health and equity that follows from social and economic inequity is not the same in different countries. When comparing the absolute inequality in male death rates by level of education across European countries, the mag nitude varies enormously, with countries in Eastern Europe experiencing much greater inequalities than countries in the west, north, and south (Mackenbach et al., 2008).