The social determinants of tuberculosis: from evidence to action.
The social determinants of tuberculosis: from evidence to action.
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DOI：
10.2105/ajph.2010.199505
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发表时间：
2011-04
影响因子：
12.7
通讯作者：
Porter JD
中科院分区：
文献类型：
--
作者：
Hargreaves JR;Boccia D;Evans CA;Adato M;Petticrew M;Porter JD
越来越多的共识表明，低收入和中等收入世界在结核病控制方面取得进展不仅需要投资于加强结核病控制规划、诊断和治疗，还需要针对结核病的社会决定因素采取行动。然而，实际的行动想法比对这一想法的理论上的支持还要稀缺。我们根据最近成立的世界卫生组织健康问题社会决定因素委员会以及目前对结核病社会决定因素的理解制定了一个框架。卫生部门以外的干预措施，特别是社会保护和城市规划方面的干预措施，有可能加强结核病控制。
Growing consensus indicates that progress in tuberculosis control in the low- and middle-income world will require not only investment in strengthening tuberculosis control programs, diagnostics, and treatment but also action on the social determinants of tuberculosis. However, practical ideas for action are scarcer than is notional support for this idea. We developed a framework based on the recent World Health Organization Commission on Social Determinants of Health and on current understanding of the social determinants of tuberculosis. Interventions from outside the health sector—specifically, in social protection and urban planning—have the potential to strengthen tuberculosis control.