A New Paradigm for Addressing Health Disparities in Inner-City Environments: Adopting a Disaster Zone Approach.
A New Paradigm for Addressing Health Disparities in Inner-City Environments: Adopting a Disaster Zone Approach.
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解决城市内部环境健康差异的新范式：采用灾区方法。
DOI：
10.1007/s40615-020-00828-1
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发表时间：
2021-06
影响因子：
3.9
通讯作者：
Davidson T
中科院分区：
文献类型：
--
作者：
Egede LE;Walker RJ;Campbell JA;Dawson AZ;Davidson T
内城的特点是代际贫困、教育机会有限、健康状况差和高度隔离。人力资本被定义为个人无形但不可或缺的经济生产力方面，它受到影响内城人口的因素的限制。城市内部环境符合造成超过受灾社区承受能力的痛苦程度的灾害的定义。本文提出了一个框架，以改善健康的内城人口使用多学科的方法，从医学，经济学和灾害应对。焦点小组和photovoice在密尔沃基，威斯康星州进行的结果被用作一个案例研究的角度使用这种方法来解决健康差距。灾难方法提供了一个长期的重点，以改善整体健康和减少健康差距在内城，而不是一个短期的重点，立即缓解一个单一的症状。对市中心环境采取救灾办法是解决该国一些最边缘化社区居民需求的一种创新方式。
Inner cities are characterized by inter-generational poverty, limited educational opportunities, poor health, and high levels of segregation. Human capital, defined as the intangible, yet integral economically productive aspects of individuals, is limited by factors influencing inner-city populations. Inner-city environments are consistent with definitions of disasters causing a level of suffering that exceeds the capacity of the affected community. This article presents a framework for improving health among inner-city populations using a multidisciplinary approach drawn from medicine, economics, and disaster response. Results from focus groups and photovoice conducted in Milwaukee, Wisconsin are used as a case study for a perspective on using this approach to address health disparities. A disaster approach provides a long-term focus on improving overall health and decreasing health disparities in the inner-city, instead of a short-term focus on immediate relief of a single symptom. Adopting a disaster approach to inner-city environments is an innovative way to address the needs of those living in some of the most marginalized communities in the country.
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