Zambrana R E, Logie L A
Department of Women's Studies, University of Maryland, College Park 20742, USA.
Am J Public Health. 2000 Dec;90(12):1827-33. doi: 10.2105/ajph.90.12.1827.
The "rediscovery" of poverty, as echoed in concepts of social inequality, has contributed to the goal of eliminating racial/ethnic and social class disparities in the United States. This commentary focuses on what we know about the pressing health care needs and issues relevant to Latino children and families and how extant knowledge can be linked to priority policy recommendations to ensure the inclusion of Latino health issues in the national discourse. A systematic review of the literature on Latino children and of expert opinion revealed 4 evidence-based themes focused on poverty: economic factors, family and community resources, health system factors, and pitfalls in Latino subgroup data collection. Consensus was found on 4 priority policy recommendations: (1) reduce poverty and increase access to health care coverage, (2) increase funding in targeted primary and preventive health care services, (3) provide funds needed to fully implement relevant health legislation, and (4) improve measurement and quality of data collection. If these recommendations are not instituted, the goals of Healthy People 2010 will not be achieved for the Latino population.
贫困的“重新发现”，正如社会不平等概念中所反映的那样，有助于在美国消除种族/族裔和社会阶层差异这一目标的实现。本评论重点关注我们所了解的与拉丁裔儿童及家庭相关的紧迫医疗需求和问题，以及现有知识如何与优先政策建议相联系，以确保拉丁裔健康问题纳入全国性讨论。对有关拉丁裔儿童的文献及专家意见进行的系统综述揭示了4个基于证据的、聚焦贫困的主题：经济因素、家庭和社区资源、卫生系统因素以及拉丁裔亚组数据收集方面的缺陷。就4项优先政策建议达成了共识：（1）减少贫困并增加获得医疗保健覆盖的机会；（2）增加对有针对性的初级和预防性医疗保健服务的资金投入；（3）提供全面实施相关卫生立法所需的资金；（4）提高数据收集的测量和质量。如果不实施这些建议，2010年《健康人民》针对拉丁裔人群的目标将无法实现。
