Smedley B D, Syme S L
Am J Health Promot. 2001 Jan-Feb;15(3):149-66. doi: 10.4278/0890-1171-15.3.149.
This report, released by the Division of Health Promotion and Disease Prevention within the Institute of Medicine at the National Academy of Sciences, asserts that behavioral and social interventions such as health promotion and disease prevention offer great promise to reduce disease morbidity and mortality in the United States, but as yet their potential has not been recognized or tapped by the federal government. Two overarching recommendations are the need to address generic social and behavioral determinants of health rather than the clinical causes of disease and death, and the need to intervene at multiple levels of influence including the individual, interpersonal, institutional, community, and policy levels. Seven recommendations for intervention strategies, nine recommendations for research, and three recommendations for funding are offered.
这份由美国国家科学院医学研究所健康促进与疾病预防部门发布的报告称,诸如健康促进和疾病预防等行为和社会干预措施有望大幅降低美国的疾病发病率和死亡率,但联邦政府尚未认识到或挖掘出它们的潜力。两项总体建议是,需要关注健康的一般社会和行为决定因素,而非疾病和死亡的临床病因,以及需要在包括个人、人际、机构、社区和政策层面在内的多个影响层面进行干预。报告还提出了七项干预策略建议、九项研究建议和三项资金建议。