Kawachi I, Subramanian S V, Almeida-Filho N
Center for Society and Health, Harvard School of Public Health, Boston 02115, USA.
J Epidemiol Community Health. 2002 Sep;56(9):647-52. doi: 10.1136/jech.56.9.647.
In this glossary, the authors address eight key questions pertinent to health inequalities: (1) What is the distinction between health inequality and health inequity?; (2) Should we assess health inequalities themselves, or social group inequalities in health?; (3) Do health inequalities mainly reflect the effects of poverty, or are they generated by the socioeconomic gradient?; (4) Are health inequalities mediated by material deprivation or by psychosocial mechanisms?; (5) Is there an effect of relative income on health, separate from the effects of absolute income?; (6) Do health inequalities between places simply reflect health inequalities between social groups or, more significantly, do they suggest a contextual effect of place?; (7) What is the contribution of the lifecourse to health inequalities?; (8) What kinds of inequality should we study?
在本术语表中,作者探讨了与健康不平等相关的八个关键问题:(1)健康不平等与健康公平之间的区别是什么?;(2)我们应该评估健康不平等本身,还是健康方面的社会群体不平等?;(3)健康不平等主要反映贫困的影响,还是由社会经济梯度产生?;(4)健康不平等是由物质匮乏还是心理社会机制介导?;(5)相对收入对健康有影响,与绝对收入的影响分开吗?;(6)不同地方之间的健康不平等仅仅反映社会群体之间的健康不平等,还是更重要的是,它们表明了地方的背景效应?;(7)生命历程对健康不平等的贡献是什么?;(8)我们应该研究哪些类型的不平等?