Sarto Gloria
University of Wisconsin-Madison, UW Center for Women's Health Research, 202 S. Park Street, Madison, WI 53715, USA.
Am J Obstet Gynecol. 2005 Apr;192(4):1188-95. doi: 10.1016/j.ajog.2004.12.065.
There has been remarkable improvement in the health of women over the past century; however, disparities among minority populations persist. While the reasons for the disparities, usually poorer health, are many and complex, such disparities are unacceptable. Because the reasons for disparities are multiple and complex, eliminating health disparities will require a multifaceted approach. Increasing research into health disparities, biologic, sociologic, and health services research, transforming the health care system into a culturally sensitive system, eliminating unequal treatment provided to minority populations, increasing diversity in the health care workforce, and assuring that health care providers provide culturally competent health care are needed.
在过去的一个世纪里,女性的健康状况有了显著改善;然而,少数族裔人群之间的健康差距依然存在。虽然造成这些差距(通常是健康状况较差)的原因众多且复杂,但这种差距是不可接受的。由于差距产生的原因多种多样且复杂,消除健康差距需要采取多方面的方法。需要加强对健康差距的研究,包括生物学、社会学和卫生服务研究;将医疗保健系统转变为一个具有文化敏感性的系统;消除对少数族裔人群的不平等对待;增加医疗保健劳动力的多样性;并确保医疗保健提供者提供具有文化胜任力的医疗保健服务。