Low M David, Low Barbara J, Baumler Elizabeth R, Huynh Phuong T
University of Texas, USA.
J Health Polit Policy Law. 2005 Dec;30(6):1131-62. doi: 10.1215/03616878-30-6-1131.
Research on the social determinants of health has demonstrated robust correlations between several social factors, health status, and life expectancy. Some of these factors could be modified through policy intervention. National-level public policies explicitly based on population health research are in various stages of development in many Western countries, but in spite of evident need, seemingly not at all in the United States. Because research shows such a strong association between education and good health, we offer evidence to show that at least two pressing problems in American society, namely the uneven distribution of educational attainment and health disparities linked to socioeconomic position, may be ameliorated through policy initiatives that link quality early childhood care, child development programs, and parental training in a seamless continuum with strengthened K-12 education.
对健康的社会决定因素的研究表明,若干社会因素、健康状况和预期寿命之间存在着密切的相关性。其中一些因素可以通过政策干预加以改变。在许多西方国家,明确基于人口健康研究的国家级公共政策正处于不同的发展阶段,但尽管有明显的需求,在美国似乎根本不存在这样的政策。由于研究表明教育与良好健康之间存在着如此紧密的联系,我们提供证据表明,美国社会至少有两个紧迫问题,即教育程度的不均衡分布以及与社会经济地位相关的健康差距,或许可以通过政策举措得到改善,这些举措将优质的幼儿保育、儿童发展项目和家长培训与强化的K-12教育无缝衔接起来。