Lampert T, Richter M, Klocke A
Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsberichterstattung, Berlin.
Gesundheitswesen. 2006 Feb;68(2):94-100. doi: 10.1055/s-2005-858990.
Today, children and young people represent the age group that is most frequently threatened by poverty in Germany. Poverty during childhood means a bad start to life and often has long-term effects on an adolescent's social and health development. Health problems are more frequent among preschool-age children from socially disadvantaged families. They are also more often affected by accidents and dental problems. In adolescence, links can be established between the social situation and psychosocial well-being, pain incidence and health behaviour. However, poverty does not inevitably go hand-in-hand with health problems. A stable and supporting social environment -- particularly in families, peer groups and schools -- promotes the development of a positive self-image and social skills, thus empowering the child to deal with demanding living conditions. Measures of social and health policy aimed at lessening the effects of poverty on health must start here.
如今,儿童和青少年是德国受贫困威胁最为频繁的年龄群体。童年时期的贫困意味着人生起点不佳,往往会对青少年的社会和健康发展产生长期影响。社会处境不利家庭的学龄前儿童健康问题更为常见。他们也更常遭遇事故和牙齿问题。在青少年时期,社会状况与心理社会幸福感、疼痛发生率和健康行为之间存在关联。然而,贫困并不必然与健康问题相伴。一个稳定且给予支持的社会环境——尤其是在家庭、同龄人群体和学校中——能促进积极自我形象和社交技能的发展,从而使孩子有能力应对苛刻的生活条件。旨在减轻贫困对健康影响的社会和卫生政策措施必须从这里着手。