Keppel Kenneth, Bilheimer Linda, Gurley Leda
Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1281-92. doi: 10.1377/hlthaff.26.5.1281.
The first goal of Healthy People 2010, to increase quality and years of healthy life, does not necessarily coincide with the second goal, to eliminate disparities among population groups. Improvement in the health of the total population without any reduction in relative disparities among racial and ethnic groups was the most frequent outcome at mid-decade for population-based Healthy People objectives. Strategies to maximize improvement in overall population health may have little or no impact on relative disparities or, indeed, may cause them to increase. An independent commitment to eliminating disparities may be necessary.
《健康人民2010》的首要目标是提高健康生活的质量和年限，这不一定与第二个目标，即消除不同人群之间的差距相吻合。在以人群为基础的《健康人民》目标方面，十年中期最常见的结果是总体人口健康状况得到改善，而种族和族裔群体之间的相对差距没有任何缩小。旨在最大限度提高总体人口健康水平的策略可能对相对差距影响很小或没有影响，甚至可能导致差距扩大。可能需要做出独立的努力来消除差距。
