Mackereth Catherine, Appleton Jane
NHS South of Tyne and Wear.
Community Pract. 2008 Aug;81(8):23-6.
This paper examines the growing body of research that identifies links between poverty and ill health, and the evidence that social factors do affect health. Epidemiological studies clearly demonstrate links between inequality, poor social networks and ill health. This paper critically examines these core public health concepts and provides a way for practitioners to demonstrate to managers and commissioners that community work which aims to build social networks and address health inequalities should be properly funded. In terms of practice, there is evidence that there is still a lot of work that can be undertaken at a local level that can help to address issues of social isolation and promote social networks. Epidemiological evidence can be used by community practitioners to identify public health work at a local level and to demonstrate the worth of existing local projects.
本文审视了越来越多的研究成果，这些研究确定了贫困与健康不佳之间的联系，以及社会因素确实会影响健康的证据。流行病学研究清楚地表明了不平等、不良社会网络与健康不佳之间的联系。本文批判性地审视了这些核心公共卫生概念，并为从业者提供了一种方法，用以向管理人员和专员证明，旨在建立社会网络和解决健康不平等问题的社区工作应得到适当资助。在实践方面，有证据表明，在地方层面仍有许多工作可做，有助于解决社会孤立问题并促进社会网络的发展。社区从业者可利用流行病学证据来确定地方层面的公共卫生工作，并证明现有地方项目的价值。
