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全球卫生公平性:关于健康社会决定因素行动的证据

Global health equity: evidence for action on the social determinants of health.

作者信息

Marmot M, Friel S

机构信息

Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK.

出版信息

J Epidemiol Community Health. 2008 Dec;62(12):1095-7. doi: 10.1136/jech.2008.081695.

DOI:10.1136/jech.2008.081695
PMID:19008370
Abstract

More than 30 years ago, the older of us published a paper with the proposal that all scientific papers should start with a statement along the lines of: "These are the opinions on which I base my facts". Why pretend? To take a topical example, if you are on the nature side of the nature/nurture debates, is it likely that your next paper will be an apologia: "I take it all back; genes don't matter at all; it is all environment"? Unlikely. Similarly, if you are on the other side. (We know. It's both.) Here, we are not in any way arguing for a relativist credo that would say opinions are all. Along with other readers of this journal, we spend a good part of our working lives gathering, analysing and interpreting empirical evidence. Evidence matters. But everyone has values and they do affect our positions.

摘要

30多年前,我们中的年长者发表了一篇论文,提议所有科学论文都应以如下表述开头:“这些是我用以支撑事实的观点”。何必假装呢?举个当下的例子,如果你在天性与 nurture 之争中站在天性这一边,你接下来的论文会是一篇辩解书吗:“我收回之前的话;基因根本不重要;一切都是环境的作用”?不太可能。同样,如果你站在另一边。(我们知道,两者都有影响。)在此,我们绝不是在主张一种相对主义信条,即认为观点就是一切。和本期刊的其他读者一样,我们在工作生涯的很大一部分时间里都在收集、分析和解读实证证据。证据很重要。但每个人都有价值观,而这些价值观确实会影响我们的立场。

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