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部门职业培训作为改善健康公平的干预措施。

Sectoral job training as an intervention to improve health equity.

机构信息

Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.

出版信息

Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S88-94. doi: 10.2105/AJPH.2009.181826. Epub 2010 Feb 10.

DOI:10.2105/AJPH.2009.181826
PMID:20147666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2837425/
Abstract

A growing literature on the social determinants of health strongly suggests the value of examining social policy interventions for their potential links to health equity. I investigate how sectoral job training, an intervention favored by the Obama administration, might be conceptualized as an intervention to improve health equity. Sectoral job training programs ideally train workers, who are typically low income, for upwardly mobile job opportunities within specific industries. I first explore the relationships between resource redistribution and health equity. Next, I discuss how sectoral job training theoretically redistributes resources and the ways in which these resources might translate into improved health. Finally, I make recommendations for strengthening the link between sectoral job training and improved health equity.

摘要

关于健康的社会决定因素的文献越来越多,这强烈表明有必要研究社会政策干预措施与健康公平之间的潜在联系。我探讨了部门就业培训这一奥巴马政府所青睐的干预措施如何被视为改善健康公平的干预措施。部门就业培训计划理想情况下是为典型低收入工人提供特定行业中向上流动的就业机会。我首先探讨了资源再分配与健康公平之间的关系。接下来,我讨论了部门就业培训如何在理论上重新分配资源,以及这些资源如何转化为改善健康的途径。最后,我提出了加强部门就业培训与改善健康公平之间联系的建议。

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本文引用的文献

1
Addressing social determinants of health inequities: what can the state and civil society do?解决健康不平等问题的社会决定因素:国家和民间社会能做些什么?
Lancet. 2008 Nov 8;372(9650):1684-9. doi: 10.1016/S0140-6736(08)61693-1.
2
Social patterning of stress and coping: does disadvantaged social statuses confer more stress and fewer coping resources?压力与应对的社会模式:处于不利社会地位是否会带来更多压力和更少的应对资源?
Soc Sci Med. 2008 Aug;67(3):368-79. doi: 10.1016/j.socscimed.2008.03.012. Epub 2008 Apr 21.
3
Income redistribution is not enough: income inequality, social welfare programs, and achieving equity in health.收入再分配是不够的:收入不平等、社会福利项目与实现健康公平
J Epidemiol Community Health. 2007 Dec;61(12):1038-41. doi: 10.1136/jech.2006.054627.
4
The psychosocial and health effects of workplace reorganisation. 1. A systematic review of organisational-level interventions that aim to increase employee control.工作场所重组对心理社会和健康的影响。1. 对旨在增强员工控制权的组织层面干预措施的系统评价。
J Epidemiol Community Health. 2007 Nov;61(11):945-54. doi: 10.1136/jech.2006.054965.
5
The significance of employment for chronic stress and psychological distress among rural single mothers.就业对农村单身母亲慢性压力和心理困扰的影响
Am J Community Psychol. 2007 Dec;40(3-4):181-93. doi: 10.1007/s10464-007-9141-0.
6
Achieving health equity: from root causes to fair outcomes.实现健康公平:从根本原因到公平结果。
Lancet. 2007 Sep 29;370(9593):1153-63. doi: 10.1016/S0140-6736(07)61385-3.
7
Pathways of influence on equity in health.影响健康公平性的途径。
Soc Sci Med. 2007 Apr;64(7):1355-62. doi: 10.1016/j.socscimed.2006.11.027. Epub 2007 Jan 8.
8
Status syndrome: a challenge to medicine.《地位综合征:对医学的挑战》
JAMA. 2006 Mar 15;295(11):1304-7. doi: 10.1001/jama.295.11.1304.
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J Health Polit Policy Law. 2005 Dec;30(6):1131-62. doi: 10.1215/03616878-30-6-1131.
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Chronic stress at work and the metabolic syndrome: prospective study.工作中的慢性压力与代谢综合征:前瞻性研究
BMJ. 2006 Mar 4;332(7540):521-5. doi: 10.1136/bmj.38693.435301.80. Epub 2006 Jan 20.