Division of Public Health Practice, Harvard School of Public Health, Boston, MA 02115, USA.
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S72-80. doi: 10.2105/AJPH.2009.167353. Epub 2010 Feb 10.
Translating research evidence to reduce health disparities has emerged as a global priority. The 2008 World Health Organization Commission on Social Determinants of Health recently urged that gaps in health attributable to political, social, and economic factors should be closed in a generation. Achieving this goal requires a social determinants approach to create public health systems that translate efficacy documented by research into effectiveness in the community. We review the scope, definitions, and framing of health disparities and explore local, national, and global programs that address specific health disparities. Such efforts translate research evidence into real-world settings and harness collaborative social action for broad-scale, sustainable change.
将研究证据转化为实践以减少健康差异已成为全球的重点。最近，2008 年世界卫生组织社会决定因素健康委员会敦促，应在一代人的时间内弥合因政治、社会和经济因素造成的健康差距。实现这一目标需要采取社会决定因素方法，创建能够将研究证明的疗效转化为社区实际效果的公共卫生系统。我们回顾了健康差异的范围、定义和框架，并探讨了针对特定健康差异的地方、国家和全球方案。这些努力将研究证据转化为实际环境，并利用协作性社会行动实现大规模、可持续的变革。
