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治标更要治本:为何关注睡眠能了解健康的社会决定因素。

Treat the source not the symptoms: why thinking about sleep informs the social determinants of health.

出版信息

Health Educ Res. 2010 Jun;25(3):395-400. doi: 10.1093/her/cyq027. Epub 2010 Apr 21.

DOI:10.1093/her/cyq027
PMID:20410072
Abstract

Based on theoretical and empirical work, we argue that autonomy is likely an important underlying source of healthy sleep. The implication is that 'treatment' for sleep problems cannot be understood as an individual-level behavioral problem but must instead be addressed in concert with larger scale social factors that may be inhibiting high-quality sufficient sleep in large segments of the population. When sleep is understood as a proxy for health, the implications extend even further. Policies and interventions that facilitate the autonomy of individuals therefore may not only help reduce individual sleep problems but also have broader consequences for ameliorating social disparities in health.

摘要

基于理论和实证研究,我们认为自主性可能是健康睡眠的一个重要潜在来源。这意味着,睡眠问题的“治疗”不能被理解为个体层面的行为问题,而必须与可能抑制大部分人获得高质量充足睡眠的更大规模社会因素一起解决。当睡眠被理解为健康的代表时,其影响范围甚至更广。因此,促进个人自主性的政策和干预措施不仅可能有助于减少个体的睡眠问题,而且对改善健康方面的社会差异也有更广泛的影响。

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