Global Health and Foreign Policy Initiative, Paul H. Nitze School of Advanced International Studies, Johns Hopkins University, 1717 Massachusetts Avenue NW, Washington, DC 20036, USA.
Epidemiol Rev. 2010;32(1):82-92. doi: 10.1093/epirev/mxq006. Epub 2010 Apr 27.
Health has long been intertwined with the foreign policies of states. In recent years, however, global health issues have risen to the highest levels of international politics and have become accepted as legitimate issues in foreign policy. This elevated political priority is in many ways a welcome development for proponents of global health, and it has resulted in increased funding for and attention to select global health issues. However, there has been less examination of the tensions that characterize the relationship between global health and foreign policy and of the potential effects of linking global health efforts with the foreign-policy interests of states. In this paper, the authors review the relationship between global health and foreign policy by examining the roles of health across 4 major components of foreign policy: aid, trade, diplomacy, and national security. For each of these aspects of foreign policy, the authors review current and historical issues and discuss how foreign-policy interests have aided or impeded global health efforts. The increasing relevance of global health to foreign policy holds both opportunities and dangers for global efforts to improve health.
健康问题一直与各国的外交政策紧密交织。然而，近年来，全球健康问题已上升到国际政治的最高层面，并被视为外交政策中的合法议题。这种政治优先级的提高，在许多方面都受到全球健康倡导者的欢迎，也导致了对特定全球健康问题的资金投入和关注度的增加。然而，对于全球健康与外交政策之间的关系特点，以及将全球健康努力与各国外交政策利益联系起来的潜在影响，人们关注得较少。在本文中，作者通过考察卫生在外交政策的四个主要组成部分（援助、贸易、外交和国家安全）中的作用，来回顾全球健康与外交政策之间的关系。对于外交政策的每一个方面，作者都回顾了当前和历史上的问题，并讨论了外交政策利益如何促进或阻碍全球健康工作。全球健康对外交政策的重要性日益增加，这为改善全球健康的全球努力带来了机遇和挑战。
