School of Psychology and Psychiatry, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia.
Asia Pac J Public Health. 2010 Jul;22(3 Suppl):117S-124S. doi: 10.1177/1010539510372833.
Throughout Southeast Asia, the number of people living with chronic conditions and degenerative disease has increased proportionately and absolutely. Public health interventions and effective medical treatment and surgeries have increased life expectancy. Concurrently, social and economic conditions have led to the rapid escalation of lifelong illnesses, characterized as "lifestyle" conditions. Drawing on ethnographic and survey research conducted in Southeast Asia, the authors illustrate the multiple factors contributing to people's health. Changes in food production; the organization, nature, and conditions of work; living conditions; and other factors affecting contemporary living increase vulnerability to noncommunicable diseases. These factors are largely beyond the control of most people. Efforts to reduce chronic illnesses predominantly focus on individual interventions, overlooking the lack of individual capacity to address the structural and institutional factors that compromise people's health.
在整个东南亚地区,患有慢性疾病和退行性疾病的人数相应地、绝对地增加了。公共卫生干预措施以及有效的医疗和手术已经延长了预期寿命。与此同时,社会和经济条件导致了终身疾病的迅速升级,这些疾病被描述为“生活方式”疾病。本文作者通过在东南亚进行的民族志和调查研究,说明了导致人们健康的多种因素。食物生产方式的变化;工作的组织、性质和条件;生活条件;以及影响当代生活的其他因素增加了人们患非传染性疾病的脆弱性。这些因素在很大程度上超出了大多数人的控制范围。减少慢性病的努力主要侧重于个人干预,而忽略了个人解决影响人们健康的结构性和制度性因素的能力不足。