London School of Hygiene and Tropical Medicine, London, UK.
Am J Public Health. 2011 Apr;101(4):654-62. doi: 10.2105/AJPH.2010.199505. Epub 2011 Feb 17.
Growing consensus indicates that progress in tuberculosis control in the low- and middle-income world will require not only investment in strengthening tuberculosis control programs, diagnostics, and treatment but also action on the social determinants of tuberculosis. However, practical ideas for action are scarcer than is notional support for this idea. We developed a framework based on the recent World Health Organization Commission on Social Determinants of Health and on current understanding of the social determinants of tuberculosis. Interventions from outside the health sector-specifically, in social protection and urban planning-have the potential to strengthen tuberculosis control.
越来越多的共识表明，在中低收入国家控制结核病不仅需要投资于加强结核病控制规划、诊断和治疗，还需要采取行动解决结核病的社会决定因素。然而，实际行动的想法比名义上支持这一想法的想法还要少。我们根据世界卫生组织社会决定因素健康委员会的最新报告以及当前对结核病社会决定因素的理解，制定了一个框架。来自卫生部门以外的干预措施——特别是在社会保护和城市规划方面——有可能加强结核病控制。
