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加拿大儿童的健康。第三部分:公共政策与儿童健康的社会决定因素。

The health of Canada's children. Part III: Public policy and the social determinants of children's health.

作者信息

Raphael Dennis

机构信息

School of Health Policy and Management, York University, Toronto, Ontario.

出版信息

Paediatr Child Health. 2010 Mar;15(3):143-9. doi: 10.1093/pch/15.3.143.

Abstract

The health of Canada's children does not compare well with other wealthy industrialized nations. Significant inequalities in health exist among Canadian children, and many of these inequalities are due to variations in Canadian children's life circumstances - the social determinants of health. The present article describes the social determinants of children's health and explains how the quality of these social determinants is shaped, in large part, by public policy decisions. The specific public policies that shape the quality of Canadian children's health are examined, and Canadian approaches in comparison with other wealthy developed nations are described. Policy directions that would improve the quality of the social determinants of children's health are presented and barriers to their implementation are considered.

摘要

加拿大儿童的健康状况与其他富裕工业化国家相比并不理想。加拿大儿童之间存在显著的健康不平等现象,其中许多不平等是由于加拿大儿童生活环境的差异——即健康的社会决定因素所致。本文描述了儿童健康的社会决定因素,并解释了这些社会决定因素的质量在很大程度上是如何由公共政策决策塑造的。探讨了塑造加拿大儿童健康质量的具体公共政策,并描述了加拿大与其他富裕发达国家相比的做法。提出了有助于提高儿童健康社会决定因素质量的政策方向,并考虑了实施这些政策的障碍。

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