The Nordic School of Public Health, Göteborg, Sweden.
Scand J Public Health. 2011 Mar;39(6 Suppl):50-6. doi: 10.1177/1403494810376852.
This paper focuses on equity in health, one of the key principles of the Ottawa Charter. It aims at analysing and discussing how the concept was defined, applied, and integrated in health-promotion articles by authors with a Nordic affiliation.
Abstracts were first identified by the search word ''health promotion'' as a key word. The search was limited to 1986-2008 and abstracts written in English by authors with a Nordic affiliation. Abstracts/articles for the present study were subsequently selected from these abstracts using the search word ''equity'' and analysed by quantitative and qualitative content analysis.
A majority of the 18 articles in the study did not include any proper definition of the term ''equity in health''. Most articles dealt with health in general or ''Health for All'' aspects and did not focus on specific strategies for vulnerable individuals or groups. The theoretical papers had a clear focus on equity aspects even though the concept of equity was sometimes included in an implicit way. In contrast, most papers reporting empirical studies did not specifically target equity aspects. Instead, the analysis gave the impression that many authors used the term ''equity'' synonymously with ''equality in health''.
The findings may indicate that the concept of ''equity in health'' has been attenuated or even forgotten by Nordic health-promotion researchers and needs to be re-established as a strong concern within health promotion.
本文聚焦于卫生公平性，这是《渥太华宪章》的关键原则之一。本文旨在分析和讨论具有北欧背景的作者在健康促进文章中如何定义、应用和整合这一概念。
首先通过关键词“健康促进”来确定摘要。搜索范围限于 1986 年至 2008 年，且作者为北欧籍，语言为英文。随后，从这些摘要中使用关键词“公平性”选择本文研究的摘要/文章，并通过定量和定性内容分析进行分析。
本研究中的 18 篇文章中，大多数都没有对“卫生公平性”一词进行适当的定义。大多数文章涉及一般健康或“人人享有健康”方面的问题，而不是关注弱势群体或群体的具体策略。理论性论文明确关注公平性方面，尽管公平性的概念有时是以隐含的方式包含在内的。相比之下，大多数报告实证研究的文章并没有特别针对公平性方面。相反，分析给人的印象是，许多作者将“公平性”一词与“健康公平性”等同使用。
这些发现可能表明，“卫生公平性”的概念已经被北欧健康促进研究人员淡化甚至遗忘，需要重新确立为健康促进的一个重要关注点。
