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世界上最贫穷国家是否存在特定的健康社会决定因素?

Are there particular social determinants of health for the world's poorest countries?

作者信息

Eshetu E B, Woldesenbet S A

机构信息

Health Economics Unit, University of Cape Town, South Africa.

出版信息

Afr Health Sci. 2011 Mar;11(1):108-15.

Abstract

BACKGROUND

The task of improving Social and Economic Determinants of Health (SEDH) imposes a significant challenge to health policy makers in both rich and poor countries. In recent years, while there has been increasing research interest and evidence on the workings of SEDHs, the vast majority of studies on this issue are from developed countries and emphasizes specific concerns of the developed nations of the world. Importantly, they may not fully explain the underlying causal factors and pathways of health inequality in the world's poorest countries.

OBJECTIVE

To explore whether there are specific social determinants of health in the world's poorest countries, and if so, how they could be better identified and researched in Africa in order to promote and support the effort that is currently being made for realizing a better health for all.

METHODS

Extensive literature review of existing papers on the social and economic determinants of health.

CONCLUSION

Most of the existing studies on the social and economic determinants of health studies may not well provide adequate explanation on the historical and contemporary realties of SEDHs in the world's poorest countries. As these factors vary from one country to another, it becomes necessary to understand country-specific conditions and design appropriate policies that take due cognisance of these country-specific circumstances. Therefore, to support the global effort to close gaps in health disparities, further research is needed in the world's poorest countries, especially on African social determinants of health.

摘要

背景

改善健康的社会和经济决定因素(SEDH)的任务给富国和穷国的卫生政策制定者都带来了重大挑战。近年来,虽然对SEDH的运作有越来越多的研究兴趣和证据,但关于这个问题的绝大多数研究都来自发达国家,并且强调世界发达国家的特定关切。重要的是,它们可能无法充分解释世界最贫穷国家健康不平等的潜在因果因素和途径。

目的

探讨世界最贫穷国家是否存在特定的健康社会决定因素,如果存在,如何在非洲更好地识别和研究这些因素,以促进和支持目前为实现全民健康所做的努力。

方法

对现有关于健康的社会和经济决定因素的论文进行广泛的文献综述。

结论

大多数现有的关于健康的社会和经济决定因素的研究可能无法很好地解释世界最贫穷国家SEDH的历史和当代现实。由于这些因素因国家而异,有必要了解各国的具体情况,并设计适当的政策,充分考虑这些国家的具体情况。因此,为了支持全球缩小健康差距的努力,世界最贫穷国家,特别是非洲健康的社会决定因素方面,需要进一步开展研究。

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