Department of Epidemiology and Public Health, University College London, London, UK.
Lancet. 2012 Jan 14;379(9811):181-8. doi: 10.1016/S0140-6736(11)61506-7. Epub 2011 Oct 18.
Health inequalities are present throughout the world, both within and between countries. The Commission on Social Determinants of Health drew attention to dramatic social gradients in health within most countries and made proposals for action. These inequalities are not inevitable. The purpose of this article is to report on activity that has taken place worldwide after the report by the Commission on Social Determinants of Health. First, we summarise the global situation. Second, we summarise an interim report of the emerging findings from an independent review of social determinants and the health divide, which was commissioned by the WHO European region. The world conference on social determinants of health will be held in Rio de Janeiro, Brazil, in October, 2011. This summit provides an opportunity to galvanise support, prioritise action, and respond to the call by the Commission on Social Determinants of Health for social justice as a route to a fair distribution of health.
健康不平等现象在全球范围内存在，无论是在国家内部还是国家之间。健康问题社会决定因素委员会提请注意大多数国家内卫生状况存在明显的社会梯度差异，并提出了行动建议。这些不平等并非不可避免。本文旨在报告健康问题社会决定因素委员会报告发布后在全球范围内开展的活动。首先，我们概述全球情况。其次，我们概述世界卫生组织欧洲区域委托进行的社会决定因素和卫生鸿沟问题独立审查的中期报告。世界卫生大会将于 2011 年 10 月在巴西里约热内卢举行社会决定因素健康问题世界会议。这次首脑会议提供了一个机会，可借此调动支持、确定优先行动，以及回应健康问题社会决定因素委员会关于将社会正义作为实现健康公平分配的途径的呼吁。
