City University of New York School of Public Health at Hunter College, New York, NY 10035, USA.
J Public Health Policy. 2012 May;33(2):244-56. doi: 10.1057/jphp.2011.60. Epub 2012 Jan 19.
Recently, researchers have debated two views on the connection between lifestyle and health. In the first, health-related lifestyles including tobacco and alcohol use, diet, and physical activity are seen as primary influences on health. In the second, social stratification is the dominant influence with lifestyles simply markers of social status. Neither approach leads to interventions that can reverse the world's most serious health problems. This article proposes that corporate practices are a dominant influence on the lifestyles that shape patterns of health and disease. Modifying business practices that promote unhealthy lifestyles is a promising strategy for improving population health. Corporations shape lifestyles by producing and promoting healthy or unhealthy products, creating psychological desires and fears, providing health information, influencing social and physical environments, and advancing policies that favor their business goals. Public officials and health professionals can promote health by advocating policies to modify these corporate practices.
最近,研究人员就生活方式与健康之间的关系存在两种观点。第一种观点认为,与健康相关的生活方式,包括烟草和酒精使用、饮食和体育活动,是对健康的主要影响因素。第二种观点认为,社会分层是主要影响因素,而生活方式只是社会地位的标志。这两种方法都不能解决世界上最严重的健康问题。本文提出,企业行为是影响生活方式的主要因素,而生活方式又决定了健康和疾病的模式。改变促进不健康生活方式的企业行为是改善人口健康的一个有希望的策略。企业通过生产和推广健康或不健康的产品、创造心理欲望和恐惧、提供健康信息、影响社会和物理环境以及推行有利于其商业目标的政策来塑造生活方式。政府官员和卫生专业人员可以通过倡导修改这些企业行为的政策来促进健康。