Centre for Research on Inner City Health, Toronto, ON, Canada. o'
J Urban Health. 2012 Dec;89(6):881-93. doi: 10.1007/s11524-012-9695-5.
Globally, health and social inequities are growing and are created, actively maintained, and aggravated by existing policies and practices. The call for evidence-based policy making to address this injustice seems a promising strategy to facilitate a reversal of existing strategies and the design of new effective programming. Acting on evidence to address inequities requires congruence between identifying the major drivers of disparities and the study of their causes and solutions. Yet, current research on inequities tends to focus on documenting disparities among individuals or subpopulations with little focus on identifying the macro-social causes of adverse population health. Moreover, the research base falls far short of a focus on the solutions to the complex multilevel drivers of disparities. This paper focuses upon recommendations to refocus and improve the public health research evidence generated to inform and create strong evidence-based recommendations for improving population health.
从全球范围来看,健康和社会不平等现象日益严重,而现行政策和做法加剧了这些不平等现象的产生、积极维持和恶化。呼吁循证决策来解决这一不公正现象似乎是一种很有前途的策略,可以促进扭转现有策略,并设计新的有效方案。要想通过循证来解决不平等问题,就需要在确定造成差异的主要驱动因素与研究这些因素的原因和解决办法之间保持一致。然而,目前关于不平等现象的研究往往侧重于记录个人或亚人群之间的差异,而很少关注确定造成人口健康不良的宏观社会原因。此外,研究基础远远没有侧重于找出造成差异的多层面复杂驱动因素的解决办法。本文侧重于提出建议,重新调整和改进公共卫生研究证据,为制定强有力的循证建议以改善人口健康提供信息。