Shannon I R
Department of Community Health Nursing, Rush College of Nursing, Rush University, Chicago, IL.
Henry Ford Hosp Med J. 1990;38(2-3):144-7.
Urban health issues are multidimensional. Some effort has been made to identify their complexities in this presentation. Health providers working with inner-city populations must consider an array of social, health, and environmental factors in their assessments of health problems. Many of the societal issues which negatively impact health, such as poverty, lack of a universal health program, unemployment, violence, drugs, and other factors, can be corrected in our society only if the political will to do so is present. Health workers have a responsibility to advocate for programs and environments in which all citizens can maximize their full potential. Populations in urban areas who are at risk for disease, disability, and premature death make cities special places for focusing on the promotion of health and the prevention of disease. The contributions that can be made by health workers should be directed toward improving the quality of life for urban residents. The challenges to do so are essentially unlimited.
城市健康问题是多方面的。在本报告中已做出一些努力来识别其复杂性。与市中心居民打交道的医疗服务提供者在评估健康问题时必须考虑一系列社会、健康和环境因素。许多对健康有负面影响的社会问题，如贫困、缺乏全民健康计划、失业、暴力、毒品及其他因素，只有在有这样做的政治意愿时，才能在我们的社会中得到纠正。卫生工作者有责任倡导建立能让所有公民充分发挥潜力的项目和环境。城市中面临疾病、残疾和过早死亡风险的人群使城市成为关注健康促进和疾病预防的特殊场所。卫生工作者所能做出的贡献应致力于提高城市居民的生活质量。这样做面临的挑战基本上是无穷无尽的。
