De Maio Fernando, Mazzeo John, Ritchie Dannie
Assistant Professor, Department of Sociology at DePaul University.
R I Med J (2013). 2013 Jul 1;96(7):15-9.
The theory and measurement of the social determinants of health featured in a three-part seminar series on Social Determinants of Health, Law and Policy held at the Taubman Center for Public Policy, Brown University in February 2012. The seminar series represents a broader commitment to engage the public, health providers, researchers, and policy makers in dialogue for the purposes of identifying and addressing social determinants of health at community and state levels. This article summarizes and expands upon the first part of the series by defining social determinants of health and exploring methodological debates over their measurement, with a focus on income inequality, racism and discrimination, housing security, and food security. The authors of this article and the members of the seminar series represent the kind of interdisciplinary and applied work necessary for addressing the five key areas of social determinants of health identified in Healthy People 2020: economic stability, education, social and community context, health and health care, and neighborhood and environment.
2012年2月，在布朗大学陶布曼公共政策中心举办了一场关于“健康、法律与政策的社会决定因素”的系列研讨会，共分三部分，主题是健康的社会决定因素的理论与测量。该系列研讨会体现了一种更广泛的承诺，即让公众、医疗服务提供者、研究人员和政策制定者参与对话，以便在社区和州层面识别并解决健康的社会决定因素。本文通过界定健康的社会决定因素并探讨有关其测量的方法学争论，对该系列的第一部分内容进行了总结和拓展，重点关注收入不平等、种族主义与歧视、住房保障和食品安全。本文作者及系列研讨会成员开展的工作体现了跨学科和应用型的特点，这对于解决《健康人民2020》确定的健康的社会决定因素的五个关键领域（经济稳定、教育、社会和社区环境、健康与医疗保健、邻里与环境）而言是必不可少的。
