Leong Donna, Roberts Elizabeth
BA in Ethnic Studies, Political Science, and American Studies from Brown University.
R I Med J (2013). 2013 Jul 1;96(7):20-2.
Healthy living is mainly seen as a product of good genetics and holistic healthcare in the United States, but a growing field of research is also attributing well-being to social determinants of health (SDH), which are the compounded effects that arise from the concentration or lack of social capital. The Affordable Care Act (ACA) was enacted to promote the overall health of the country and its clauses are calling to attention the health disparities that come from social inequalities, the main sources for SDH. The ACA acknowledges that SDH affects marginalized communities in different ways, and to mitigate their effects, it localizes funding in hopes of empowering individuals and communities, but there is no integrated, multi-prong system for addressing SDH.
在美国,健康生活主要被视为良好基因和整体医疗保健的产物,但一个不断发展的研究领域也将幸福感归因于健康的社会决定因素(SDH),即社会资本集中或缺乏所产生的综合影响。《平价医疗法案》(ACA)的颁布是为了促进国家的整体健康,其条款呼吁人们关注源于社会不平等的健康差距,而社会不平等是SDH的主要来源。ACA承认SDH以不同方式影响边缘化社区,为减轻其影响,它将资金本地化,希望增强个人和社区的能力,但目前还没有一个综合的、多方面的系统来解决SDH问题。