Marmot M, Bell R, Goldblatt P
UCL Institute of Health Equity, University College London, 1-19 Torrington Place, London WC1E 7HB, United Kingdom.
Rev Epidemiol Sante Publique. 2013 Aug;61 Suppl 3:S127-32. doi: 10.1016/j.respe.2013.05.014. Epub 2013 Jul 9.
Closing the Gap in a Generation, the final report of the Commission on Social Determinants of Health (CSDH) proposed that inequities in power, money and resources were responsible for much of the inequalities in health within and between countries. A toxic combination of poor policies and programmes, unfair economic arrangements and bad governance led to inequalities in the conditions of daily life: the circumstances in which people are born, grow, live, work, and age. Our message is that there needs to be a cross-government commitment to action on social determinants of health. With this commitment, the knowledge synthesised in our report suggests that there is much that can be done at the practical level.
《消除一代人的差距：健康问题社会决定因素委员会的最终报告》提出，国家内部和国家之间健康方面的诸多不平等现象是由权力、金钱和资源的不平等造成的。糟糕的政策与项目、不公平的经济安排以及不良治理的有害结合导致了日常生活条件的不平等：即人们出生、成长、生活、工作和衰老的环境。我们要传达的信息是，政府各部门需要共同承诺采取行动解决健康问题的社会决定因素。有了这一承诺，我们报告中综合的知识表明在实际层面有很多事情可以做。
