At the time of the study, Mark C. Thurber and Alexander Slaski were with the Program on Energy and Sustainable Development, Christina Warner and Lauren Platt were with the Program in Human Biology, Rajesh Gupta was with the School of Medicine, and Grant Miller was with the School of Medicine and the Freeman Spogli Institute for International Studies, Stanford University, Stanford, CA.
Am J Public Health. 2013 Oct;103(10):1736-40. doi: 10.2105/AJPH.2013.301367. Epub 2013 Aug 15.
Health risks from poor malaria control, unsafe water, and indoor air pollution are responsible for an important share of the global disease burden-and they can be addressed by efficacious household health technologies that have existed for decades. However, coverage rates of these products among populations at risk remain disappointingly low. We conducted a review of the medical and public health literatures and found that health considerations alone are rarely sufficient motivation for households to adopt and use these technologies. In light of these findings, we argue that health education and persuasion campaigns by themselves are unlikely to be adequate. Instead, health policymakers and professionals must understand what users value beyond health and possibly reengineer health technologies with these concerns in mind.
卫生条件差导致疟疾、不安全用水和室内空气污染造成的健康风险，是全球疾病负担的重要组成部分，而这些问题可以通过几十年来一直存在的有效家庭健康技术来解决。然而，在面临这些风险的人群中，这些产品的覆盖率仍然低得令人失望。我们对医学和公共卫生文献进行了回顾，发现仅考虑健康因素通常不足以促使家庭采用和使用这些技术。鉴于这些发现，我们认为仅靠健康教育和宣传活动不太可能充分发挥作用。相反，卫生政策制定者和专业人员必须了解用户除健康以外看重的东西，并可能需要考虑这些问题对卫生技术进行重新设计。
