1Los Angeles County Department of Public Health, Los Angeles, CA, USA.
Health Educ Behav. 2013 Oct;40(5):513-9. doi: 10.1177/1090198113502356.
Social, physical, and economic environments are the greatest determinants of our individual and collective health. Inadequate or substandard environments of all types present barriers to health. Addressing these broader determinants will be the quintessential core in the next era of public health practice. The framework for health improvement is shifting to a robust and comprehensive ecological model, wherein the broader constructs of health determinants will be central issues in population health improvement practice requiring expanded partnerships, increased application of scientific evidence, and healthy policy development within and outside of the traditional health sector. Health educators are uniquely positioned to effectively engage essential partners, shape information for policy makers, leverage the evidence base to implement effective interventions and maximize beneficial health outcomes, and add to the evidence base with thorough and systematic evaluation and reporting.
社会、身体和经济环境是决定我们个人和集体健康的最大因素。各种类型的不充分或不合格的环境都会对健康造成障碍。解决这些更广泛的决定因素将是下一阶段公共卫生实践的核心。健康改善的框架正在转向一个强大和全面的生态模型，其中健康决定因素的更广泛结构将成为改善人口健康实践的核心问题，需要扩大伙伴关系，增加科学证据的应用，并在传统卫生部门内外制定健康政策。健康教育工作者具有独特的地位，可以有效地与重要伙伴接触，为决策者提供信息，利用证据基础实施有效的干预措施，并最大限度地提高有益的健康结果，并通过彻底和系统的评估和报告为证据基础做出贡献。
