Tapia Granados José A
Program on Social Environment & Health, University of Michigan Institute for Social Research, Michigan, EE. UU.
Rev Peru Med Exp Salud Publica. 2013 Oct-Dec;30(4):657-64.
This essay reviews the relation between health inequities and economic growth. The general meaning of these and ancillary concepts (economic development, health inequalities) is briefly reviewed. Some studies illustrating different hypotheses on the long-run historical evolution of health inequalities are presented, and three case studies -the United States in 1920-1940 and in recent years, Finland during the expansion of the 1980s and the recession of the 1990s- are reviewed to demonstrate the evolution of health inequalities during the periods of expansion and recession in markets economies that conform to the so-called business cycle. Health inequities between ethnic groups and social classes are often found in modern societies, and some of these disparities seem to be widening. Periods of economic expansion do not seem favorable for the lessening of health inequalities. Contrarily, and counter-intuitively, evidence rather suggests that it is during periods of recession that gaps in health between privileged and disadvantaged groups tend to narrow.
本文回顾了健康不平等与经济增长之间的关系。简要回顾了这些概念以及相关概念(经济发展、健康不平等)的一般含义。介绍了一些说明健康不平等长期历史演变不同假说的研究,并回顾了三个案例研究——20世纪20年代至40年代的美国以及近年来的美国、20世纪80年代扩张期和90年代衰退期的芬兰——以展示符合所谓商业周期的市场经济扩张和衰退时期健康不平等的演变。现代社会中经常发现不同种族群体和社会阶层之间存在健康不平等,其中一些差距似乎正在扩大。经济扩张时期似乎不利于减少健康不平等。相反,与直觉相反的是,证据表明,正是在衰退时期,特权群体和弱势群体之间的健康差距往往会缩小。