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将污名化作为对抗肥胖的公共卫生工具——健康与人权视角

Stigmatisation as a public health tool against obesity--a health and human rights perspective.

作者信息

Hartlev Mette

出版信息

Eur J Health Law. 2014 Sep;21(4):365-86. doi: 10.1163/15718093-12341327.

Abstract

The right to health is recognised in human rights law and is also part of the catalogue of patients' rights. It imposes a duty on governments to put in place a system of health protection making it possible for individuals to enjoy the highest attainable standard of health. However, disease patterns are constantly changing, and more and more attention is being paid to so-called lifestyle diseases. Individuals may expose themselves to health threats due to personal choices like eating and smoking habits, and this raises the issue of the individual's obligation with regard to ill health. Hence, is there not only a right to health but also a duty to be healthy? Using obesity as an example, and based on a cross-disciplinary research project, the article analyses selected European and national public health policy papers to see how individual rights and duties are framed and to analyse the use of stigmatisation as a public-health strategy from a health and human rights perspective.

摘要

健康权在人权法中得到承认,也是患者权利目录的一部分。它要求各国政府建立一个健康保护体系,使个人能够享有可达到的最高健康标准。然而,疾病模式在不断变化,所谓的生活方式疾病越来越受到关注。个人可能因饮食和吸烟习惯等个人选择而使自己面临健康威胁,这就引发了个人对健康不佳所应承担的义务问题。因此,是否不仅存在健康权,还存在保持健康的义务?本文以肥胖为例,基于一个跨学科研究项目,分析了欧洲和国家层面的一些公共卫生政策文件,以了解个人权利和义务是如何界定的,并从健康和人权角度分析将污名化作为一种公共卫生策略的运用情况。

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