Abdolhosseini Parirash, Bonner Chantel, Montano Alexandra, Young Yves-Yvette, Wadsworth Daniel, Williams Michelle, Stoner Lee
Harvard School of Public Health-Multidisciplinary International Research Training Program, Boston, MA, United States.
Massey University-Institute of Food Nutrition and Human Health, Wellington, New Zealand.
Glob Health Promot. 2016 Dec;23(4):70-72. doi: 10.1177/1757975915574255. Epub 2015 Mar 31.
Across the globe there is significant variation between and within indigenous populations in terms of world view, culture, and socio-political forces. However, many indigenous groups do share a striking commonality: greater rates of non-communicable diseases and shorter life expectancies than non-indigenous compatriots. Notably, this health gap persists for 'developed' countries, including Australia, Canada, New Zealand and the United States. The question of who is responsible for equalizing the gap is complicated. Using Australia as an exemplar context, this commentary will present arguments 'for' and 'against' the governments of developed nations being held liable for closing the indigenous health gap. We will discuss the history and nature of the health gap, actions needed to 'close the gap', and which party has the necessary resources to do so.
在全球范围内,不同土著群体之间以及各群体内部在世界观、文化和社会政治力量方面存在显著差异。然而,许多土著群体确实有一个惊人的共同点:与非土著同胞相比,非传染性疾病发病率更高,预期寿命更短。值得注意的是,在澳大利亚、加拿大、新西兰和美国等“发达国家”,这种健康差距依然存在。关于谁应对缩小这一差距负责的问题很复杂。以澳大利亚为例,本评论将阐述支持和反对发达国家政府对缩小土著健康差距承担责任的观点。我们将讨论健康差距的历史和本质、“缩小差距”所需采取的行动,以及哪一方拥有这样做所需的资源。