Sederer Lloyd I
Dr. Sederer is with the New York State Office of Mental Health, New York City (e-mail:
Psychiatr Serv. 2016 Feb;67(2):234-5. doi: 10.1176/appi.ps.201500232. Epub 2015 Nov 2.
Ninety percent of the determinants of our health derive from our lifetime social and physical environment-not from the provision of health care. The author describes behaviors, such as poor eating, excessive drinking and abuse of drugs, smoking, and physical inactivity, and social factors, such as adverse childhood experiences, poor education, food insecurity, poor housing quality, unemployment, and discrimination, that contribute to ill health and early demise. Better health and mental health can be achieved by understanding and responding to these determinants of health.
我们健康状况的90%取决于我们一生的社会和自然环境，而非医疗保健的提供。作者描述了一些行为，如不良饮食、过度饮酒、药物滥用、吸烟和缺乏体育锻炼，以及一些社会因素，如童年不良经历、教育程度低、粮食不安全、住房质量差、失业和歧视，这些都会导致健康不佳和过早死亡。通过了解并应对这些健康决定因素，能够实现更好的健康和心理健康。
