Eckersley Richard
Australia21 Ltd, 23 Garland Rd, Bundanoon, NSW 2578, Australia.
Soc Sci Med. 2015 Dec;147:121-5. doi: 10.1016/j.socscimed.2015.10.052. Epub 2015 Oct 30.
The impact of inequality on health is gaining more attention as public and political concern grows over increasing inequality. The income inequality hypothesis, which holds that inequality is detrimental to overall population health, is especially pertinent. However the emphasis on inequality can be challenged on both empirical and theoretical grounds. Empirically, the evidence is contradictory and contested; theoretically, it is inconsistent with our understanding of human societies as complex systems. Research and discussion, both scientific and political, need to reflect better this complexity, and give greater recognition to other social determinants of health.
随着公众和政治界对不平等加剧的担忧日益增加，不平等对健康的影响越来越受到关注。收入不平等假说认为不平等对总体人口健康有害，这一假说尤其切题。然而，对不平等的强调在经验和理论层面都可能受到挑战。从经验上看，证据相互矛盾且存在争议；从理论上看，它与我们将人类社会视为复杂系统的理解不一致。科学和政治方面的研究与讨论都需要更好地反映这种复杂性，并更多地认识到健康的其他社会决定因素。
