Oregon Research Institute, Eugene, Ore.
Oregon Research Institute, Eugene, Ore.
Acad Pediatr. 2017 Sep-Oct;17(7S):S150-S157. doi: 10.1016/j.acap.2017.04.002.
This article presents a framework for evolving a society that nurtures the health and well-being of its population. We review evidence that adverse social conditions, including poverty, conflict, discrimination, and other forms of social rejection, contribute immensely to our most ubiquitous psychological, behavioral, and health problems. We then enumerate the ways that effective family and school prevention programs could ameliorate much of the social adversity leading to these problems. The widespread and effective implementation of these programs-in primary care, social services, and education-must be a high priority. Beyond the implementation of specific programs, however, we must also make a more concerted effort to promote prosocial values that support nurturing families and schools. Our society's priorities must be to generate specific policies that reduce poverty and discrimination and, in so doing, reduce the risk for negative health-related outcomes.
本文提出了一个使社会得以进化以培育其人口健康与幸福的框架。我们回顾了证据,表明不利的社会条件,包括贫困、冲突、歧视和其他形式的社会排斥,极大地促成了我们最普遍的心理、行为和健康问题。然后,我们列举了有效的家庭和学校预防计划可以改善导致这些问题的许多社会逆境的方式。必须将这些计划广泛而有效地实施于初级保健、社会服务和教育中。然而,除了实施具体的计划外,我们还必须更加努力地促进支持培育家庭和学校的亲社会价值观。我们社会的当务之急必须是制定具体政策,减少贫困和歧视,从而降低与健康相关的不良后果的风险。