Östergren Per-Olof
Lunds Universitet - Socialmedicin och global hälsa Lund, Sweden Lunds Universitet - Socialmedicin och global hälsa Lund, Sweden.
Lakartidningen. 2018 Jan 22;115:EX4C.
The understanding of health inequalities requires further development of epidemiological capacity and must have a broad focus on social determinants of health The article by Agardh et al (1) in this issue of Läkartidningen compares the trend of population health in Stockholm county versus the rest of the country. The article represents an important attempt to monitor and understand the driving forces of geographical inequalities in health. However, such inequalities also depend heavily on migration patterns and how these are linked to social determinants of health. Therefore it is important to include determinants from a broad range of policy sectors (e.g. education, labour market, family welfare, as well as health care services) in order to interpret the deeper causes of geographic inequalities in health. Monitoring population health and health inequalities should be linked to a general follow-up of Agenda 2030 and a sustainable development.
对健康不平等的理解需要进一步发展流行病学能力，并且必须广泛关注健康的社会决定因素。阿加德等人（1）在本期《柳叶刀》上发表的文章比较了斯德哥尔摩县与瑞典其他地区的人口健康趋势。这篇文章是监测和理解健康方面地理不平等驱动因素的一项重要尝试。然而，这种不平等也在很大程度上取决于移民模式以及这些模式与健康社会决定因素的联系。因此，重要的是纳入广泛政策部门（如教育、劳动力市场、家庭福利以及医疗服务）的决定因素，以便解读健康方面地理不平等的深层原因。监测人口健康和健康不平等应与对《2030年议程》的总体跟进以及可持续发展相联系。
