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儿童健康不平等的途径。

Pathways to inequalities in child health.

机构信息

MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.

Department of Public Health and Policy, Institute of Population Health Sciences, University of Liverpool, Liverpool, UK.

出版信息

Arch Dis Child. 2019 Oct;104(10):998-1003. doi: 10.1136/archdischild-2018-314808. Epub 2019 Feb 23.

Abstract

From birth, children living in disadvantaged socioeconomic circumstances (SECs) suffer from worse health than their more advantaged peers. The pathways through which SECs influence children's health are complex and inter-related, but in general are driven by differences in the distribution of power and resources that determine the economic, material and psychosocial conditions in which children grow up. A better understanding of why children from more disadvantaged backgrounds have worse health and how interventions work, for whom and in what contexts, will help to reduce these unfair differences. Macro-level change is also required, including the reduction of child poverty through improved social security systems and employment opportunities, and continued investment in high-quality and accessible services (eg, childcare, key workers, children's centres and healthy school environments). Child health professionals can play a crucial role by being mindful of the social determinants of health in their daily practice, and through advocating for more equitable and child-focussed resource allocation.

摘要

从出生起,生活在弱势社会经济环境(SEC)中的儿童的健康状况就不如那些条件更为优越的同龄人。弱势社会经济环境影响儿童健康的途径是复杂且相互关联的,但总体而言,是由权力和资源分配的差异所驱动的,这些差异决定了儿童成长的经济、物质和社会心理条件。更好地了解为什么来自弱势背景的儿童健康状况更差,以及干预措施如何在何种情况下为谁发挥作用,将有助于减少这些不公平的差异。还需要进行宏观层面的变革,包括通过改善社会保障体系和就业机会减少儿童贫困,并持续投资高质量和可及的服务(例如,儿童保育、关键工作人员、儿童中心和健康的学校环境)。儿童健康专业人员可以通过在日常实践中关注健康的社会决定因素,并通过倡导更公平和以儿童为中心的资源分配,发挥至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fcc/6889761/ad91816d5858/archdischild-2018-314808f01.jpg

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