Raub Amy, Heymann Jody
WORLD Policy Analysis Center, University of California, Los Angeles, California 90095-1772, USA; email:
Annu Rev Public Health. 2021 Apr 1;42:423-437. doi: 10.1146/annurev-publhealth-040119-094151. Epub 2021 Dec 21.
From education to working conditions, from income to discrimination, social determinants of health (SDH) shape the majority of health outcomes. Governments are often best positioned to address the major SDH on a population-wide basis. In 2015, governments around the world committed to improving all core SDH when all countries agreed to a set of goals that would improve education, work, income, and equal opportunity, among other areas, in the Sustainable Development Goals (SDGs). Using data from the WORLD Policy Analysis Center, this article highlights how quantitative policy measures can be used to hold governments accountable for their commitments to the SDGs and thus to improve the SDH. Three areas are examined in detail to illustrate this approach to monitoring policy change: ensuring an adequate income, enhancing equal opportunities at work by prohibiting discrimination and sexual harassment, and enabling children and youth to complete their education.
从教育到工作条件,从收入到歧视,健康的社会决定因素(SDH)塑造了大多数健康结果。政府通常最有能力在全人群基础上解决主要的健康社会决定因素。2015年,世界各国政府承诺改善所有核心健康社会决定因素,当时所有国家在可持续发展目标(SDGs)中商定了一系列目标,这些目标将在教育、工作、收入和平等机会等领域带来改善。本文利用世界政策分析中心的数据,强调了如何运用定量政策措施让各国政府为其对可持续发展目标的承诺负责,从而改善健康的社会决定因素。详细考察了三个领域以说明这种监测政策变化的方法:确保充足收入、通过禁止歧视和性骚扰增强工作中的平等机会,以及使儿童和青年能够完成学业。