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不同的疾病,同样的挑战:结核病和 COVID-19 的社会决定因素。

Different disease, same challenges: Social determinants of tuberculosis and COVID-19.

机构信息

EPI Unit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal; Unidade de Investigação Clínica da Administração Regional de Saúde do Norte, Porto, Portugal; Departamento de Ciências de Saúde Pública, Ciências Forenses e Educação Médica, Universidade do Porto, Porto, Portugal; Serviço de Pneumologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

EPI Unit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.

出版信息

Pulmonology. 2021 Jul-Aug;27(4):338-344. doi: 10.1016/j.pulmoe.2021.02.002. Epub 2021 Feb 19.

Abstract

Infectious diseases, such as tuberculosis (TB) and the novel coronavirus (COVID-19) relate to environmental factors, understanding of which is essential to inform policy and practice and tackle them effectively. The review follows the conceptual framework offered by the World Health Organization Commission on Social Determinants of Health (defined as "all those material, psychological and behavioural circumstances linked to health and generically indicated as risk factors' in the conventional epidemiological language"). It describes the social factors behind TB and COVID-19, the commonalities between the two diseases, and what can be learned so far from the published best practices. The social determinants sustaining TB and COVID-19 underline the importance of prioritising health and allocating adequate financial and human resources to achieve universal health coverage and health-related social protection while addressing the needs of vulnerable populations. Rapid and effective measures against poverty and other major social determinants and sources of inequality are urgently needed to develop better health in the post-COVID-19 world.

摘要

传染病,如结核病(TB)和新型冠状病毒(COVID-19)与环境因素有关,了解这些因素对于制定政策和实践以及有效应对这些疾病至关重要。本综述遵循世界卫生组织社会决定因素健康委员会提供的概念框架(在传统流行病学语言中定义为“与健康相关的所有物质、心理和行为环境,并通常被表示为风险因素”)。它描述了结核病和 COVID-19 背后的社会因素、两种疾病之间的共同之处,以及迄今为止从已发表的最佳实践中可以学到的内容。维持结核病和 COVID-19 的社会决定因素强调了优先考虑健康并分配足够的财务和人力资源以实现全民健康覆盖和与健康相关的社会保护的重要性,同时满足弱势群体的需求。迫切需要采取快速有效的措施来消除贫困和其他主要社会决定因素以及不平等的根源,以便在后 COVID-19 世界中实现更好的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95e7/7894090/e1995ded1e89/gr1_lrg.jpg

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