Neurohospitalist Division, Department of Neurology, University of California San Francisco, 1001 Potrero Avenue, Building 1, Room 101, Box 0870, San Francisco, CA 94110, USA.
Neurol Clin. 2022 Feb;40(1):231-247. doi: 10.1016/j.ncl.2021.08.012.
Neurologic health disparities are created and perpetuated by structural and social determinants of health. These factors include, but are not limited to, interpersonal bias, institutional factors that lead to disparate access to care, and neighborhood-level factors, such as socioeconomic status, segregation, and access to healthy food. Effects of these determinants of health can be seen throughout neurology, including in stroke, epilepsy, headache, amyotrophic lateral sclerosis, multiple sclerosis, and dementia. Interventions to improve neurologic health equity require multilayered approaches to address these interdependent factors that create and perpetuate disparate neurologic health access and outcomes.
神经健康差异是由健康的结构性和社会性决定因素造成和持续存在的。这些因素包括但不限于人际偏见、导致护理机会不均等的机构因素，以及邻里层面的因素，如社会经济地位、隔离和获得健康食品的机会。这些健康决定因素的影响在整个神经病学领域都可以看到，包括中风、癫痫、头痛、肌萎缩侧索硬化、多发性硬化症和痴呆症。改善神经健康公平的干预措施需要采取多层次的方法来解决这些相互依存的因素，这些因素造成和持续存在神经健康获得和结果的差异。
