Harris C, Smith R
Br Med J (Clin Res Ed). 1987 Apr 25;294(6579):1076-9. doi: 10.1136/bmj.294.6579.1076.
Unemployment is over three million in Britain, and unemployment is known to be associated with poor health. It has been suggested that health authorities should produce a comprehensive response to the health problems caused by unemployment, and a survey was undertaken to find how many had done so. All the regional and district health authorities in England, the health boards of Wales, Scotland, and Northern Ireland, and the family practitioner committees of England and Wales were asked by letter what they were doing to respond to the health problems of unemployment. A list of suggestions of what they might be doing was enclosed. The overall response rate was 77% (255/331), and 50% (127/255) of the respondents were doing something--33.3% (3/9) of the regional health authorities, 64% (101/158) of the district health authorities and health boards, and 26% (23/88) of the family practitioner committees. The paper describes what they were doing. A relation was sought between the level of unemployment in an area and the extent of the response, and a significant association was found. Half of Britain's health authorities are now responding in some way to the health problems associated with unemployment.
在英国，失业人数超过300万，而且人们知道失业与健康状况不佳有关。有人建议卫生当局应对失业所导致的健康问题做出全面回应，为此进行了一项调查，以了解有多少卫生当局已这样做。通过信函询问了英格兰所有的地区和地方卫生当局、威尔士、苏格兰和北爱尔兰的卫生委员会以及英格兰和威尔士的家庭医生委员会，它们为应对失业引发的健康问题正在采取什么措施。随信附上了一份关于它们可能采取措施的建议清单。总体回复率为77%（255/331），其中50%（127/255）的回复者正在采取一些行动——地区卫生当局中有33.3%（3/9）、地方卫生当局和卫生委员会中有64%（101/158）、家庭医生委员会中有26%（23/88）。本文描述了它们正在采取的措施。研究人员探寻了一个地区的失业水平与应对程度之间的关系，并发现了显著的关联。英国现在有一半的卫生当局正在以某种方式应对与失业相关的健康问题。
