Harvard Medical School, Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02138, USA.
Med Clin North Am. 2022 Nov;106(6):1027-1039. doi: 10.1016/j.mcna.2022.08.005. Epub 2022 Oct 3.
Lung health reflects the inequities of our society. Asthma and chronic obstructive pulmonary disease are 2 lung conditions commonly treated in general clinical practice; each imposes a disproportionate burden on disadvantaged patients. Numerous factors mediate disparities in lung health, including air pollution, allergen exposures, tobacco, and respiratory infections. Members of racial/ethnic minorities and those of low socioeconomic status also have inferior access to high-quality medical care, compounding disparities in disease burden. Physicians can work against disparities in their practice, but wide-ranging policy reforms to achieve better air quality, housing, workplace safety, and healthcare for all are needed to achieve equity in lung health.
肺部健康反映了我们社会的不平等。哮喘和慢性阻塞性肺疾病是两种常见的肺部疾病，在一般临床实践中进行治疗；每种疾病都给弱势患者带来了不成比例的负担。许多因素影响肺部健康的差异，包括空气污染、过敏原暴露、烟草和呼吸道感染。少数族裔和社会经济地位较低的人群也难以获得高质量的医疗服务，这加剧了疾病负担的差异。医生可以在实践中努力消除差异，但需要进行广泛的政策改革，以改善所有人的空气质量、住房、工作场所安全和医疗保健，从而实现肺部健康的公平。
