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教育程度和教育背景作为健康的社会决定因素。

Educational Attainment and Educational Contexts as Social Determinants of Health.

机构信息

Department of Human & Organizational Development, Vanderbilt University, 230 Appleton Place, Peabody #90, Nashville, TN 37212, USA.

Department of Human & Organizational Development, Vanderbilt University, 230 Appleton Place, Peabody #90, Nashville, TN 37212, USA.

出版信息

Prim Care. 2023 Dec;50(4):579-589. doi: 10.1016/j.pop.2023.04.007. Epub 2023 Jun 4.

DOI:10.1016/j.pop.2023.04.007
PMID:37866832
Abstract

Research demonstrates that nearly all health outcomes are patterned by level of education. Specifically, adults with lower educational attainment report more chronic conditions, more functional limitations, and worse overall health. In addition to affecting educational attainment, schools provide an important context in which students spend a substantial portion of their time. Because access to salutogenic school environments, as well as opportunities for educational attainment and advancement are themselves unequal, education is considered a social determinant of health. In this article, we explore the relationships between educational attainment and health. We also emphasize the importance of educational contexts as determinants of health that precede educational attainment and contribute to related health outcomes. Finally, we discuss implications for primary care practitioners and their efforts to address disparities in health and education.

摘要

研究表明,几乎所有的健康结果都与受教育程度有关。具体来说,受教育程度较低的成年人报告有更多的慢性疾病、更多的功能限制和更差的整体健康状况。学校不仅影响教育程度,而且为学生提供了一个重要的学习环境,他们会在这个环境中度过大量的时间。由于获得有益健康的学校环境、接受教育和获得晋升的机会本身并不平等,因此教育被认为是健康的一个社会决定因素。在本文中,我们探讨了教育程度与健康之间的关系。我们还强调了教育背景作为健康决定因素的重要性,这些因素先于教育程度,并对相关的健康结果产生影响。最后,我们讨论了对初级保健医生及其努力解决健康和教育方面差异的影响。

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