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女性健康的阶段与未来:呼吁采用生命历程方法。

Stages and future of women's health: A call for a life-course approach.

作者信息

Lassi Zohra S, Wade Jeannette M, Ameyaw Edward Kwabena

机构信息

Robinson Research Institute, University of Adelaide, Adelaide, Australia.

School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.

出版信息

Womens Health (Lond). 2025 Jan-Dec;21:17455057251331721. doi: 10.1177/17455057251331721. Epub 2025 Apr 21.

Abstract

Over the years, discourse on women's health has skewed towards reproductive health, particularly on matters relating to maternal and child health, contraception, and pregnancy-related care. In spite of the relevance of these aspects, such a narrow perspective overlooks the broader spectrum of health concerns that affect women across different life stages, hence the need to refocus women's health through the lens of the life-course perspective. The life-course perspective is a framework for understanding human development that centers on time and space. From adolescence to old age, women encounter a wide array of health challenges and experiences, including non-communicable diseases (NCDs), mental health disorders, musculoskeletal conditions, and the long-term consequences of early-life exposures. Addressing these issues requires a paradigm shift toward a more comprehensive and inclusive approach that recognizes the lifelong nature of women's health needs. Rather than treating health issues in isolation, the life-course perspective considers how early-life exposures, social determinants, and lifestyle factors influence health trajectories over the life spectrum. For women, this means recognizing that adolescent health behaviors affect midlife disease risk, menopause has implications for cardiovascular and bone health, and older age brings unique challenges such as frailty and cognitive decline. This model underscores the importance of preventive care, early interventions, and tailored health services at every stage of life. Consequently, this editorial takes a life-course approach to highlight the dominant health and health-related realities of women, segmented into three cardinal phases: emerging adulthood, adulthood, and late adulthood. It concludes by drawing governments and the global community's attention to the need to focus healthcare systems on universal, gender-sensitive healthcare policies that guarantee accessible, affordable, and high-quality services tailored to women's needs at every stage of life. Policies and programs that support women at every stage of life must take center stage in the quest to create a future where all women, regardless of age or background, can achieve optimal health and well-being.

摘要

多年来,关于女性健康的讨论一直偏向生殖健康,特别是与母婴健康、避孕及妊娠相关护理有关的问题。尽管这些方面具有相关性,但如此狭隘的视角忽略了影响不同生命阶段女性的更广泛健康问题,因此有必要通过生命历程视角重新聚焦女性健康。生命历程视角是一个以时间和空间为核心来理解人类发展的框架。从青春期到老年,女性会面临各种各样的健康挑战和经历,包括非传染性疾病、心理健康障碍、肌肉骨骼疾病以及早期生活暴露的长期后果。解决这些问题需要向更全面、更具包容性的方法转变,这种方法要认识到女性健康需求的终身性。生命历程视角并非孤立地看待健康问题,而是考虑早期生活暴露、社会决定因素和生活方式因素如何在整个生命过程中影响健康轨迹。对女性而言,这意味着要认识到青少年时期的健康行为会影响中年时期的疾病风险,更年期对心血管和骨骼健康有影响,而老年则带来诸如身体虚弱和认知能力下降等独特挑战。该模式强调了在生命的每个阶段进行预防保健、早期干预和量身定制的健康服务的重要性。因此,本社论采用生命历程方法,突出女性在三个主要阶段(青年期、成年期和老年期)占主导地位的健康及与健康相关的现实情况。文章最后提请各国政府和全球社会注意,有必要将医疗保健系统的重点放在普遍、对性别敏感的医疗政策上,这些政策要保证提供适合女性在生命各阶段需求的可及、可负担且高质量的服务。在努力创造一个未来,让所有女性,无论年龄或背景如何,都能实现最佳健康和幸福的过程中,支持女性生命各阶段的政策和项目必须占据核心地位。

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