Lerer L B, Lopez A D, Kjellstrom T, Yach D
Programme on Substance Abuse, World Health Organization, Geneva.
World Health Stat Q. 1998;51(1):7-20.
An analysis of health status and determinants is presented as a basis for health for all renewal and in order to provide a model linking the health for all vision with strategy and action. Equity and gender, at the core of health for all, directly concern health status and the distribution of health determinants. The role of the various transitions (demographic, epidemiological, health risk and technological) is described, the need to strengthen the link between data and decision-making for health is explained, and the range of health determinants--macroeconomic, demographic/nutritional, environmental, tobacco and alcohol and their implications for policy--is outlined.
对健康状况及其决定因素进行了分析,以此作为全民健康更新的基础,并为建立一个将全民健康愿景与战略及行动联系起来的模式提供依据。公平与性别是全民健康的核心,直接关乎健康状况以及健康决定因素的分布。阐述了各种转变(人口、流行病学、健康风险和技术方面的转变)的作用,解释了加强健康数据与决策之间联系的必要性,并概述了健康决定因素的范围——宏观经济、人口/营养、环境、烟草和酒精及其对政策的影响。