Minkler M
Community Health Education, School of Public Health at the University of California, Berkeley 94720-7360, USA.
Health Educ Behav. 1999 Feb;26(1):121-40. doi: 10.1177/109019819902600110.
This article examines the continuing controversies regarding personal versus social responsibility for health as they are being played out at the turn of the century. Following a brief examination of the contested meaning of "personal responsibility for health" in recent historical context, attention is focused on the arguments for and against holding the individual to be primarily accountable for his or her health behavior. The paper then makes the case for more balanced, ecological approaches that stress individual responsibility for health within the context of broader social responsibility. The article concludes by briefly summarizing the Canadian approach to health promotion as a useful example of what such a balanced, ecological approach might look like.
本文探讨了在世纪之交，关于健康的个人责任与社会责任的持续争议。在简要审视近期历史背景下“健康的个人责任”这一有争议的含义之后，注意力集中在支持和反对认为个人应对其健康行为承担主要责任的论点上。然后，本文论证了采取更平衡、注重生态的方法的必要性，这种方法强调在更广泛的社会责任背景下个人对健康的责任。文章最后简要总结了加拿大的健康促进方法，作为这种平衡、注重生态的方法可能是什么样的一个有益示例。
