[健康中的不平等与公平]。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiologia & Prevenzione Pub Date : 2024-07-01 DOI:10.19191/EP24.4-5.S1.107
Achille Cernigliaro
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引用次数: 0

摘要

不平等与健康之间的关系已得到广泛研究。人们提出了一些理论来界定影响健康水平的因素的作用、强度和决定因素。本综述回顾了不同知识领域提出的主要理论和解释,并着重指出,造成健康不平等的方式并不单一。剥夺、劣势漂移、赋权、结构和社会资本、地位综合症和体现是回顾和探讨的一些概念。有些理论相互促进,有些则较为孤立。增加对人口中个人疾病分布机制的了解,有助于制定新的、更公平的干预政策。
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[Inequalities ed equity in health].

The relationship between inequalities and health has been widely studied. Several theories have been proposed to define the role of the factors that act on the health levels, their strength and the determination profile. This review recalls the main theories and interpretation proposed by different fields of knowledge and highlights that there is not a single way to generate inequalities in health. Deprivation, disadvantage drift, empowerment, structure and social capital, status syndrome, and embodiment are some of the concepts recalled and explored. Some theories consolidate each other, and some remain more isolated. To increase the knowledge on the mechanisms to define the disease distributions among individuals in the population can help to define new and greater equity intervention policies.

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来源期刊
Epidemiologia & Prevenzione
Epidemiologia & Prevenzione 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.60
自引率
14.30%
发文量
0
审稿时长
>12 weeks
期刊介绍: Epidemiologia & Prevenzione, oggi organo della Associazione italiana di epidemiologia, raccoglie buona parte delle migliori e originali esperienze italiane di ricerca epidemiologica e di studio degli interventi per la prevenzione e la sanità pubblica. La rivista – indicizzata su Medline e dotata di Impact Factor – è un canale importante anche per la segnalazione al pubblico internazionale di contributi che altrimenti circolerebbero soltanto in Italia. E&P in questi decenni ha svolto una funzione di riferimento per la sanità pubblica ma anche per i cittadini e le loro diverse forme di aggregazione. Il principio che l’ha ispirata era, e rimane, che l’epidemiologia ha senso se è funzionale alla prevenzione e alla sanità pubblica e che la prevenzione ha ben poche possibilità di realizzarsi se non si fonda su valide basi scientifiche e se non c’è la partecipazione di tutti i soggetti interessati. Modalità di comunicazione aggiornate, metodologia statistica ed epidemiologica rigorosa, validità degli studi e solidità delle interpretazioni dei risultati sono la solida matrice su cui E&P è costruita. A questa si accompagna una forte responsabilità etica verso la salute pubblica, che oggi ha ampliato in forma irreversibile il suo orizzonte, e include in forma sempre più consapevole non solo gli esseri umani, ma l’intero pianeta e le modificazioni che l’uomo apporta all’universo in cui vive. L’ambizione è che l’offerta di nuovi strumenti di comunicazione, informazione e formazione, soprattutto attraverso l''uso di internet, renda la rivista non solo un tradizionale veicolo di contenuti e analisi scientifiche, ma anche un potente strumento a disposizione di una comunità di interessi e di valori che ha a cuore la salute pubblica.
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