背景和原理。

Q1 Medicine MMWR supplements Pub Date : 2016-02-12 DOI:10.15585/mmwr.su6501a2
Ana Penman-Aguilar, Karen Bouye, L. Liburd
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引用次数: 12

摘要

2011年,疾病预防控制中心发布了第一份疾病预防控制中心健康差距和不平等报告(CHDIR)。该报告审查了美国与各种特征相关的健康差异,包括种族/民族、性别、收入、教育、残疾状况和地理位置。健康差异被定义为"按社会、人口、环境和地理属性界定的人口各阶层之间健康结果及其决定因素的差异"。在其他建议中,2011年CHDIR强调需要通过双重干预策略来解决健康差距问题,双重干预策略侧重于最需要的人群,并通过向每个人提供干预措施来改善美国人口的健康。2013年CHDIR更新了2011年CHDIR,增加了关于健康的社会和环境决定因素的报告;该补编强调了多部门合作的重要性,强调需要采取全面的、社区驱动的办法来减少美国的保健差距。一份后续报告描述了已证明有效或有望减少健康差距的五项干预措施。这些出版物将注意力集中在解决美国健康差异的必要性,以及解决这些问题的方案和干预措施上。本补充说明了针对种族和民族、社会经济地位、地理位置、残疾和/或性取向在一系列条件下观察到的特殊差异的其他干预措施,包括哮喘、艾滋病毒和甲型肝炎感染、结肠直肠癌筛查的使用、青年暴力、粮食安全和与健康相关的生活质量。
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Background and Rationale.
In 2011, CDC published the first CDC Health Disparities and Inequalities Report (CHDIR). This report examined health disparities in the United States associated with various characteristics, including race/ethnicity, sex, income, education, disability status, and geography. Health disparities were defined as "differences in health outcomes and their determinants between segments of the population, as defined by social, demographic, environmental, and geographic attributes". Among other recommendations, the 2011 CHDIR emphasized the need to address health disparities with a dual intervention strategy focused on populations at greatest need and on improving the health of the U.S. population by making interventions available to everyone. The 2013 CHDIR updated the 2011 CHDIR and included additional reports on social and environmental determinants of health; the supplement emphasized the importance of multisectoral collaboration, highlighting the need for a comprehensive, community-driven approach to reducing health disparities in the United States. A follow-up report described five interventions that were shown to be effective or demonstrated promise for reducing health disparities. These publications have focused attention on the need to address health disparities in the United States, as well as on programs and interventions that address them. This supplement describes additional interventions that address particular disparities observed by race and ethnicity, socioeconomic status, geographic location, disability, and/or sexual orientation across a range of conditions, including asthma, infection with HIV and hepatitis A, use of colorectal cancer screening, youth violence, food security, and health-related quality of life.
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来源期刊
MMWR supplements
MMWR supplements Medicine-Medicine (all)
CiteScore
48.60
自引率
0.00%
发文量
8
期刊介绍: The Morbidity and Mortality Weekly Report (MMWR ) series is prepared by the Centers for Disease Control and Prevention (CDC). Often called “the voice of CDC,” the MMWR series is the agency’s primary vehicle for scientific publication of timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations. MMWR readership predominantly consists of physicians, nurses, public health practitioners, epidemiologists and other scientists, researchers, educators, and laboratorians.
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