Poverty and ill health : Physicians can, and should, make a difference.
A growing body of research confirms the existence of a powerful connection between socioeconomic status and health.
This research has implications for both clinical practice and public policy and deserves to be more widely understood by physicians.
Absolute poverty, which implies a lack of resources deemed necessary for survival, is self-evidently associated with poor health, particularly in less developed countries.
Over the past two decades, economic decline or stagnation has reduced the incomes of 1.6 billion people.
Strong evidence now indicates that relative poverty, which is defined in relation to the average resources available in a society, is also a major determinant of health in industrialized countries.
For example, persons in U.S. states with income distributions that are more equitable have longer life expectancies than persons in less egalitarian states.
There are numerous possible approaches to improving the health of poor populations.
The most essential task is to ensure the satisfaction of basic human needs : shelter, clean air, safe drinking water, and adequate nutrition.
Other approaches include reducing barriers to the adoption of healthier modes of living and improving access to appropriate and effective health and social services.
Physicians as clinicians, educators, research scientists, and advocates for policy change can contribute to all of these approaches. (...)
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Homme, Enquête socioéconomique, Inégalité, Etat sanitaire, Promotion santé, Personnel sanitaire, Politique sanitaire, Statistique sanitaire, Mortalité, Statut socioéconomique, Pauvreté
Mots-clés Pascal anglais : United States, North America, America, Human, Socioeconomic inquiry, Inequality, Health status, Health promotion, Health staff, Health policy, Sanitary statistics, Mortality, Socioeconomic status, Poverty
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0023518
Code Inist : 002B30A03B. Création : 31/05/1999.