Department of Pediatrics, Division of General Pediatrics, Boston University School of Medicine, Boston, MA 02118, USA.
J Dev Behav Pediatr. 2010 Feb-Mar;31(2):154-60. doi: 10.1097/DBP.0b013e3181c21a1b.
Socioeconomic status and health status are directly related across the world. Children with low-socioeconomic status not only experience greater health problems in childhood but also aspects of their socioeconomic status become biologically incorporated through both critical periods of development and cumulative effects, leading to poor health outcomes as adults. We explore 3 main influences related to child's socioeconomic status that impact long-term health: the material environment, the social environment, and the structural or community environment. These influences illustrate the importance of clinical innovations, health services research, and public policies that address the socioeconomic determinants of these distal health outcomes.
社会经济地位与健康状况在全球范围内密切相关。社会经济地位较低的儿童不仅在童年时期经历更多的健康问题,而且他们的社会经济地位在关键发展时期和累积效应的作用下,在生物学层面上也有所体现,从而导致成年后健康状况不佳。我们探讨了与儿童社会经济地位相关的 3 个主要影响因素,这些因素会对长期健康产生影响:物质环境、社会环境和结构或社区环境。这些影响因素说明了临床创新、卫生服务研究和公共政策的重要性,这些政策需要解决这些遥远健康结果的社会经济决定因素。