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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Health Disparities Research Framework Adaptation to Reflect Puerto Rico’s Socio-Cultural Context
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Health Disparities Research Framework Adaptation to Reflect Puerto Rico’s Socio-Cultural Context

机译：健康差异研究框架适应以反映波多黎各的社会文化背景

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In this article we aim to briefly describe how Puerto Rico’s living conditions influence adverse health outcomes at an individual, community and population level using the National Institute of Minority Health and Health Disparities (NIMHD) Research Framework that considers multiple factors and their intersecting influence. People living in Puerto Rico face significant levels of poverty, a deficient infrastructure, a fragile healthcare system and the continuing dismantling of the public education system as well as hazardous environmental exposures. The treatment of Puerto Ricans as second-class citizens due to the federal policies of the U.S. government and also the mismanagement of funds from local authorities impacts the prevalence of chronic health conditions and vulnerability to disasters such as hurricanes, earthquakes and pandemics. Puerto Rico’s health disparities are rooted in historical, cultural, political and economic factors that have an impact on biology, interpersonal and environmental aspects. In order to significantly reduce health disparities, systemic change is needed at a local, national and federal level. Interventions must consider how social determinants impact the quality of life and seek to impact the intersections of different contexts that have an effect at an individual, interpersonal, communal and societal level. This can be achieved through evidence-based, culturally appropriate and community based as well as translational research approaches that seek to impact behavior and social economic factors.
机译：在本文中，我们的目标是简要描述利用国家少数民族健康和卫生差异（NIMHD）研究框架的个人，社区和人口水平对个人，社区和人口水平的不利健康成果影响。生活在波多黎各的人们面临着显着的贫困，缺乏基础设施，脆弱的医疗保健制度以及公共教育系统的持续拆除以及危险的环境暴露。由于美国政府的联邦政策以及地方当局的联邦政策，帕多斯作为二等公民的治疗影响慢性健康状况和灾害等灾害，如飓风，地震和流行病等灾害的患病率。波多黎各的健康差异源于对生物学，人际关系和环境方面产生影响的历史，文化，政治和经济因素。为了显着降低健康差异，在当地，国家和联邦一级需要系统性变化。干预措施必须考虑社交决定因素如何影响生活质量，并寻求影响对个人，人际关系，公共和社会水平影响的不同背景的交叉口。这可以通过基于证据，文化合适的和社区的基于社区以及寻求影响行为和社会经济因素的翻译研究方法来实现。

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