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首页> 外文期刊>Journal of public health management and practice: JPHMP >The Gulf Region Health Outreach Program as a Model for Strengthening the Fragile Public Health Infrastructure
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The Gulf Region Health Outreach Program as a Model for Strengthening the Fragile Public Health Infrastructure

机译：海湾地区健康外展计划作为加强脆弱公共卫生基础设施的模式

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Emerging from the Deepwater Horizon Medical Benefits Class Action Settlement, the Gulf Region Health Outreach Program (GRHOP) seeks to address the health needs of 17 coastal counties and parishes by informing communities about their own health and providing access to skilled, knowledgeable health care providers. Addressing health in these communities is critical, given the region's history of health disparities. Most counties and parishes in GRHOP report higher age-adjusted mortality rates from cardiovascular disease and cancer and higher prevalence rates of obesity and hypertension than the national average. Alabama, Louisiana, and Mississippi also report higher age-adjusted mortality rates for cardiovascular disease, cancer, and diabetes and higher prevalence rates of obesity and hypertension than the national average. These 3 states are also ranked among the worst states in terms of prevalence of mental illness and access to mental health care. Although some counties and parishes report better health outcomes than the state average for certain diseases, it is important to recognize the area's triple burden of vulnerability (Figure 1). In addition to historic health disparities, the region experiences significant persistent environmental health threats. For example, children in Louisiana have higher exposure to heavy metals than at national levels.5 Moreover, the geographic location is at increased risk for natural and technological disasters, with each disaster having significant consequences for health, the economy, and the environment. These negative impacts are felt disproportionately by vulnerable populations.
机译：来自深水地平线医疗福利阶级行动解决方案，海湾地区健康外展计划（GRHOP）旨在通过通知社区提供自身的健康，并提供对技术，知识渊博的医疗保健提供者的访问来解决17个沿海县和教区的健康需求。考虑到该地区的健康差异历史，在这些社区的解决卫生至关重要。 GRHOP中大多数县和教区在心血管疾病和癌症中报告了更高的年龄调整的死亡率，肥胖率和高血压率高于全国平均水平。阿拉巴马州，路易斯安那州和密西西比州还报告了较高的年龄调整的心血管疾病，癌症和糖尿病的死亡率以及比全国平均水平更高的肥胖和高血压率较高。在精神疾病的患病率和获得精神保健方面，这3个州也在最糟糕的国家中排名。虽然一些县和教区报告了若干疾病的国家平均水平更好的健康结果，但重要的是要认识到该地区的脆弱性的三重责任（图1）。除了历史卫生差异之外，该地区还经历了重大的持久性环境健康威胁。例如，路易斯安那州的儿童暴露于重金属的暴露率高于国家一级。此外，地理位置是对自然和技术灾害的风险增加，每次灾难都具有重大影响，对健康，经济和环境具有重大影响。弱势群体感到不成比例地感受到这些负面影响。

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