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首页> 外文期刊>Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine >Why Your ZIP Code Matters More Than Your Genetic Code: Promoting Healthy Outcomes from Mother to Child
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Why Your ZIP Code Matters More Than Your Genetic Code: Promoting Healthy Outcomes from Mother to Child

机译：为什么您的邮政编码比您的遗传密码更重要：促进从母亲到孩子的健康结果

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摘要

Health equity has long been the dominant theme in the work of the Aetna Foundation. Recent data have focused on disparities through another lens, particularly the correlation between where people live (i.e., ZIP code) and their quality-and length-of life. In various cities across America, average life expectancies in certain communities are 20-30 years shorter than those mere miles away. In general, health disparities are founded on a complex interplay of racial, economic, educational, and other social factors. For example, breastfeeding rates in the United States differ significantly depending upon the race and income of the mother. Government policy makers are acutely aware of these disparities, but recent health system reforms have focused predominately on the processes used to administer, finance, and deliver care. What is needed is an approach that considers the health and wellness of all people in a geographic area, beyond established patients, and that measures more than clinical factors-such as genetics, environmental health, social circumstances, and individual behaviors. Solutions also must extend beyond the traditional healthcare arena. In particular, novel technological innovations show promise to bridge gaps between our healthcare capabilities and the needs of underserved populations. Digital tools are poised to revolutionize measurement, diagnostics, treatment, and global aspect of our healthcare system. The Aetna Foundation views technology as a core strategy in reducing health inequities through an approach that addresses both clinical and social factors in populations to dismantle the persistent paradigm of ZIP code as personal health destiny.
机译：长期以来，健康公平一直是Aetna基金会工作的主题。最近的数据通过另一个视角关注差异，特别是人们居住的地方（即邮政编码）与其质量和寿命之间的相关性。在美国的各个城市中，某些社区的平均预期寿命比仅几英里之外的平均寿命短20-30年。通常，健康差异是基于种族，经济，教育和其他社会因素的复杂相互作用。例如，根据母亲的种族和收入，美国的母乳喂养率差异很大。政府政策制定者敏锐地意识到了这些差距，但是最近的医疗体系改革主要集中在用于管理，筹资和提供医疗服务的过程上。所需要的是一种方法，该方法应考虑地理区域中除已确诊患者之外所有人的健康状况，并要衡量比临床因素更多的因素，例如遗传，环境健康，社会环境和个人行为。解决方案还必须超越传统的医疗领域。特别是，新颖的技术创新显示出有望弥合我们的医疗保健能力与服务不足人群的需求之间的鸿沟。数字工具准备彻底改变我们医疗系统的测量，诊断，治疗和全球范围。 Aetna基金会将技术视为减少健康不平等现象的核心战略，该方法通过解决人口中的临床和社会因素来消除邮政编码作为个人健康命运的持久范例。

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