期刊
HEALTH AFFAIRS
卷 35, 期 8, 页码 1416-1423出版社
PROJECT HOPE
DOI: 10.1377/hlthaff.2015.1357
关键词
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资金
- National Heart, Lung, and Blood Institute [K23 HL121250-01A1]
- Center for Population Health and Health Disparities grant from National Cancer Institute
- Center for Population Health and Health Disparities grant from National Heart, Lung, and Blood Institute
- [P50CA148143-01]
- [P50CA148596-01]
- [P50HL105187-01]
- [P50HL105185-01]
- [P50CA10563206]
- [P50HL105189-01]
- [P50HL105188-01]
- [P50CA106743-06]
- [P50HL105184-01]
- [P50CA148110-01]
The opportunities for healthy choices in homes, neighborhoods, schools, and workplaces can have decisive impacts on health. We review scientific evidence from promising interventions focused on the social determinants of health and discuss how such interventions can improve population health and reduce health disparities. We found sufficient evidence of successful outcomes to support disparity-reducing policy interventions targeted at education and early childhood; urban planning and community development; housing; income enhancements and supplements; and employment. Cost-effectiveness evaluations show that these interventions lead to long-term societal savings, but the interventions require more routine attention to cost considerations. We discuss challenges to implementation, including the need for long-term financing to scale up effective interventions for implementation at the local, state, and national levels.
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