Abstract:
BACKGROUND:With the exception of key 'proven successes' in global health, the current regime of global health governance can be understood as transnational and national actors pursuing their own interests under a rational actor model of international cooperation, which fails to provide sufficient justification for an obligation to assist in meeting the health needs of others. An ethical commitment to providing all with the ability to be healthy is required. METHODS:This article develops select components of an alternative model of shared health governance (SHG), which aims to provide a 'road map,' 'focal points' and 'the glue' among various global health actors to better effectuate cooperation on universal ethical principles for an alternative global health equilibrium. Key features of SHG include public moral norms as shared authoritative standards; ethical commitments, shared goals and role allocation; shared sovereignty and constitutional commitments; legitimacy and accountability; country-level attention to international health relations. RESULTS:A framework of social agreement based on 'overlapping consensus' is contrasted against one based on self-interested political bargaining. A global health constitution delineating duties and obligations of global health actors and a global institute of health and medicine for holding actors responsible are proposed. Indicators for empirical assessment of select SHG principles are described. CONCLUSION:Global health actors, including states, must work together to correct and avert global health injustices through a framework of SHG based on shared ethical commitments.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Ruger JPdoi
10.1136/jech.2009.101097subject
Has Abstractpub_date
2012-07-01 00:00:00pages
653-61issue
7eissn
0143-005Xissn
1470-2738pii
jech.2009.101097journal_volume
66pub_type
杂志文章abstract:STUDY OBJECTIVE:To evaluate whether cognitive performance in childhood is an early determinant of adult illness. DESIGN:Prospective cohort study covering over 30 years. SETTING:Providence, Rhode Island, USA. PARTICIPANTS:633 people ages 30-39 followed up since birth as part of the Providence cohort of the national c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.016444
更新日期:2004-08-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the effectiveness of a telephone reminder in increasing responses to postal surveys and to calculate the differential costs per completed questionnaire. DESIGN:Randomised controlled trial. SETTING:Australian university and rehabilitation medicine practice. PARTICIPANTS:The trial was conduct...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.56.2.115
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Controversy remains on the relation between serum lipids levels and stroke risk. This paper investigated the association of total and HDL cholesterol level to fatal and non-fatal, and haemorrhagic and ischaemic stroke in four European cohorts participating in EUROSTROKE. METHODS:EUROSTROKE is a collaborativ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.suppl_1.i19
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Research has demonstrated associations between smoking and reading skills, but other literacy skills such as speaking, listening and numeracy are less studied despite our dependence on the use of numbers and the oral exchange to deliver information on the risks of smoking. METHODS:The authors used multivari...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2011.136341
更新日期:2012-02-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to identify any social class differences in health and care in the year before death emerging from a wider study of life before death. DESIGN AND SETTING:Data were collected at interviews, mainly of close relatives, with those who knew most about the people's lives in the year before they d...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.1.54
更新日期:1992-02-01 00:00:00
abstract:BACKGROUND:Although long working hours have been shown to be associated with the onset of cardiometabolic diseases, the clinical risk factor profile associated with long working hours remains unclear. We compared the clinical risk profile between people who worked long hours and those who reported being never exposed t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210943
更新日期:2019-02-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the performance of breast cancer screening in different age categories over two decades. DESIGN:Important determinants of reduced breast cancer mortality such as attendance, mammography performance, cancer detection, and disease stage were recorded. SETTING:Nijmegen, The Netherlands, 1975-92...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.3.353
更新日期:1996-06-01 00:00:00
abstract:STUDY OBJECTIVE:This study aimed to examine whether the high mortality in lower salaried men in Norway was related to an inflow into this group of unskilled workers with high mortality. DESIGN:Individual information on occupation was derived from the 1970 and the 1980 censuses and linked to mortality data for the peri...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.3.192
更新日期:1993-06-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to quantify mortality after elective repair of abdominal aortic aneurysm (AAA) in England, and to compare English case fatality rates (CFRs) with those reported in the literature. PATIENTS AND METHODS:English Hospital Episode Statistics (HES) for the financial years 1998/9 to 200...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2006.047001
更新日期:2007-03-01 00:00:00
abstract::Health equity is increasingly present as an overarching goal in public health policy frameworks across the globe. Public health actions to support health equity are challenging because solutions to the root causes of health inequities often lie outside of the health sector, and a specific role for environmental public...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210843
更新日期:2019-09-01 00:00:00
abstract::The feasibility of conducting postmarketing drug surveillance by record linkage in Tayside was assessed. The key feature of the method is that all hospital discharge data are already computerised by the area health board and may be accessed through the unique community health number (CHNo) which has been allocated to ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.38.3.226
更新日期:1984-09-01 00:00:00
abstract::Base line data together with data in public registers and a structured phone interview of 94 of the 121 non-attenders was used for an assessment of factors influencing participation in the prospective population study 'Men born in 1914' in Malmö, Sweden. The overall attendance rate was 80.5% but varied among areas in ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.2.174
更新日期:1986-06-01 00:00:00
abstract:BACKGROUND:Cancer screening in the USA is suboptimal, particularly for individuals living in vulnerable communities. This study aimed to understand how rurality and racial segregation are independently and interactively associated with cancer screening and cancer fatalism. METHODS:We used data from a nationally repres...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-212425
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Much of the UK government's 1999 report on teenage pregnancy was by necessity based on rather old or non-longitudinal research. AIM:To examine the associations between risk factors identified in the report and pregnancy at or before age 16 years among young women and partners of young men using the more rec...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech.2005.040865
更新日期:2007-01-01 00:00:00
abstract:STUDY OBJECTIVE:This study examined the prevalence of body dissatisfaction as a function of individual level and neighbourhood level indicators of affluence. PARTICIPANTS AND SETTING:A subset of data from a larger random digit dialling telephone survey was used to obtain individual level data on body dissatisfaction, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.3.193
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:To perform the first European overview of educational inequalities in the use of blood pressure and cholesterol screening. METHODS:Data were obtained on the use of screening services according to educational level from nationally representative cross-sectional surveys in Belgium, Czech Republic, Denmark, Es...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200273
更新日期:2012-11-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to explore the relationships between five socioeconomic variables and three main cardiovascular diseases (ischaemic heart disease, hypertensive disease, and cerebrovascular disease) in Hong Kong. DESIGN:This cross sectional study used data from the 1986 by-census and registered death data f...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.2.148
更新日期:1992-04-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this paper is to systematically review and analyse the validity and reliability of Antonovsky's life orientation questionnaire/sense of coherence scale (SOC). DESIGN:The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic re...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2003.018085
更新日期:2005-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to investigate whether the survival of women with cancer of the uterine cervix is associated with their marital status and social class. DESIGN:The study was a survey of survival up to 5 years from diagnosis of women with cancer of the cervix registered in the South Thames Cancer Registry, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.4.293
更新日期:1990-12-01 00:00:00
abstract:BACKGROUND:Earlier investigations have shown mortality effects of community socio-economic resources. However, the sex differences have not been clear, and the estimates may well have been biased because of inadequate control for community factors affecting both the socio-economic resources and mortality. The objective...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.081034
更新日期:2010-12-01 00:00:00
abstract:STUDY OBJECTIVES:The objectives of this study were to examine (1) trends concerning financial assistance from the national government to local governments, (2) trends regarding death rates and life expectancies among prefectures, and (3) the effect of the national financial adjustment policy in equalising both the reve...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.10.748
更新日期:2001-10-01 00:00:00
abstract::England was the first European country to pursue a systematic policy to reduce socio-economic inequalities in health. This paper assesses whether this strategy has worked, and what lessons can be learnt. A review of documents was conducted, as well as an analysis of entry-points chosen, specific policies chosen, imple...
journal_title:Journal of epidemiology and community health
pub_type: 历史文章,杂志文章
doi:10.1136/jech.2010.128280
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:In 1998, highly active antiretroviral therapy (HAART) was widespread, but the diffusion of these life-saving treatments was not uniform. As half of all AIDS patients in the USA have Medicaid coverage, this study of a multistate Medicaid claims dataset was undertaken to assess disparities in the rates of HAAR...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2005.045567
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To examine the association of self-reported health (SRH) with the apolipoprotein E (APOE) gene, life stress, and sociobehavioural factors in adults aged 55 and over. DESIGN:Secondary analysis of data from the Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan in 2000, comprising 1023 individu...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2007.063917
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To assess the value of psychosocial risk factors in discriminating between individuals at higher and lower risk of coronary heart disease, using risk prediction equations. DESIGN:Prospective observational study. SETTING:Scotland. PARTICIPANTS:5191 employed men aged 35 to 64 years and free of coronary heart...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.055921
更新日期:2007-09-01 00:00:00
abstract::One thousand school boys aged 8 to 16 were examined for their somatotype, physical growth, sexual maturation, and smoking habits. Fifty-two boys were found to be smokers, of whom 30 were regularly smoking between two and 20 bidis or cigarettes a day for a mean duration of 2.5 years. The mean height and weight of the s...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.295
更新日期:1980-12-01 00:00:00
abstract:STUDY OBJECTIVE:A statistical test that allows for adjustment of confounding can be helpful for the study of seasonal patterns. The aim of this article is to supply a detailed description of such a method. An example of its application is given. DESIGN:A statistical test is presented that retains the information on th...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.4.235
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:The adverse health and environmental effects of poor housing quality are well established. A central requirement for evidence-based policies and programmes to improve housing standards is a valid, reliable and practical way of measuring housing quality that is supported by policy agencies, the housing sector...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.100701
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Despite a clear impact on the Canadian economy, little is known about the subsequent health impacts of the 2008 global financial crisis (GFC) in this country. This study fills this gap in knowledge by conducting a repeated cross-sectional analysis of the Canadian Community Health Survey (CCHS). METHODS:Data...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-207661
更新日期:2017-04-01 00:00:00
abstract::This study was conducted at the paediatric emergency department of a tertiary care teaching and referral hospital in Kabul, Afghanistan to assess the morbidity and mortality pattern of illness in paediatric population. Afghanistan has one of the highest infant mortality rates in the world, and there is complete breakd...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.040147
更新日期:2006-01-01 00:00:00