全球卫生治理视域下实现全球卫生伦理的人权路径

全球卫生挑战已发生巨大变化,从传染病的持久危害到非传染性疾病和精神疾患日益增长的威胁,全球卫生治理已逐渐扩展到人权、减灾、环境等健康决定因素的治理。全球卫生伦理是全球卫生治理的价值要素,指向了所有全球卫生行动的终极目标与意义。人权是实现全球卫生伦理的路径之一,正逐渐成为全球卫生治理的有力工具。梳理了全球卫生伦理的概念和发展、总结了健康与人权领域的治理工具,并以联合国和世界卫生组织为例分析了人权参与实现全球卫生伦理的演进路径,以期为加深理解人权理念在全球卫生治理的政策、规划和实践提供参考。

     

Responsibility for Global Health

There are several reasons for the current prominence of global health issues. Among the most important is the growing awareness that some risks to health are global in scope and can only be countered by global cooperation. In addition, human rights discourse and, more generally, the articulation of a coherent cosmopolitan ethical perspective that acknowledges the importance of all persons, regardless of where they live, provide a normative basis for taking global health seriously as a moral issue. In this paper we begin the task of translating the vague commitment to doing something to improve global health into a coherent set of more determinate obligations. One chief conclusion of our inquiry is that the responsibilities of states regarding global health are both more determinate and more extensive than is usually assumed. We also argue, however, that institutional innovation will be needed to achieve a more comprehensive, fair distribution of concrete responsibilities regarding global health and to provide effective mechanisms for holding various state and nonstate actors accountable for fulfilling them.     

Dimensions of Operational Stress and Forms of Unacceptable Risk-Taking With Small Arms

This research studied the association between dimensions of operational stress, forms of risk-taking with small arms, and possible mediators. Operational threat and negative affect were predictors, unauthorized preparedness and risky games were dependent variables, and safety climate and personality profile from the Eysenck Personality Questionnaire—Revised Short Form were mediators. The participants were 461 compulsory service soldiers in 31 companies. The results revealed that operational threat is related to unauthorized preparedness, and positive–negative affect is related to risky games. Safety climate mediated risky games only. Unauthorized preparedness and risky games were influenced by the interaction of Psychoticism and the Lie scale from the Eysenck Personality Questionnaire—Revised Short Form.     

The Impact of Economic Globalisation on Health

The analysis of the impact of economic globalisation on health depends on how it is defined and should consider how it shapes both health and health policies. I first discuss the ways in which economic globalisation can and has been defined and then why it is important to analyse its impact both in terms of health and health policies. I then explore the ways in which economic globalisation influences health and health policies and how this relates to equity, social justice, and the role of values and social rights in societies. Finally, I argue that the process of economic globalisation provides a common challenge for all health systems across the globe and requires a broader debate on values, accountability, and policy approaches.     

Global ethics and human responsibility: challenges for the theory and the discipline

The aim of this article is to identify the main challenges for global ethics as an academic discipline. This article assesses the moral and practical justifications for common global principles. Individual and institutional responsibility on the supranational level is connected with the standard of human rights and the relational aspects of the globalised world. It also points out two separate problems which global ethics should aim to solve. The first is metatheoretical and methodological and concerns the discipline's lack of self-reflexiveness. The second is essential and concerns the clash of values (human rights and sovereignty). Regarding the second problem, the main future challenge of global ethics is to construct a measurement to bring political decisions closer to morality and more strongly connect rights with responsibilities.     

非法人体器官交易的刑事立法研究

借鉴他国立法经验,根据我国刑法典,把非法人体器官交易这种行为定性为一种犯罪,在刑法中增设非法人体器官交易罪(类罪名),以此预防、打击非法人体器官交易.     

角色压力源对教师生理健康与心理健康的影响

首先,对角色压力源量表在中国文化背景下的适用性进行了检验,6所学校586份调查问卷的探索性因素分析和内部一致性分析表明,角色压力源问卷具有较好的效度和信度;7所学校612份调查问卷的验证性因素分析进一步验证了角色压力源问卷的效度和信度。然后,利用7所学校612份有效数据,采用层次回归分析考察了角色压力源与教师生理健康、心理健康的关系,结果表明:角色压力源对教师的生理健康与心理健康有显著的负向影响。     

A more democratic and therefore more peaceful world

Democracies, while not more peaceful than other kinds of states in most respects, nevertheless almost never fight each other. The apparent reason is a recognition by the people of such states that other democratically‐governed states share a commitment to individual rights and peaceful conflict resolution within their systems, and the consequent assumption that similar norms can make possible the peaceful settlement of conflicts of interests between such states. Movement toward greater democracy has been occurring in most of the third world and many communist countries; this movement has important implications for the prospect of peace between at least somewhat democratized states, and especially important implications for U.S.‐Soviet relations. Democratization can be assisted by a combination of diplomacy, promotion of international communication, and normative concern for human rights.     

Governance of Transnational Global Health Research Consortia and Health Equity

Global health research partnerships are increasingly taking the form of consortia of institutions from high-income countries and low- and middle-income countries that undertake programs of research. These partnerships differ from collaborations that carry out single projects in the multiplicity of their goals, scope of their activities, and nature of their management. Although such consortia typically aim to reduce health disparities between and within countries, what is required for them to do so has not been clearly defined. This article takes a conceptual approach to explore how the governance of transnational global health research consortia should be structured to advance health equity. To do so, it applies an account called shared health governance to derive procedural and substantive guidance. A checklist based on this guidance is proposed to assist research consortia determine where their governance practices strongly promote equity and where they may fall short.     

Balancing Elder Care Responsibilities and Work: The Impact on Emotional Health

The current study investigated the effects of balancing elder care and work on emotional health. Responses from 43 retired caregivers, 211 not retired caregivers, 49 retired non-caregivers, and 224 not retired non-caregivers, who had participated in the national Health and Retirement Study, served as the data base. Results indicate that Caregiver Status (Caregiver vs. Non-caregiver) and Retirement Status (Retired vs. Not Retired) interact, depending on the measure of emotional health. The relationship between the number of depression symptoms reported and Caregiver Status depended on whether the respondent was also retired or employed; a significant interaction was not found when emotional health was measured with one overall item. A significant difference was not found between employed caregivers and employed non-caregivers, in terms of emotional health. Employed caregivers who gave more caregiving hours did report poorer emotional health than employed caregivers who gave fewer hours. Female caregivers reported more depression symptoms than male caregivers. The results suggest that employers may need to develop interventions which may help caregivers who are highly involved with caregiving responsibilities.     

心理健康培训对医护人员心理健康服务的影响

为探讨医护人员心理健康培训现状以及对心理健康服务的影响,采用《医护人员心理健康教育培训问卷》与《心理健康服务行为量表》对664名医护人员进行问卷调查。结果发现,分别有91.6%、65.2%的医护人员学习过心理健康相关课程或接受过相关培训,70.3%通过科普宣传途径学习心理健康知识;心理健康教育和培训正向预测心理健康服务,能够增加8.5%解释变异量。因此,医护人员接受心理健康教育与培训的内容和途径较为单一,对医护人员加强心理健康相关教育培训,可以增加其心理健康服务。     

Hotep's Story: Exploring the Wounds of Health Vulnerability in the US

A wide variety of forms of domination hasresulted in a highly heterogeneous health riskcategory, ``the vulnerable.' The study of healthinequities sheds light on forces thatgenerate, sustain, and alter vulnerabilities toillness, injury, suffering and death. Thispaper analyzes the case of a high-risk teenfrom a Boston ghetto that illuminatesintersections between ``race' and class in theconstruction of vulnerability in the US.Exploration of his ``wounds' helps specify howlarge-scale social and cultural forces becomeembodied as individual experience of disparatehealth risk. The case demonstrates that healthinequities would not occur if resources –employment, income, wealth, education, housing,profiling in the legal system, and health care– were more justly managed in keeping withstandards outlined in the Universal Declarationof Human Rights. Professional responses to the``wounds of vulnerability' may reveal importantaspects of who we are and what our work asscholars, practitioners, and advocates mustbecome.     

Life-Ecology Integrated Security in Building a Global Community of Health for Human Beings

The sudden onslaught of the COVID-19 pandemic brought people the most serious global public health emergency since the end of World War II. Posing a threat to human survival and development, the pandemic has given prominence to global issues concerning life safety and ecological security and triggered studies on their integrated advancement. Only by fully understanding the importance and urgency of the life-ecology integrated security and establishing the new idea, new strategy, new plan, and basic path can we survive deadly emergencies, build a community with a shared future and health for all, and jointly contribute to and share the benefits of a safe, healthy and beautiful world with common prosperity, long-lasting peace and stability of humanity.     

公共健康领域权利与善的和解

公共健康领域中个人权利与共同善的冲突往往难以避免,如何调解二者之间的冲突成为公共健康领域的一个核心伦理问题。个人权利与共同善冲突的实质是个人与社会的权利冲突。但是,没有无权利的义务,也没有无义务的权利。如果能够从“义务”的视角思考公共健康问题,个人权利与共同善的冲突或许就可迎刃而解。个人要确保自己的权利,就必须对所处的社会承担义务。同时,社会也要承担保护个人权利的义务。个人与社会之间在履行相互的健康义务中实现了权利与善的和解。     

转基因食品与人类健康初探

随着转基因食品不断地进入市场,学者和公众对转基因食品是否危害人类健康展开了激烈的争论。介绍转基因食品安全性评价的科学指标,运用伦理学的基本原则对两种观点进行了分析,并提出对转基因食品采取“有罪推定”的战略。     

健康教育及口腔疾病的健康教育处方

生物-心理-社会医学模式的健康观是符合社会发展的时代的产物。随着生活水平的提高,人们对于健康的追求也有了很大程度提高。人们不满足于对疾病的防治,而是要提高生活质量。只有明确什么是健康,追求健康才会有目标,故而健康教育的意义就显得尤为重要。本文就防治口腔疾病的个性化健康教育方案进行了探讨,相信在不久的将来口腔健康教育处方的重要性将会众所周知。     

工作家庭冲突对电讯人员工作倦怠和心理健康的影响

采用工作家庭冲突问卷、工作倦怠问卷（MBI-Gs）和一般健康状况问卷（GHQ-12）调查了某国营电讯公司526名员工。中介回归分析（Mediating Regressin Analysis）的结果显示,工作家庭冲突及其两个子成分（工作浸扰家庭和家庭浸扰工作）都对心理健康具有显著的负向影响;工作倦怠对工作家庭冲突影响心理健康具有完全中介作用;具体而言,工作浸扰家庭对心理健康的影响受情绪衰竭和玩世不恭的完全中介;家庭浸扰工作对心理健康的影响受工作倦怠所有三个子成分的完全中介。     

Solidarity and Community Engagement in Global Health Research

Abstract

Community engagement (CE) is gaining prominence in global health research. A number of ethical goals–spanning the instrumental, intrinsic, and transformative–have been ascribed to CE in global health research. This paper draws attention to an additional transformative value that CE is not typically linked to but that seems very relevant: solidarity. Both are concerned with building relationships and connecting parties that are distant from one another. This paper first argues that furthering solidarity should be recognized as another ethical goal for CE in global health research. It contends that, over time, CE can build the bases of solidaristic relationships—moral imagination, recognition, understanding, empathy—between researchers and community members. Applying concepts from existing accounts of solidarity, the paper develops preliminary ideas about who should be engaged and how to advance solidarity. The proposed approach is compared to current CE practice in global health research. Finally, the paper briefly considers how solidaristic CE could affect how global health research is performed.     

Women and Mental Health

No abstract available for this article.     

团队内冲突对团队效能的影响及作用机制

冲突是团队有效运作面临的主要挑战之一。学术界关于冲突与团队效能关系的研究结论未能达成共识, 引发了关于冲突对团队效能作用机制的探讨。回顾国内外相关文献发现, 团队特征(团队情绪、多元化、团队规范与文化价值观)、团队过程(冲突管理、信任)及任务特征等因素, 对于冲突对团队效能的作用过程具有调节作用。而基于冲突原因视角探讨团队内冲突对团队效能的影响、冲突的动态性、团队新成员冲突的激活效应和冲突与团队效能关系的本土化研究等应是未来的研究方向。