BACKGROUND:In a recently published article, it was suggested that governance was the significant structural factor affecting the epidemiology of HIV. This suggestion was made notwithstanding the observed weak correlation between governance and HIV prevalence (r = .2). Unfortunately, the paper raised but left unexamined the potentially more important questions about the relationship between the broader health of populations and structural factors such as the national economy and physical infrastructure. METHODS:Utilizing substantially the same data sources as the original article, the relationship between population health (healthy life expectancy) and three structural factors (access to improved water, GDP per capita, and governance) were examined in each of 176 countries. RESULTS:Governance was found to be significantly correlated with population health, as were GDP per capita, and access to improved water. They were also found to be significantly correlated with each other. CONCLUSION:The findings are discussed with reference to the growing interest in structural factors as an explanation for population health outcomes, and the relatively weak relationship between governance and HIV prevalence.

译文

背景:在最近发表的一篇文章中,有人建议治理是影响艾滋病毒流行病学的重要结构性因素。尽管观察到治理与HIV患病率之间的相关性较弱,但还是提出了这一建议(r = .2)。不幸的是,该论文提出了但并未审查关于更广泛的人口健康与国民经济和物质基础设施等结构性因素之间关系的潜在更重要的问题。
方法:利用与原始文章基本相同的数据源,在176个国家中的每个国家中研究了人口健康(健康预期寿命)与三个结构性因素(获得改善的水,人均GDP和治理)之间的关系。
结果:治理与人口健康,人均国内生产总值以及获得改善的水质都显着相关。还发现它们彼此之间显着相关。
结论:讨论结果时参考了对结构性因素的日益增长的兴趣,这些因素可以解释人口健康状况,并且治理与艾滋病毒感染率之间的关系相对较弱。

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