A research agenda for helminth diseases of humans: social ecology, environmental determinants, and health systems.

A research agenda for helminth diseases of humans: social ecology, environmental determinants, and health systems.
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DOI:
10.1371/journal.pntd.0001603
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发表时间:
2012
影响因子:
3.8
通讯作者:
Kloos H
Kloos H
中科院分区:
医学2区
文献类型:
--
作者:
Gazzinelli A;Correa-Oliveira R;Yang GJ;Boatin BA;Kloos H

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由热带病研究和培训特别规划(TDR)于2009年设立的寄生虫感染疾病参考小组(DRG4)的任务是审查寄生虫研究并确定研究重点和差距,在本文中,该小组侧重于环境、社会、行为、人类寄生虫感染的政治决定因素,并概述了制定可持续控制规划所需的社会经济和卫生系统研究的研究与发展议程。使用斯托克尔斯的社会生态方法,我们描述了各种社会(贫困、政策、耻辱、文化和移民)和环境决定因素(家庭环境、水资源开发和气候变化)在寄生虫病持续存在中的作用,以及它们作为背景因素对通过常规和社区卫生系统促进健康干预的影响。我们从社区参与、部门间合作、性别以及在综合和跨学科方法范围内扩大寄生虫病控制和消除方案的可能性等方面审查这些相互作用。研究议程总结了需要解决的主要差距。
In this paper, the Disease Reference Group on Helminth Infections (DRG4), established in 2009 by the Special Programme for Research and Training in Tropical Diseases (TDR), with the mandate to review helminthiases research and identify research priorities and gaps, focuses on the environmental, social, behavioural, and political determinants of human helminth infections and outlines a research and development agenda for the socioeconomic and health systems research required for the development of sustainable control programmes. Using Stockols' social-ecological approach, we describe the role of various social (poverty, policy, stigma, culture, and migration) and environmental determinants (the home environment, water resources development, and climate change) in the perpetuation of helminthic diseases, as well as their impact as contextual factors on health promotion interventions through both the regular and community-based health systems. We examine these interactions in regard to community participation, intersectoral collaboration, gender, and possibilities for upscaling helminthic disease control and elimination programmes within the context of integrated and interdisciplinary approaches. The research agenda summarises major gaps that need to be addressed.
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