Syndemics and the biosocial conception of health
Syndemics and the biosocial conception of health
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DOI：
10.1016/s0140-6736(17)30003-x
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发表时间：
2017-03-04
期刊：
影响因子：
168.9
通讯作者：
Mendenhall, Emily
中科院分区：
文献类型：
--
作者：
Singer, Merrill;Bulled, Nicola;Mendenhall, Emily
疾病模型侧重于生物社会复合体，包括相互作用、同时存在或相继发生的疾病，以及促进和加强疾病相互作用的负面影响的社会和环境因素。这种对健康概念和临床实践的新兴方法重新配置了对疾病的传统历史理解，将其视为本质上不同的实体，与其他疾病分开，独立于发现疾病的社会背景。相反，所有这些因素往往以各种不同的方式协同作用，对个人和全体人口的健康产生重大影响。具体而言，综合方法审查某些疾病为何聚集（即影响个人和群体的多种疾病）；它们在个人和人群中进行生物相互作用从而使其总体疾病负担倍增的途径，以及社会环境，特别是社会不平等和不公正的条件助长疾病聚集和相互作用以及脆弱性的方式。在本系列中，将审查综合方法在理解社会背景下相互作用的慢性病方面的贡献，以及综合方法对健康权问题的影响。
The syndemics model of health focuses on the biosocial complex, which consists of interacting, co-present, or sequential diseases and the social and environmental factors that promote and enhance the negative effects of disease interaction. This emergent approach to health conception and clinical practice reconfigures conventional historical understanding of diseases as distinct entities in nature, separate from other diseases and independent of the social contexts in which they are found. Rather, all of these factors tend to interact synergistically in various and consequential ways, having a substantial impact on the health of individuals and whole populations. Specifically, a syndemics approach examines why certain diseases cluster (ie, multiple diseases affecting individuals and groups); the pathways through which they interact biologically in individuals and within populations, and thereby multiply their overall disease burden, and the ways in which social environments, especially conditions of social inequality and injustice, contribute to disease clustering and interaction as well as to vulnerability. In this Series, the contributions of the syndemics approach for understanding both interacting chronic diseases in social context, and the implications of a syndemics orientation to the issue of health rights, are examined.