Syndemics and public health: Reconceptualizing disease in bio-social context
Syndemics and public health: Reconceptualizing disease in bio-social context
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DOI：
10.1525/maq.2003.17.4.423
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发表时间：
2003-12-01
影响因子：
2.2
通讯作者：
Clair, S
中科院分区：
文献类型：
--
作者：
Singer, M;Clair, S
自1980年代初艾滋病出现以来，公共卫生领域发生了巨大变化。近年来，一波又一波新的和更新的传染病出现并在全球蔓延，它们相互交织，并与差距、歧视和结构性暴力的社会条件和生物心理后果交织在一起，对国际公共卫生构成了新的重大威胁。最近，医学人类学家引入了“综合征”一词，用于标记两种或两种以上共存疾病的协同相互作用以及由此产生的疾病过度负担。本文提供了迄今为止这一新概念的最充分的检查，包括对相关新文献和最近的研究发现的回顾，涉及疾病和社会条件在生物和人口水平上的共同感染和协同相互作用。
The world of public health has undergone dramatic changes since the emergence of AIDS in the early 1980s. The appearance and global spread in recent years of wave after wave of new and renewed infectious diseases and their entwinement with each other and with the social conditions and biopsychological consequences of disparity, discrimination, and structural violence has produced a new significant threat to public health internationally. The term syndemic has been introduced recently by medical anthropologists to label the synergistic interaction of two or more coexistent diseases and resultant excess burden of disease. This article provides the fullest examination of this new concept to date, including a review of relevant new literature and recent research finds concerning coinfection and synergistic interaction of diseases and social conditions at the biological and population levels.