Understanding associations among race, socioeconomic status, and health: Patterns and prospects.
Understanding associations among race, socioeconomic status, and health: Patterns and prospects.
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DOI：
10.1037/hea0000242
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发表时间：
2016-04
期刊：
影响因子：
--
通讯作者：
Anderson NB
中科院分区：
文献类型：
--
作者：
Williams DR;Priest N;Anderson NB
种族/族裔和社会经济地位（SES）是社会类别，反映了不同的生活条件对健康的影响。种族/民族和社会经济地位是相互联系的，但即使考虑了社会经济地位，种族对健康也很重要。本评论探讨了种族与社会经济地位相结合影响健康的复杂方式。需要更多地关注了解社会环境中的风险和资源如何根据种族、族裔和社会经济地位系统地形成模式，以及它们如何结合起来影响心血管疾病和其他健康结果。未来的研究需要研究机构和人际种族主义的水平、时间和积累如何与生命历程中的其他有毒物质暴露相结合，从而影响疾病的发作和病程。还迫切需要开展研究，寻求建立科学基础，以确定可能增强所有人健康的多层次干预措施，即使这些干预措施比其他人群更快地改善弱势群体的健康，从而减少并最终消除健康方面的不平等。我们还需要持续的研究关注，以确定如何建立政治支持，以减少健康方面的巨大缺口。
Race/ethnicity and socioeconomic status (SES) are social categories that capture differential exposure to conditions of life that have health consequences. Race/ethnicity and SES are linked to each other, but race matters for health even after SES is considered. This commentary considers the complex ways in which race combines with SES to affect health. There is a need for greater attention to understanding how risks and resources in the social environment are systematically patterned by race, ethnicity and SES, and how they combine to influence cardiovascular disease and other health outcomes. Future research needs to examine how the levels, timing and accumulation of institutional and interpersonal racism combine with other toxic exposures, over the life-course, to influence the onset and course of illness. There is also an urgent need for research that seeks to build the science base that will identify the multilevel interventions that are likely to enhance the health of all, even while they improve the health of disadvantaged groups more rapidly than the rest of the population so that inequities in health can be reduced and ultimately eliminated. We also need sustained research attention to identifying how to build the political support to reduce the large shortfalls in health.