WHERE DO SHARED PATHWAYS LEAD - SOME REFLECTIONS ON A RESEARCH AGENDA

WHERE DO SHARED PATHWAYS LEAD - SOME REFLECTIONS ON A RESEARCH AGENDA
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DOI:
10.1097/00006842-199505000-00002
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发表时间:
1995-05-01
影响因子:
3.3
通讯作者:
KAPLAN, GA
KAPLAN, GA
中科院分区:
医学3区
文献类型:
--
作者:
KAPLAN, GA

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大量研究将社会经济、行为、社会和心理因素与多种疾病的发生和发展联系起来。寻找连接这些因素的共同途径导致了对上游决定因素的研究,而不是生物途径,但生物行为研究人员对这些因素的研究很少。现有数据表明,社会经济因素构成了行为、社会和心理因素的发展和维持;然而,我们对这些因素是如何发生的知之甚少。考虑社会经济地位如何影响人们的日常生活结构,可以促进我们对宏观经济和微观经济对健康的影响的理解,并导致以社区为中心的新的干预方法。这样的研究议程将有助于推进减少疾病的社会和经济根源的科学基础。
A substantial body of research relates socioeconomic, behavioral, social, and psychological factors to the development and progression of a wide variety of diseases. The search for shared pathways that link these factors leads to the investigation of upstream determinants, as opposed to biologic pathways, but these have been little studied by biobehavioral researchers. Available data suggest that socioeconomic factors structure the development and maintenance of behavioral, social, and psychological factors; however, we know little of how this takes place. A consideration of the ways in which socioeconomic position influences the everyday texture of people's lives could advance our understanding of both macroeconomic and microeconomic influences on health, and lead to new, community-centric approaches to intervention. Such a research agenda would help to advance the scientific foundations for reducing the primary origins of disease, which are social and economic.