The Social Determinants of Chronic Disease

The Social Determinants of Chronic Disease
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DOI:
10.1016/j.amepre.2016.09.010
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发表时间:
2017-01-01
影响因子:
5.5
通讯作者:
Oates, Gabriela R.
Oates, Gabriela R.
中科院分区:
医学2区
文献类型:
--
作者:
Cockerham, William C.;Hamby, Bryant W.;Oates, Gabriela R.

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这篇综述文章讨论了健康的社会决定因素(SDH)的概念,选择的理论,及其在慢性病研究中的应用。社会决定因素曾一度被忽视,或仅被视为对健康和疾病的遥远或次要影响,但现在越来越多地被认为是健康问题的根本原因。为了讨论的目的,SDH指的是与慢性疾病直接相关的SDH变量,在某些情况下,肥胖,在中南跨学科合作中心健康差异研究的研究议程。SDH的健康影响进行了初步讨论,吸烟和死亡率的社会梯度。其次,回顾了四种主要的SDH理论-生命历程理论、根本原因理论、社会资本理论和健康生活方式理论。本文最后检查的邻居的劣势,社交网络,并认为在SDH研究的歧视。(C)2016由Elsevier Inc.出版《美国预防医学杂志》(American Journal of Preventive Medicine)
This review article addresses the concept of the social determinants of health (SDH), selected theories, and its application in studies of chronic disease. Once ignored or regarded only as distant or secondary influences on health and disease, social determinants have been increasingly acknowledged as fundamental causes of health afflictions. For the purposes of this discussion, SDH refers to SDH variables directly relevant to chronic diseases and, in some circumstances, obesity, in the research agenda of the Mid-South Transdisciplinary Collaborative Center for Health Disparities Research. The health effects of SDH are initially discussed with respect to smoking and the social gradient in mortality. Next, four leading SDH theories-life course, fundamental cause, social capital, and health lifestyle theory-are reviewed with supporting studies. The article concludes with an examination of neighborhood disadvantage, social networks, and perceived discrimination in SDH research. (C) 2016 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.