Social determinants: taking the social context of asthma seriously.
Social determinants: taking the social context of asthma seriously.
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DOI：
10.1542/peds.2008-2233h
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发表时间：
2009-03
期刊：
影响因子：
8
通讯作者：
Wright RJ
中科院分区：
文献类型：
--
作者：
Williams DR;Sternthal M;Wright RJ
虽然哮喘已成为美国儿童疾病和残疾的主要原因，但这种疾病的负担在人群中分布不均。本文简要概述了预测哮喘风险变化的社会地位变量以及正在成为重要风险因素的压力和暴力等社会暴露。然而，本文的重点是导致不健康居住环境的远端社会变量，其中聚集了哮喘和其他疾病的危险因素。预防和治疗儿童哮喘的有效举措需要解决哮喘患病率的这些非医学决定因素。
While asthma has emerged as a major contributor to disease and disability in American children, the burden of this disease is unevenly distributed within the population. This paper provides a brief overview of social status variables that predict variation in asthma risks and social exposures such as stress and violence that are emerging as important risk factors. However, the central focus of the paper is on the distal social variables that have given rise to unhealthy residential environments in which the risk factors for asthma and other diseases are clustered. Effective initiatives for the prevention and treatment of childhood asthma need to address these non-medical determinants of the prevalence of asthma.