Health effects of socially toxic neighborhoods: The violence and urban asthma paradigm

Health effects of socially toxic neighborhoods: The violence and urban asthma paradigm
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DOI:
10.1016/j.ccm.2006.04.003
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发表时间:
2006-09-01
影响因子:
5.7
通讯作者:
Wright, Rosalind J.
Wright, Rosalind J.
中科院分区:
医学3区
文献类型:
--
作者:
Wright, Rosalind J.

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哮喘的结果明显具有社会模式,哮喘是少数民族和低社会经济群体健康差异的主要原因。然而,哮喘发病率的增加和显著差异在很大程度上仍然无法用已知的危险因素来解释。这些被边缘化的人也可能生活在社会毒性越来越大的社区,这可能与增加的心理社会压力有关,也有助于哮喘发病率。这篇文章的重点是暴力暴露作为一个有用的范例,以了解慢性社会压力如何影响哮喘的表达。
Asthma outcomes are clearly socially patterned with asthma ranking as a leading cause of health disparities among minority and low socioeconomic groups. Yet, the increasing prevalence and marked disparities in asthma remain largely unexplained by known risk factors. These marginalized individuals may also live in communities that are increasingly socially toxic, which may be related to increased psychosocial stress that also contributes to asthma morbidity. This article focuses on violence exposure as a useful paradigm to understand how chronic social stressors may influence asthma expression.