Defining and investigating social disparities in cancer: critical issues?
Defining and investigating social disparities in cancer: critical issues?
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DOI：
10.1007/s10552-004-1251-5
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发表时间：
2005-02-01
影响因子：
2.3
通讯作者：
Krieger, N
中科院分区：
文献类型：
--
作者：
Krieger, N
为解决癌症方面的社会不平等问题而开展的研究和行动，需要明确构成和造成这些持续存在的严重健康不平等现象的原因。目前，科学文献和政府文件都表现出重要的分歧，混乱的术语，以及相当大的，如果不是故意的，关于“癌症差异”和相关术语“健康方面的社会差异”的含义。因此，这篇文章回顾了与“癌症差异”含义的一致理解相关的关键问题;根据因果关系的论点，社会差距在健康，由德。认知，产生于社会不平等，并认为其影响，制定一个多学科的研究议程，社会不平等的癌症。解决这一问题需要来自多个学科的严格和关键的框架，问题和方法，并且必然涉及定量和定性的流行病学，临床和干预研究。问题在于做出有意识的研究选择：我们研究哪些类型的差异，与癌症的哪个方面有关，以便提高我们的研究将有助于为全社会关于癌症社会不公正的程度，起源和补救措施的讨论提供信息的可能性，从而有助于消除健康方面的社会不平等。
Research and action to address social disparities in cancer requires clarity about what constitutes and causes these persistent and onerous inequities in health. Currently, both scientific literature and government documents exhibit important disagreements, confused terminology, and considerable, if not deliberate, vagueness about the meaning of the phrase 'cancer disparities' and the related term 'social disparities in health.' This article accordingly reviews critical issues relevant to cohering understanding of what is meant by 'cancer disparities;' offers a de. nition premised on the causal contention that social disparities in health, by de. nition, arise from social inequity; and considers its implications for developing a multidisciplinary research agenda on social inequalities in cancer. Tackling this issue will require rigorous and critical frameworks, questions, and methods derived from multiple disciplines, and will necessarily involve epidemiologic, clinical, and intervention research, both quantitative and qualitative. At issue is making conscious research choices: about which types of disparities we study, in relation to which aspect of cancer, so as to improve the likelihood our research will help inform a society- wide discourse about the extent, origins of, and remedies for social injustices in cancer, thereby aiding efforts to eliminate social inequalities in health.