"Race Becomes Biology": Co-occurring Oral and Systemic Disease as Embodiment of Structural Violence in an American Skeletal Sample

"Race Becomes Biology": Co-occurring Oral and Systemic Disease as Embodiment of Structural Violence in an American Skeletal Sample
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“种族成为生物学”:同时发生的口腔和全身疾病作为美国骨骼样本中结构性暴力的体现

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发表时间:
2014
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通讯作者:
Rieti G Gengo
Rieti G Gengo
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作者:
Rieti G Gengo

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大量生物医学研究表明,导致牙周病的细菌可以迁移到口腔外,引起一系列全身感染。然而,迄今为止,只有一项生物考古学研究解决了过去人群中这种同时发生的疾病过程。本论文的结果证实了口腔和全身疾病之间相关性的生物考古学可见性,该数据基于来自罗伯特·J·特里解剖骨骼收藏的白人和黑人成年人样本的数据。检查牙槽嵴的垂直退缩和多孔重塑以识别牙周炎。股骨、胫骨和腓骨上的骨膜病变被用作非特异性全身性疾病的指标。正如之前对中世纪英国墓地的牙周炎和骨膜炎的研究一样,特里收藏样本中的这些疾病过程之间存在显着相关性,这表明进一步研究骨骼遗骸中同时发生的疾病过程的重要性。此外,黑人样本中不仅骨膜炎和中重度牙周炎的发生率明显高于白人,而且黑人样本中每种疾病过程的严重程度也明显更高。这些结果提供了结构性不平等的物理体现的一个例子,强调了疾病状态与社会过程的辩证关系中存在的复杂性。
number of biomedical studies demonstrated that the bacteria that contribute to periodontal disease can migrate outside the oral cavity, causing a host of systemic infections. Yet, to date, only one bioarchaeological investigation has addressed this co-occurring disease process in a past population. The results of this thesis confirm the bioarchaeological visibility of the correlation between oral and systemic disease based on data derived from a sample of white and black adults from the Robert J. Terry Anatomical Skeletal Collection. Vertical recessions and porous remodeling of the alveolar crest were examined to identify periodontitis. Periosteal lesions on the femur, tibia and fibula were used as indicators of non-specific, systemic disease. As in a previous study of periodontitis and periostitis in a medieval British cemetery, a significant correlation between these disease processes in the Terry Collection sample is reported, suggesting the importance of further work on co-occurring disease processes in skeletal remains. Furthermore, not only are rates of periostitis and moderate-to-severe periodontitis significantly higher among black individuals than white, but the severity of each disease process is significantly more severe in the black sample. These results offer an example of the physical embodiment of structural inequality, highlighting the complexity of disease states as existing in a dialectical relationship with social processes.
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