Socioeconomic determinants of health - Stress and the biology of inequality

被引：279
作者：
Brunner, E
机构：
[1] International Centre for Health and Society, Department of Epidemiology and Public Health, University College London
来源：
BMJ-BRITISH MEDICAL JOURNAL | 1997年 / 314卷 / 7092期
关键词：
D O I：
10.1136/bmj.314.7092.1472
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
It is well established that health depends an socioeconomic circumstances, but the biology of this relation is not well described. Psychosocial factors operating throughout the life course, beginning in early life, Influence a variety of biological variables. Research with non-human primates shows the effects of dominance hierarchy on biology, and similar metabolic differentials are evident in a hierarchy of white collar civil servants. The neuroendocrine ''fight or flight'' response produces physiological and metabolic alterations which parallel those observed with lower socioeconomic status. The biological effects of the psychosocial environment could explain health inequalities between relatively affluent groups.
引用
收藏
页码：1472 / 1476
页数：5
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