Complex Systems Thinking and Current Impasses in Health Disparities Research

被引:254
作者
Roux, Ana V. Diez [1 ]
机构
[1] Univ Michigan, Ctr Social Epidemiol & Populat Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
关键词
CHRONIC DISEASE EPIDEMIOLOGY; LIFE-COURSE APPROACH; PUBLIC-HEALTH; GENETIC-STRUCTURE; SCIENCE; MODELS; RACE; ASSOCIATION; POPULATION; EXPRESSION;
D O I
10.2105/AJPH.2011.300149
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Complex systems approaches have received increasing attention in public health because reductionist approaches yield limited insights in the context of dynamic systems. Most discussions have been highly abstract. There is a need to consider the application of complex systems approaches to specific research questions. I review the features of population health problems for which complex systems approaches are most likely to yield new insights, and discuss possible applications of complex systems to health disparities research. I provide illustrative examples of how complex systems approaches may help address unanswered and persistent questions regarding genetic factors, life course processes, place effects, and the impact of upstream policies. The concepts and methods of complex systems may help researchers move beyond current impasse points in health disparities research. (Am J Public Health. 2011;101:1627-1634. doi:10.2105/AJRI-1.2011.300149)
引用
收藏
页码:1627 / 1634
页数:8
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