Social Determinants: Taking the Social Context of Asthma Seriously

被引：220

作者：

Williams, David R. ^{[1
,2
,3
]}

Sternthal, Michelle ^{[4
]}

Wright, Rosalind J. ^{[4
,5
,6
]}

机构：

[1] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Cambridge, MA 02138 USA

[2] Harvard Univ, Dept African & African Amer Studies, Cambridge, MA 02138 USA

[3] Harvard Univ, Dept Sociol, Cambridge, MA 02138 USA

[4] Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA

[5] Brigham & Womens Hosp, Dept Med, Channing Lab, Boston, MA USA

[6] Harvard Univ, Sch Med, Boston, MA 02115 USA

来源：

PEDIATRICS | 2009年 / 123卷

关键词：

childhood asthma prevalence; low-income population; poverty; race; risk factors; AIR-POLLUTION; ATHEROSCLEROSIS RISK; SOCIOECONOMIC-STATUS; COLLECTIVE EFFICACY; CHILDHOOD ASTHMA; SPATIAL DYNAMICS; LUNG-FUNCTION; LOW-INCOME; HEALTH; COMMUNITY;

D O I：

10.1542/peds.2008-2233H

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Although asthma has emerged as a major contributor to disease and disability among US children, the burden of this disease is unevenly distributed within the population. This article provides a brief overview of social-status variables that predict variations in asthma risks and social exposures, such as stress and violence, that are emerging as important risk factors. The central focus of the article is on the distal social variables that have given rise to unhealthy residential environments in which the risk factors for asthma and other diseases are clustered. Effective initiatives for the prevention and treatment of childhood asthma need to address these nonmedical determinants of the prevalence of asthma. Pediatrics 2009; 123:S174-S184

引用

页码：S174 / S184

页数：11

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