Social epidemiology and rheumatic disease

被引:12
|
作者
Callahan, LF [1 ]
机构
[1] Univ N Carolina, Thurston Arthrit Res Ctr, Chapel Hill, NC 27599 USA
关键词
D O I
10.1097/00002281-200303000-00004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Social epidemiology, a subdiscipline of epidemiology, aims to identify socioenvironmental exposures that may be related to a broad range of health status outcomes. The strong association throughout the developed world between lower levels of individual socioeconomic status and poorer health outcomes from many diseases, including arthritis, is well established. Although not yet well studied in arthritis, recent data suggest that community social determinants, eg, the socioeconomic environment of an individual's neighborhood, may be operant in this regard as well. It is of considerable interest that the association of community social determinants with health outcomes appears to be independent of an individual's socioeconomic status, at least in some clinical situations. Both Healthy People 2010 and the National Arthritis Action Plan place high priority on reducing disparities in health outcomes in the United States. Development of effective prevention strategies will require (1) precise recognition of individual and community variables that are associated with health outcomes and (2) evaluation of the putative mediating mechanisms. (C) 2003 Lippincott Williams Wilkins.
引用
收藏
页码:110 / 115
页数:6
相关论文
共 50 条
  • [41] Epidemiology of rheumatic diseases
    Sangha, O
    RHEUMATOLOGY, 2000, 39 : 3 - 12
  • [42] Pediatric rheumatic heart disease and social disadvantage
    Tom, Katherine Nicole
    De Silva, Natasha
    Etoom, Yousef
    Wong, Peter Douglas
    UNIVERSITY OF TORONTO MEDICAL JOURNAL, 2022, 99 (01) : 34 - 36
  • [43] MEDICO-SOCIAL INCIDENCE OF RHEUMATIC DISEASE
    SICHERE, RM
    DULAC, Y
    INTERNATIONAL NURSING REVIEW, 1959, 6 (02) : 48 - 51
  • [44] RHEUMATIC HEART DISEASE AS A SOCIAL PROBLEM OF JAPAN
    SHIOKAWA, Y
    JAPANESE JOURNAL OF MEDICINE, 1974, 13 (02) : 85 - 87
  • [45] Rheumatic heart disease: Social and economic dimensions
    Robertson, Katharine A.
    Mayosi, Bongani M.
    SAMJ SOUTH AFRICAN MEDICAL JOURNAL, 2008, 98 (10): : 780 - 781
  • [46] EPIDEMIOLOGY OF RHEUMATIC-FEVER AND RHEUMATIC HEART-DISEASE IN A RURAL-COMMUNITY IN NORTHERN INDIA
    GROVER, A
    DHAWAN, A
    IYENGAR, SD
    ANAND, IS
    WAHI, PL
    GANGULY, NK
    BULLETIN OF THE WORLD HEALTH ORGANIZATION, 1993, 71 (01) : 59 - 66
  • [47] RHEUMATIC HEART DISEASE EPIDEMIOLOGY - OBSERVATIONS IN 17366 DENVER SCHOOL CHILDREN
    MORTON, WE
    HUHN, LA
    LITCHY, JA
    JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1967, 199 (12): : 879 - &
  • [48] Rheumatic and nonrheumatic valvular heart disease - Epidemiology, management, and prevention in Africa
    Essop, MR
    Nkomo, VT
    CIRCULATION, 2005, 112 (23) : 3584 - 3591
  • [49] Striking differences in rheumatic disease epidemiology in a Native American cohort.
    Peschken, CA
    Hitchon, CA
    ARTHRITIS AND RHEUMATISM, 2001, 44 (09): : S228 - S228
  • [50] EPIDEMIOLOGY OF RHEUMATIC HEART-DISEASE IN BLACK SCHOOLCHILDREN OF SOWETO, JOHANNESBURG
    MCLAREN, MJ
    HAWKINS, DM
    KOORNHOF, HJ
    BLOOM, KR
    BRAMWELLJONES, DM
    COHEN, E
    GALE, GE
    KANAREK, K
    LACHMAN, AS
    LAKIER, JB
    POCOCK, WA
    BARLOW, JB
    BRITISH MEDICAL JOURNAL, 1975, 3 (5981): : 474 - 478