PDF(Pubmed)
Abstract：
OBJECTIVE: Socioeconomic status (SES) has long been understood to be a key determinant of the distribution of tuberculosis (TB), and the role of social factors has long been a truism of TB epidemiology. We review studies that have examined the social determinants of TB in the USA in the past 20 years. We pay particular attention to how the findings of these studies fit within the framework of fundamental cause theory and argue that a more explicit linkage with fundamental cause theory is critical for understanding the current state of TB health disparities in the USA and for charting a way towards TB elimination in the USA.
UNASSIGNED: Our review finds that while in the past 20 years there have been studies that have documented the ongoing association between social factors and TB disease in the USA, few studies explore the precise mechanisms through which social factors continue to influence TB patterns. We advocate for a move towards a system-based approach both in theory development and analyses, allowing for the incorporation of more complex social dynamics to address long-standing disparities in TB disease.
UNASSIGNED: Our review finds that while in the past 20 years there have been studies that have documented the ongoing association between social factors and TB disease in the USA, few studies explore the precise mechanisms through which social factors continue to influence TB patterns. We advocate for a move towards a system-based approach both in theory development and analyses, allowing for the incorporation of more complex social dynamics to address long-standing disparities in TB disease.
摘要：
目的：社会经济地位（SES）长期以来一直被认为是结核病（TB）分布的关键决定因素，长期以来，社会因素的作用一直是结核病流行病学的真理。我们回顾了过去20年来美国结核病社会决定因素的研究。我们特别关注这些研究的结果如何符合根本原因理论的框架，并认为与根本原因理论更明确的联系对于理解美国结核病健康差异的现状和为美国结核病消除的途径至关重要。
■我们的综述发现，尽管在过去的20年中，有研究记录了美国社会因素与结核病之间的持续关联，很少有研究探讨社会因素继续影响结核病模式的确切机制。我们主张在理论发展和分析方面都朝着基于系统的方法迈进，允许结合更复杂的社会动态来解决结核病的长期差异。
■我们的综述发现，尽管在过去的20年中，有研究记录了美国社会因素与结核病之间的持续关联，很少有研究探讨社会因素继续影响结核病模式的确切机制。我们主张在理论发展和分析方面都朝着基于系统的方法迈进，允许结合更复杂的社会动态来解决结核病的长期差异。
