PDF(Pubmed)
Abstract：
A State of the Art lecture titled \"Syndemics in Women\'s Health: Poverty, Social Exclusion and Clustering of Thrombotic and Haemostasis Disorders\" was presented at the International Society on Thrombosis and Haemostasis (ISTH) Congress in 2023. Syndemics are characterized by the clustering of specific health conditions in vulnerable populations. These populations become vulnerable as a result of large-scale social, political, and economic factors that influence social determinants of health and increase susceptibility to disease. Vulnerable populations at risk of experiencing a syndemic include those who are subjected to social exclusion and gender- or race-based marginalization. Biological sex (assigned at birth based on physical & genetic differences) and gender identity (the personal sense of ones own gender) have been recognized as important determinants of health outcomes in the context of certain syndemic diseases. Potential examples of syndemic biosocial interactions in the field of thrombosis and hemostasis include the effect of social determinants of health in perpetuating the global maternal mortality crisis and the role of poverty and marginalization in influencing thrombosis risk in socially excluded individuals. Initiatives directed at prevention and treatment of syndemic conditions require multilevel interventions directed at the socio-economic as well as the biological determinants of the disease. In the present article, we describe potential syndemic disease interactions in the field of thrombosis and hemostasis, and we summarize some relevant new data relating to the social determinants of health presented during the 2023 ISTH Congress.
摘要：
最先进的演讲题为“妇女健康中的流行病：贫困，“血栓和止血障碍的社会排斥和聚集”在2023年的国际血栓和止血学会（ISTH）大会上提出。传染病的特点是脆弱人群中特定健康状况的聚集。由于大规模的社会，这些人口变得脆弱，政治,和影响健康的社会决定因素并增加对疾病的易感性的经济因素。有可能经历共病的弱势群体包括那些遭受社会排斥和基于性别或种族的边缘化的人。生物性别（根据身体和遗传差异在出生时分配）和性别认同（个人对自己性别的感觉）已被认为是某些传染病背景下健康结果的重要决定因素。血栓形成和止血领域的共同生物社会相互作用的潜在例子包括健康的社会决定因素在使全球孕产妇死亡危机长期存在中的作用，以及贫困和边缘化在影响社会排斥者血栓形成风险中的作用。旨在预防和治疗传染病的举措需要针对该疾病的社会经济和生物学决定因素的多层次干预措施。在本文中,我们描述了血栓形成和止血领域潜在的共病相互作用，我们总结了2023年ISTH大会期间提出的与健康的社会决定因素有关的一些相关新数据。
