Kneipp Shawn M, Drevdahl Denise J
Department of Health Care Environments & Systems, College of Nursing, University of Florida, Gainesville, Fla 32610-0187, USA.
ANS Adv Nurs Sci. 2003 Jul-Sep;26(3):162-72. doi: 10.1097/00012272-200307000-00002.
Despite growing evidence that social and economic factors are important determinants of health disparities, there is a lack of understanding of how these factors operate in relation to health. This article explores 3 conceptual and methodological issues impeding nursing research in this area: (1) ambiguity surrounding socioeconomic status (SES), both conceptually and as a scientific indicator; (2) the narrow focus on biological and behavioral risks for chronic disease development; and (3) the persistent centrality of individual behavior in studies examining SES-health contextual relationships. A brief overview of emerging approaches for enhancing nursing science in the area of SES and health disparities is presented.
尽管越来越多的证据表明社会和经济因素是健康差距的重要决定因素，但对于这些因素如何与健康相关联发挥作用，人们仍缺乏了解。本文探讨了阻碍该领域护理研究的三个概念和方法问题：（1）社会经济地位（SES）在概念上以及作为科学指标方面存在的模糊性；（2）对慢性病发展的生物和行为风险关注狭窄；（3）在研究SES与健康背景关系时，个体行为始终占据核心地位。本文还简要概述了在SES和健康差距领域加强护理科学的新方法。
