Kawachi Ichiro, Subramanian S V
Harvard School of Public Health, MA 02115, USA.
J Trauma Stress. 2006 Apr;19(2):195-203. doi: 10.1002/jts.20108.
Increasingly it is recognized that health and illness are products of individual level risk and protective factors, as well as forces operating at contextual levels. In this article, we present the motivation and rationale for understanding trauma within its context. We use the example of the concept of social capital to illustrate the relevance of the contextual approach for trauma research and outline a multilevel modeling approach to examining contextual influences on trauma outcomes.
人们越来越认识到，健康和疾病是个体层面风险和保护因素以及在背景层面起作用的力量的产物。在本文中，我们阐述了在背景中理解创伤的动机和基本原理。我们以社会资本概念为例，来说明背景方法对创伤研究的相关性，并概述一种多层次建模方法，以检验背景对创伤结果的影响。
