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社会科学调查中评估传染病及相关措施的基本原理和方法选择。

Rationale and methodological options for assessing infectious disease and related measures in social science surveys.

作者信息

McDade Thomas W, Hayward Mark D

机构信息

Northwestern University, Department of Anthropology, Cells to Society: The Center on Social Disparities and Health at the Institute for Policy Research, Evanston, Illinois 60208, USA.

出版信息

Biodemography Soc Biol. 2009;55(2):159-77. doi: 10.1080/19485560903382478.

Abstract

Infectious disease is an important, but often overlooked, component of population health in high-income nations. Common, everyday infections exact significant costs, including school and work absenteeism, reduced productivity, and substantial health care expenditures. Infectious disease also shapes trajectories of biological risk and health and may be causally linked to chronic disease risk later in life. The size, diversity, and representativeness of samples typically employed in survey-based studies of health present exceptional opportunities for advancing scientific knowledge on the social and economic determinants of infectious disease in childhood and adulthood and to investigate the long-term consequences of infectious disease for well-being and attainment across multiple domains. A wide range of interview-based, anthropometric, and biomarker measurement options are currently available for assessing infectious exposures, inflammation, and immune function in nonclinical settings. These methods afford opportunities for innovative, transdisciplinary research on the causes and consequences of infectious disease across the life course that can address questions of interest to social, life, and biomedical scientists.

摘要

在高收入国家,传染病是人群健康的一个重要但常常被忽视的组成部分。常见的日常感染会带来巨大成本,包括旷课和旷工、生产力下降以及大量医疗保健支出。传染病还塑造了生物风险和健康的轨迹,并且可能与生命后期的慢性病风险存在因果联系。基于调查的健康研究中通常使用的样本的规模、多样性和代表性,为推进关于儿童期和成年期传染病的社会和经济决定因素的科学知识,以及调查传染病对多个领域的幸福和成就的长期影响,提供了特殊机遇。目前有多种基于访谈、人体测量和生物标志物测量的选项,可用于在非临床环境中评估感染暴露、炎症和免疫功能。这些方法为开展关于传染病在整个生命历程中的成因和后果的创新性跨学科研究提供了机会,这类研究能够解决社会、生命和生物医学科学家感兴趣的问题。

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