Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Office of the Director, Office of Health Equity, Atlanta, GA 30333, USA.
Public Health Rep. 2011 Sep-Oct;126 Suppl 3(Suppl 3):41-53. doi: 10.1177/00333549111260S309.
Challenges exist in the study of social determinants of health (SDH) because of limited comparability of population-based U.S. data on SDH. This limitation is due to differences in disparity or equity measurements, as well as general data quality and availability. We reviewed the current SDH variables collected for HIV, viral hepatitis, sexually transmitted diseases, and tuberculosis at the Centers for Disease Control and Prevention through its population-based surveillance systems and assessed specific system attributes. Results were used to provide recommendations for a core set of SDH variables to collect that are both feasible and useful. We also conducted an environmental literature scan to determine the status of knowledge of SDH as underlying causes of disease and to inform the recommended core set of SDH variables.
由于美国基于人群的社会决定因素健康数据的可比性有限，因此在研究社会决定因素健康时存在挑战。这种局限性是由于差异或公平性衡量标准以及一般数据质量和可用性的差异造成的。我们通过疾病预防控制中心的基于人群的监测系统审查了目前在艾滋病毒、病毒性肝炎、性传播疾病和结核病方面收集的社会决定因素变量，并评估了特定系统属性。结果用于提供关于要收集的既有可行性又有用的核心社会决定因素变量的建议。我们还进行了环境文献扫描，以确定社会决定因素作为疾病根本原因的知识状况，并为建议的核心社会决定因素变量提供信息。
