Voigtländer S, Mielck A, Razum O
Abteilung für Epidemiologie & International Public Health, Fakultät für Gesundheitswissenschaften, Universität Bielefeld.
Gesundheitswesen. 2012 Nov;74(11):702-9. doi: 10.1055/s-0031-1285863. Epub 2011 Oct 19.
Recent empirical studies stress the impact of features related to the small-area context on individual health. However, so far there exists no standard explanatory model that integrates the different kinds of such features and that conceptualises their relation to individual characteristics of social inequality.
A review of theoretical publications on the relationship between social position and health as well as existing conceptual models for the impact of features related to the small-area context on health was undertaken.
In the present article we propose a conceptual model for the health impact of the small-area context. This model conceptualises the location of residence as one dimension of social inequality that affects health through the resources as well as stressors which are inherent in the small-area context.
The proposed conceptual model offers an orientation for future empirical studies and can serve as a basis for further discussions concerning the health relevance of the small-area context.
近期的实证研究强调了与小区域环境相关的特征对个体健康的影响。然而，迄今为止，尚无一个标准的解释模型能够整合不同类型的此类特征，并将它们与社会不平等的个体特征之间的关系概念化。
对关于社会地位与健康之间关系的理论出版物以及关于小区域环境相关特征对健康影响的现有概念模型进行了综述。
在本文中，我们提出了一个关于小区域环境对健康影响的概念模型。该模型将居住地点概念化为社会不平等的一个维度，它通过小区域环境中固有的资源以及压力源来影响健康。
所提出的概念模型为未来的实证研究提供了一个方向，并可作为进一步讨论小区域环境与健康相关性的基础。
