Marx R
Francis I. Proctor Foundation for Research in Ophthalmology, University of California, San Francisco 94143.
Soc Sci Med. 1989;29(1):23-34. doi: 10.1016/0277-9536(89)90124-x.
Although great advances have been made in the clinical understanding of trachoma, the disease remains endemic in many parts of the world. Economic, environmental, cultural and behavioral factors continue to play an important role in trachoma transmission and progression. The trachoma literature however, contains relatively few studies which rigorously assess the importance of social factors. A critical review of the trachoma literature implicates individual and community hygiene as important risk factors for disease. Specific risk behaviors remain to be identified and validated as independent predictors of infection in different settings. Collaboration between biomedical and social science professionals is needed to design and carry out further research.
尽管在沙眼的临床认识方面已取得巨大进展，但该疾病在世界许多地区仍然流行。经济、环境、文化和行为因素在沙眼的传播和发展中继续发挥重要作用。然而，沙眼相关文献中，严格评估社会因素重要性的研究相对较少。对沙眼文献的批判性综述表明，个人和社区卫生是疾病的重要风险因素。在不同环境中，特定的风险行为仍有待确定并验证为感染的独立预测因素。需要生物医学和社会科学专业人员之间的合作来设计和开展进一步研究。
